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Use of Pediatric Outcomes Data Collection Instrument to Evaluate Functional Outcomes in Multiple Hereditary Exostoses

Sundin Palmeira de Oliveira, Nathalia ; Rocha Dias da Silva, Marcela and Bedeschi Rego de Mattos, Camila LU orcid (2023) In Journal of Pediatric Orthopaedics 43(5). p.332-336
Abstract

BACKGROUND: The Pediatric Outcomes Data Collection Instrument (PODCI) is a validated quality-of-life questionnaire with 6 domains designed to provide a standardized method of measuring outcomes in pediatric musculoskeletal conditions. To our knowledge there are no reports on its use in children with multiple hereditary exostosis (MHE).

QUESTIONS/PURPOSES: Most published studies on MHE patients have described the efficacy of specific surgical techniques or the specification of deformities. Little is known about the general health status of pediatric patients, the severity of pain, loss of function, and how MHE influences the activities of daily life. We aim to assess the functional levels of MHE pediatric patients with PODCI... (More)

BACKGROUND: The Pediatric Outcomes Data Collection Instrument (PODCI) is a validated quality-of-life questionnaire with 6 domains designed to provide a standardized method of measuring outcomes in pediatric musculoskeletal conditions. To our knowledge there are no reports on its use in children with multiple hereditary exostosis (MHE).

QUESTIONS/PURPOSES: Most published studies on MHE patients have described the efficacy of specific surgical techniques or the specification of deformities. Little is known about the general health status of pediatric patients, the severity of pain, loss of function, and how MHE influences the activities of daily life. We aim to assess the functional levels of MHE pediatric patients with PODCI questionnaire.

PATIENTS AND METHODS: As a cross-sectional study, we prospectively administered PODCI to 34 pediatric patients diagnosed with MHE and their families. The score distributions were compared with values published earlier for children and adolescents without musculoskeletal disorders using the Student and Welch t tests. Parents and adolescents' reports were compared using Wilcoxon signed rank test. Physical examination and PODCI score relation were evaluated by Spearman test.

RESULTS: Children with MHE have significantly lower scores ( P <0,05) in comparison with unaffected children in all domains using the Student and Welch t test. Parents score differs from children score with statistically relevance in pain and comfort domain ( P <0,5). The Spearman test showed a negative correlation between physical examination and PODCI score with statistical significance.

CONCLUSIONS: These results point towards PODCI's capacity in evaluating functional outcomes of pediatric patients with MHE.

LEVEL OF EVIDENCE: Diagnostic Study, Level III.

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Please use this url to cite or link to this publication:
author
; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adolescent, Child, Humans, Exostoses, Multiple Hereditary/genetics, Cross-Sectional Studies, Outcome Assessment, Health Care/methods, Musculoskeletal Diseases, Surveys and Questionnaires, Pain
in
Journal of Pediatric Orthopaedics
volume
43
issue
5
pages
332 - 336
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:36806113
  • scopus:85152169378
ISSN
0271-6798
DOI
10.1097/BPO.0000000000002372
language
English
LU publication?
no
additional info
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
id
e036f932-bb6a-427b-b6b9-647eb123e8b2
date added to LUP
2023-06-01 13:08:16
date last changed
2024-04-05 20:12:08
@article{e036f932-bb6a-427b-b6b9-647eb123e8b2,
  abstract     = {{<p>BACKGROUND: The Pediatric Outcomes Data Collection Instrument (PODCI) is a validated quality-of-life questionnaire with 6 domains designed to provide a standardized method of measuring outcomes in pediatric musculoskeletal conditions. To our knowledge there are no reports on its use in children with multiple hereditary exostosis (MHE).</p><p>QUESTIONS/PURPOSES: Most published studies on MHE patients have described the efficacy of specific surgical techniques or the specification of deformities. Little is known about the general health status of pediatric patients, the severity of pain, loss of function, and how MHE influences the activities of daily life. We aim to assess the functional levels of MHE pediatric patients with PODCI questionnaire.</p><p>PATIENTS AND METHODS: As a cross-sectional study, we prospectively administered PODCI to 34 pediatric patients diagnosed with MHE and their families. The score distributions were compared with values published earlier for children and adolescents without musculoskeletal disorders using the Student and Welch t tests. Parents and adolescents' reports were compared using Wilcoxon signed rank test. Physical examination and PODCI score relation were evaluated by Spearman test.</p><p>RESULTS: Children with MHE have significantly lower scores ( P &lt;0,05) in comparison with unaffected children in all domains using the Student and Welch t test. Parents score differs from children score with statistically relevance in pain and comfort domain ( P &lt;0,5). The Spearman test showed a negative correlation between physical examination and PODCI score with statistical significance.</p><p>CONCLUSIONS: These results point towards PODCI's capacity in evaluating functional outcomes of pediatric patients with MHE.</p><p>LEVEL OF EVIDENCE: Diagnostic Study, Level III.</p>}},
  author       = {{Sundin Palmeira de Oliveira, Nathalia and Rocha Dias da Silva, Marcela and Bedeschi Rego de Mattos, Camila}},
  issn         = {{0271-6798}},
  keywords     = {{Adolescent; Child; Humans; Exostoses, Multiple Hereditary/genetics; Cross-Sectional Studies; Outcome Assessment, Health Care/methods; Musculoskeletal Diseases; Surveys and Questionnaires; Pain}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{5}},
  pages        = {{332--336}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Journal of Pediatric Orthopaedics}},
  title        = {{Use of Pediatric Outcomes Data Collection Instrument to Evaluate Functional Outcomes in Multiple Hereditary Exostoses}},
  url          = {{http://dx.doi.org/10.1097/BPO.0000000000002372}},
  doi          = {{10.1097/BPO.0000000000002372}},
  volume       = {{43}},
  year         = {{2023}},
}