Children of non-Western origin with end-stage renal disease in the Netherlands, Belgium and a part of Germany have impaired health-related quality of life compared with Western children

Schoenmaker, Nikki J.; Haverman, Lotte; Tromp, Wilma F.; van der Lee, Johanna H.; Offringa, Martin; Adams, Brigitte; Bouts, Antonia H. M.; Collard, Laure; Cransberg, Karlien; van Dyck, Maria; Godefroid, Nathalie; van Hoeck, Koenraad; Koster-Kamphuis, Linda; Lilien, Marc R.; Raes, Ann; Taylan, Christina; Grootenhuis, Martha A.; Groothoff, Jaap W.
February 2014
Nephrology Dialysis Transplantation;Feb2014, Vol. 29 Issue 2, p448
Academic Journal
Background Many children with end-stage renal disease (ESRD) living in Western Europe are of non-Western European origin. They have unfavourable somatic outcomes compared with ESRD children of Western origin. In this study, we compared the Health-related Quality of Life (HRQoL) of both groups. Methods All children (5–18 years) with ESRD included in the RICH-Q project (Renal Insufficiency therapy in Children-Quality assessment and improvement) or their parents were asked to complete the generic version of the Paediatric Quality-of-Life Inventory 4.0 (PedsQL). RICH-Q comprises the Netherlands, Belgium and a part of Germany. Children were considered to be of non-Western origin if they or at least one parent was born outside Western-European countries. Impaired HRQoL for children with ESRD of Western or non-Western origin was defined as a PedsQL score less than fifth percentile for healthy Dutch children of Western or non-Western origin, respectively. Results Of the 259 eligible children, 230 agreed to participate. One hundred and seventy-four children responded (response rate 67%) and 55 (32%) were of non-Western origin. Overall, 31 (56%) of the ESRD children of non-Western origin, and 58 (49%) of Western origin had an impaired total HRQoL score. Total HRQoL scores of children with ESRD of Western origin and non-Western origin were comparable, but scores on emotional functioning and school functioning were lower in non-Western origin (P = 0.004 and 0.01, respectively). The adjusted odds ratios (95% confidence interval) for ESRD children of non-Western origin to have impaired emotional functioning and school functioning, compared with Western origin, were 3.3(1.5–7.1) and 2.2(1.1–4.2), respectively. Conclusion Children with ESRD of non-Western origin in three Western countries were found to be at risk for impaired HRQoL on emotional and school functioning. These children warrant special attention.


Related Articles

  • Quality of life in children with chronic kidney disease (with child and parent assessments). Buyan, Necla; Türkmen, Mehmet; Bilge, Ilmay; Baskin, Esra; Haberal, Mehmet; Bilginer, Yelda; Mir, Sevgi; Emre, Sevinç; Akman, Sema; Ozkaya, Ozan; Fidan, Kibriya; Alpay, Harika; Kavukcu, Salih; Sever, Lale; Özçakar, Zeynep; Dogrucan, Nahide // Pediatric Nephrology;Aug2010, Vol. 25 Issue 8, p1487 

    Herein the results of a multicenter study from the Turkish Pediatric Kidney Transplantation Study Group are reported. The aims of this study were to compare the quality of life (QoL) scores of Turkish children who are dialysis patients (DP), renal transplant recipients (TR), and age-matched...

  • The impact of delayed development on the quality of life of adults with end-stage renal disease since childhood. Grootenhuis, Martha Alexandra; Stam, Heleen; Last, Bob F.; Groothoff, Jaap W. // Pediatric Nephrology;Apr2006, Vol. 21 Issue 4, p538 

    Little is known about the impact of the course of life of children with end-stage renal disease (ESRD) on their quality of life in adulthood. We therefore assessed the course of life of adult patients with onset of ESRD at an age of <15 years between 1972 and 1992 and compared it with that of...

  • Literature Abstracts. Wu, A.W.; Fink, N.E.; Cagney, K.A.; Bass, E.B.; Rubin, H.R.; Meyer, K.B.; Sadler, J.H.; Powe, N.R.; Peters, A.M.; Henderson, B.L.; Lui, D. // Pediatric Nephrology;Sep2001, Vol. 16 Issue 9, p772 

    Presents abstracts of articles concerning kidney diseases, featured in the 2001 issue of the periodical 'Pediatric Nephrology.' Development of an instrument for measuring health-related quality of life for patients with end-stage renal disease; Comparison between body surface area and...

  • Challenges for Nephrology Nurses in the Management of Children with Chronic Kidney Disease. Miller, Deborah; Macdonald, Dina; Kolnacki, Ken; Simek, Teresa // Nephrology Nursing Journal;May/Jun2004, Vol. 31 Issue 3, p287 

    An important treatment goal for pediatric nephrology caregivers is the optimization of a child's capacity for normal growth and development. However, the physiologic and metabolic derangements associated with chronic kidney disease (CKD) significantly alter these processes, creating important...

  • First-year response to rhGH therapy in children with CKD: a National Cooperative Growth Study Report. Mahan, John; Warady, Bradley; Frane, James; Rosenfeld, Ron; Swinford, Rita; Lippe, Barbara; Davis, D. // Pediatric Nephrology;Jun2010, Vol. 25 Issue 6, p1125 

    A clear definition of the appropriate growth response during recombinant human growth hormone (rhGH) treatment has never been established in the pediatric chronic kidney disease (CKD) population. We present here data from Genentech’s National Cooperative Growth Study (NCGS) on the...

  • End-stage renal disease of the Tunisian child: epidemiology, etiologies, and outcome. Kamoun, Ayoub; Lakhoua, Rachid // Pediatric Nephrology;1996, Vol. 10 Issue 4, p479 

    From December 1989 to December 1993, 90 children under 15 years were admitted to our department for end-stage renal disease; 9 children were less than 5 years and 28 were aged between 5 and 10 years. The sex ratio (M/F) of the children was 2.1. The estimated incidence of pediatric end-stage...

  • The 1998 report of the Japanese National Registry data on pediatric end-stage renal disease patients. Hattori, S.; Yosioka, Kazuo; Honda, Masataka; Ito, Hiroshi // Pediatric Nephrology;Jun2002, Vol. 17 Issue 6, p456 

    We carried out a nationwide survey on patients less than 20 years of age with pediatric chronic end-stage renal disease (ESRD) in Japan for the year 1998. There were 582 patients who had started on renal replacement therapy before 1998, and 105 patients who had been newly introduced to renal...

  • Sources of information on renal conditions used by families. Cargill, Alison; Watson, Alan R. // Pediatric Nephrology;Aug2002, Vol. 17 Issue 8, p648 

    Information for families on their child's renal condition is an essential part of clinical care and our unit has produced a number of booklets and audiovisual materials. We wished to evaluate whether our information strategy needed to be updated, especially with the increasing use of the...

  • Chronic renal failure in pediatrics 1996: Chilean survey. Lagomarsimo, E.; Valenzuela, Anita; Cavagnaro, Felipe; Solar, Eric // Pediatric Nephrology;1999, Vol. 13 Issue 4, p288 

    The Nephrology Branch of the Chilean Pediatric Society has greatly influenced the development of government health plans regarding the management and care of patients under 18 years with chronic renal failure (CRF). In order to assess the status of children with CRF in Chile up to 1996, a...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics