Health-related quality of life may deteriorate from adolescence to young adulthood after extremely preterm birth

Båtsvik, B; Vederhus, Bente Johanne; Halvorsen, Thomas; Wentzel‐Larsen, Tore; Graue, Marit; Markestad, Trond

doi:10.1111/apa.13069

Cited by 30 publications

(40 citation statements)

References 27 publications

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“…With this exception, only data available in the publications were used in this review. From one paper, 4 we calculated combined means and standard deviations, as the results it presented were broken down by subgroups. No decisions were made a priori on how to deal with obtaining additional information from authors.…”

Section: Methodsmentioning

confidence: 99%

Quality of life of adults born very preterm or very low birth weight: A systematic review

et al. 2020

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Aim To establish differences in health‐related quality of life (HRQoL) in adults born term and those born very preterm (VPT) and/or with a very low birth weight (VLBW). Methods Our systematic review is preregistered under PROSPERO‐ID CRD42018084005. Studies were eligible for inclusion if their authors had stated the HRQoL of adults (18 years or older) born VPT (<32 weeks of gestation) or VLBW (<1500 g of birth weight) had been measured, if written in English, and if they reported a comparison with a control group or valid norms. We searched Pubmed, Scopus, Psycinfo, Web of Science, Embase and contacted experts in this field. Non‐response and other bias‐related problems were evaluated. Results We included 18 studies of 15 unique cohorts from 11 countries. In 11 studies, no differences in HRQoL between VPT or VLBW and term‐born adults were found; four studies found lower HRQoL in VPT/VLB adults; and evidence from three studies was inconclusive. Disability, sex and age were associated with HRQoL. Conclusion There is no conclusive evidence that HRQoL differs between term‐born adults and those born VPT or with a VLBW. The comparability of studies was restricted by differences between HRQoL measurements, age ranges at assessment and definition of disability.

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Section: Methodsmentioning

confidence: 99%

Quality of life of adults born very preterm or very low birth weight: A systematic review

et al. 2020

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“…Previous studies have suggested that differences and changes in quality of life and HRQoL between preterm and term groups are small, are not necessarily observed by self‐reports and diminish over time . However, four longitudinal studies from 2015 to 2016 challenged this view by showing constantly lower levels of HRQoL in adults born very or extremely preterm, before 32 or 28 weeks of gestation, respectively, or with an extremely low birth weight of <1000 g. This even applied to adults who were not impaired . Although many of the outcomes of preterm birth differ by sex or intrauterine growth , few studies have assessed whether those two factors also have an impact on HRQoL and that was the aim of our study.…”

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confidence: 99%

Adults who were born preterm with a very low birth weight reported a similar health‐related quality of life to their term‐born peers

et al. 2017

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“…13 However, most studies were based on measuring health statuses instead of QOL in this review. The Child Health Questionnaire (CHQ) was used in two studies 18,37 ; however, this assessment includes health status and functioning and may not be appropriate for measuring HRQOL in children with disabilities. Therefore, almost no information regarding parent-reported HRQOL of adolescents who were born extremely prematurely exists for comparison with our data.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Health Outcomes and Health-Related Quality of Life in Adolescents from a Cohort of Extremely Premature Infants Born at Less Than 27 Weeks of Gestation in Northern Germany

et al. 2016

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Little is known about the psychosocial development and health-related quality of life (HRQOL) of extremely preterm infants once they are adolescents. The regional population-based study cohort included 90 extremely premature infants (< 27 gestational weeks) born between January 1997 and December 1999 in the German state of Schleswig-Holstein. In addition to a neurological and cognitive Wechsler Intelligence Scale for Children, 4th edition assessment, self- and parent-reported psychological problems (Strengths and Difficulties Questionnaire), and health-related quality of life (KINDL) were obtained and compared with a general population of 3,737 adolescents using data from a German Health Interview and Examination Survey for Children and Adolescents (KiGGS survey 2003-2006, Robert Koch Institute, Germany). Overall, 72 of the 90 surviving adolescents and their families (80.0%) participated in this study (mean age: 15.7 years; range: 14.2-17.2). A total of 22 adolescents (30.6%) did not have any neurosensory or cognitive limitations, whereas 31 adolescents (43.1%) were affected by multiple impairments. Parent-reported psychological problems were more common in the study cohort for the total difficulties score (11.3 points [standard deviation, SD: 5.9] vs. 7.7 points [SD: 5.0], < 0.001) and for three of the five domains (emotional symptoms, hyperactivity-inattention, peer relationship problems) compared with the KiGGS reference population. In contrast, the rate of self-reported "abnormal" psychological problems was similar to the reference population. Parent-reported HRQOL was significantly lower in the study cohort for the total score (-3.7 points, < 0.05) and for three of six subscales (emotional wellbeing, < 0.05; self-esteem, < 0.001, and wellbeing with regard to friends/friendship, < 0.001). The adolescents themselves reported an HRQOL similar to that of the KiGGS reference population, though they rated their HRQOL higher for wellbeing with regard to families ( < 0.001) and wellbeing with regard to school/all-day function ( < 0.001). Overall, the parent- and self-reported HRQOL results were not associated with maternal education or disability status but were associated with adolescents' psychological problems. Concordant with the high rate of functional and cognitive limitations, parents of adolescents who were born extremely prematurely faced more psychological problems in their children and reported a lower HRQOL compared with the KiGGS reference population. The adolescents themselves did not recognize these differences. However, having psychological problems was associated with lower self- and parent-reported HRQOL results.

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Health-related quality of life may deteriorate from adolescence to young adulthood after extremely preterm birth

Abstract: Our comparison of EPB and TB subjects at the ages of 17 and 24 indicated that psychosocial HRQoL may deteriorate for EPB subjects when they enter adulthood.

Cited by 30 publications

References 27 publications

Quality of life of adults born very preterm or very low birth weight: A systematic review

Quality of life of adults born very preterm or very low birth weight: A systematic review

Adults who were born preterm with a very low birth weight reported a similar health‐related quality of life to their term‐born peers

Long-Term Health Outcomes and Health-Related Quality of Life in Adolescents from a Cohort of Extremely Premature Infants Born at Less Than 27 Weeks of Gestation in Northern Germany

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