The health-related quality of life of children with an extremity fracture: A one-year follow-up study

Ru Ding, Melissa L. McCarthy, Eileen Houseknecht, Susan Ziegfeld, Vinita Misra Knight, Patricia Korehbandi, Donna Parnell, Patricia Klotz, Melissa McCarthy, Ellen J Mackenzie, Dennis Durbin, Charles Paidas, Mary Aitken, Kenneth M. Jaffe, Beth S Slomine, Andrea Dorsch, James R Christensen, Ronald Berk, Eileen Houseknecht, Susan ZiegfeldVinita Misra Knight, Patricia Korehbandi, Donna Parnell, Pat Klotz

Research output: Contribution to journalArticle

Abstract

PURPOSE: To document the health-related quality of life (HRQOL) of children with an extremity fracture at 3 and 12 months postinjury and to determine whether it varies significantly by fracture region and site. METHODS: Children hospitalized for an extremity fracture at 4 pediatric trauma centers were studied. A baseline, 3-month, and 12-month telephone interview were completed by a primary caregiver to measure the child's HRQOL using the Pediatric Quality of Life Inventory (PedsQL). HRQOL was modeled as a function of injury, patient, and family characteristics using a longitudinal regression model. RESULT: Of the 100 children enrolled, 52 sustained a lower extremity fracture (LEF) and 48 an upper extremity fracture (UEF). Postinjury HRQOL scores were significantly poorer than preinjury scores for all subjects (P = 0.05). In addition, a significant proportion of subjects reported impaired physical and psychosocial HRQOL at 3 (44% and 46%, respectively) and 12 months (23% and 33%, respectively) postinjury. At 3 months postinjury, children with an LEF had significantly poorer HRQOL outcomes compared to children with a UEF. By 12 months postinjury, the physical function of children with a tibia and/or fibula fracture remained significantly lower than children with a UEF (P ≤ 0.05). CONCLUSIONS: Children hospitalized for an extremity fracture suffered dramatic declines in physical and psychosocial well-being during the first 3 months postinjury. By 1 year postinjury, most children recovered; however, children with a tibia and/or fibula fracture still reported significantly poorer physical functioning.

Original languageEnglish (US)
Pages (from-to)157-163
Number of pages7
JournalJournal of Pediatric Orthopaedics
Volume26
Issue number2
DOIs
StatePublished - Mar 2006
Externally publishedYes

Fingerprint

Extremities
Quality of Life
Upper Extremity
Fibula
Hospitalized Child
Tibia
Lower Extremity
Pediatrics
Trauma Centers
Caregivers
Interviews
Equipment and Supplies
Wounds and Injuries

Keywords

  • Extremity fracture
  • Health-related quality of life
  • PedsQL

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Ding, R., McCarthy, M. L., Houseknecht, E., Ziegfeld, S., Knight, V. M., Korehbandi, P., ... Klotz, P. (2006). The health-related quality of life of children with an extremity fracture: A one-year follow-up study. Journal of Pediatric Orthopaedics, 26(2), 157-163. https://doi.org/10.1097/01.bpo.0000218521.98244.7e

The health-related quality of life of children with an extremity fracture : A one-year follow-up study. / Ding, Ru; McCarthy, Melissa L.; Houseknecht, Eileen; Ziegfeld, Susan; Knight, Vinita Misra; Korehbandi, Patricia; Parnell, Donna; Klotz, Patricia; McCarthy, Melissa; Mackenzie, Ellen J; Durbin, Dennis; Paidas, Charles; Aitken, Mary; Jaffe, Kenneth M.; Slomine, Beth S; Dorsch, Andrea; Christensen, James R; Berk, Ronald; Houseknecht, Eileen; Ziegfeld, Susan; Knight, Vinita Misra; Korehbandi, Patricia; Parnell, Donna; Klotz, Pat.

In: Journal of Pediatric Orthopaedics, Vol. 26, No. 2, 03.2006, p. 157-163.

Research output: Contribution to journalArticle

Ding, R, McCarthy, ML, Houseknecht, E, Ziegfeld, S, Knight, VM, Korehbandi, P, Parnell, D, Klotz, P, McCarthy, M, Mackenzie, EJ, Durbin, D, Paidas, C, Aitken, M, Jaffe, KM, Slomine, BS, Dorsch, A, Christensen, JR, Berk, R, Houseknecht, E, Ziegfeld, S, Knight, VM, Korehbandi, P, Parnell, D & Klotz, P 2006, 'The health-related quality of life of children with an extremity fracture: A one-year follow-up study', Journal of Pediatric Orthopaedics, vol. 26, no. 2, pp. 157-163. https://doi.org/10.1097/01.bpo.0000218521.98244.7e
Ding, Ru ; McCarthy, Melissa L. ; Houseknecht, Eileen ; Ziegfeld, Susan ; Knight, Vinita Misra ; Korehbandi, Patricia ; Parnell, Donna ; Klotz, Patricia ; McCarthy, Melissa ; Mackenzie, Ellen J ; Durbin, Dennis ; Paidas, Charles ; Aitken, Mary ; Jaffe, Kenneth M. ; Slomine, Beth S ; Dorsch, Andrea ; Christensen, James R ; Berk, Ronald ; Houseknecht, Eileen ; Ziegfeld, Susan ; Knight, Vinita Misra ; Korehbandi, Patricia ; Parnell, Donna ; Klotz, Pat. / The health-related quality of life of children with an extremity fracture : A one-year follow-up study. In: Journal of Pediatric Orthopaedics. 2006 ; Vol. 26, No. 2. pp. 157-163.
@article{031f714a7ac842f3983d5343457f1f42,
title = "The health-related quality of life of children with an extremity fracture: A one-year follow-up study",
abstract = "PURPOSE: To document the health-related quality of life (HRQOL) of children with an extremity fracture at 3 and 12 months postinjury and to determine whether it varies significantly by fracture region and site. METHODS: Children hospitalized for an extremity fracture at 4 pediatric trauma centers were studied. A baseline, 3-month, and 12-month telephone interview were completed by a primary caregiver to measure the child's HRQOL using the Pediatric Quality of Life Inventory (PedsQL). HRQOL was modeled as a function of injury, patient, and family characteristics using a longitudinal regression model. RESULT: Of the 100 children enrolled, 52 sustained a lower extremity fracture (LEF) and 48 an upper extremity fracture (UEF). Postinjury HRQOL scores were significantly poorer than preinjury scores for all subjects (P = 0.05). In addition, a significant proportion of subjects reported impaired physical and psychosocial HRQOL at 3 (44{\%} and 46{\%}, respectively) and 12 months (23{\%} and 33{\%}, respectively) postinjury. At 3 months postinjury, children with an LEF had significantly poorer HRQOL outcomes compared to children with a UEF. By 12 months postinjury, the physical function of children with a tibia and/or fibula fracture remained significantly lower than children with a UEF (P ≤ 0.05). CONCLUSIONS: Children hospitalized for an extremity fracture suffered dramatic declines in physical and psychosocial well-being during the first 3 months postinjury. By 1 year postinjury, most children recovered; however, children with a tibia and/or fibula fracture still reported significantly poorer physical functioning.",
keywords = "Extremity fracture, Health-related quality of life, PedsQL",
author = "Ru Ding and McCarthy, {Melissa L.} and Eileen Houseknecht and Susan Ziegfeld and Knight, {Vinita Misra} and Patricia Korehbandi and Donna Parnell and Patricia Klotz and Melissa McCarthy and Mackenzie, {Ellen J} and Dennis Durbin and Charles Paidas and Mary Aitken and Jaffe, {Kenneth M.} and Slomine, {Beth S} and Andrea Dorsch and Christensen, {James R} and Ronald Berk and Eileen Houseknecht and Susan Ziegfeld and Knight, {Vinita Misra} and Patricia Korehbandi and Donna Parnell and Pat Klotz",
year = "2006",
month = "3",
doi = "10.1097/01.bpo.0000218521.98244.7e",
language = "English (US)",
volume = "26",
pages = "157--163",
journal = "Journal of Pediatric Orthopaedics",
issn = "0271-6798",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - The health-related quality of life of children with an extremity fracture

T2 - A one-year follow-up study

AU - Ding, Ru

AU - McCarthy, Melissa L.

AU - Houseknecht, Eileen

AU - Ziegfeld, Susan

AU - Knight, Vinita Misra

AU - Korehbandi, Patricia

AU - Parnell, Donna

AU - Klotz, Patricia

AU - McCarthy, Melissa

AU - Mackenzie, Ellen J

AU - Durbin, Dennis

AU - Paidas, Charles

AU - Aitken, Mary

AU - Jaffe, Kenneth M.

AU - Slomine, Beth S

AU - Dorsch, Andrea

AU - Christensen, James R

AU - Berk, Ronald

AU - Houseknecht, Eileen

AU - Ziegfeld, Susan

AU - Knight, Vinita Misra

AU - Korehbandi, Patricia

AU - Parnell, Donna

AU - Klotz, Pat

PY - 2006/3

Y1 - 2006/3

N2 - PURPOSE: To document the health-related quality of life (HRQOL) of children with an extremity fracture at 3 and 12 months postinjury and to determine whether it varies significantly by fracture region and site. METHODS: Children hospitalized for an extremity fracture at 4 pediatric trauma centers were studied. A baseline, 3-month, and 12-month telephone interview were completed by a primary caregiver to measure the child's HRQOL using the Pediatric Quality of Life Inventory (PedsQL). HRQOL was modeled as a function of injury, patient, and family characteristics using a longitudinal regression model. RESULT: Of the 100 children enrolled, 52 sustained a lower extremity fracture (LEF) and 48 an upper extremity fracture (UEF). Postinjury HRQOL scores were significantly poorer than preinjury scores for all subjects (P = 0.05). In addition, a significant proportion of subjects reported impaired physical and psychosocial HRQOL at 3 (44% and 46%, respectively) and 12 months (23% and 33%, respectively) postinjury. At 3 months postinjury, children with an LEF had significantly poorer HRQOL outcomes compared to children with a UEF. By 12 months postinjury, the physical function of children with a tibia and/or fibula fracture remained significantly lower than children with a UEF (P ≤ 0.05). CONCLUSIONS: Children hospitalized for an extremity fracture suffered dramatic declines in physical and psychosocial well-being during the first 3 months postinjury. By 1 year postinjury, most children recovered; however, children with a tibia and/or fibula fracture still reported significantly poorer physical functioning.

AB - PURPOSE: To document the health-related quality of life (HRQOL) of children with an extremity fracture at 3 and 12 months postinjury and to determine whether it varies significantly by fracture region and site. METHODS: Children hospitalized for an extremity fracture at 4 pediatric trauma centers were studied. A baseline, 3-month, and 12-month telephone interview were completed by a primary caregiver to measure the child's HRQOL using the Pediatric Quality of Life Inventory (PedsQL). HRQOL was modeled as a function of injury, patient, and family characteristics using a longitudinal regression model. RESULT: Of the 100 children enrolled, 52 sustained a lower extremity fracture (LEF) and 48 an upper extremity fracture (UEF). Postinjury HRQOL scores were significantly poorer than preinjury scores for all subjects (P = 0.05). In addition, a significant proportion of subjects reported impaired physical and psychosocial HRQOL at 3 (44% and 46%, respectively) and 12 months (23% and 33%, respectively) postinjury. At 3 months postinjury, children with an LEF had significantly poorer HRQOL outcomes compared to children with a UEF. By 12 months postinjury, the physical function of children with a tibia and/or fibula fracture remained significantly lower than children with a UEF (P ≤ 0.05). CONCLUSIONS: Children hospitalized for an extremity fracture suffered dramatic declines in physical and psychosocial well-being during the first 3 months postinjury. By 1 year postinjury, most children recovered; however, children with a tibia and/or fibula fracture still reported significantly poorer physical functioning.

KW - Extremity fracture

KW - Health-related quality of life

KW - PedsQL

UR - http://www.scopus.com/inward/record.url?scp=33645942082&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33645942082&partnerID=8YFLogxK

U2 - 10.1097/01.bpo.0000218521.98244.7e

DO - 10.1097/01.bpo.0000218521.98244.7e

M3 - Article

C2 - 16557127

AN - SCOPUS:33645942082

VL - 26

SP - 157

EP - 163

JO - Journal of Pediatric Orthopaedics

JF - Journal of Pediatric Orthopaedics

SN - 0271-6798

IS - 2

ER -