Evidence map›Paper›PMID 28985742›Full record

ArticleHealth and quality of life outcomes2017

Health-related quality of life in children with congenital adrenal hyperplasia.

Alyssa Halper, Mary C Hooke, Maria Teresa Gonzalez-Bolanos, Nancy Vanderburg, Thang N Tran, Jane Torkelson, Kyriakie Sarafoglou

Abstract read
In one paragraph

Article in Health and quality of life outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Psychosocial Development, Sexuality and Quality of Life in Congenital Adrenal HyperplasiaJournal of clinical research in pediatric endocrinology · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Alyssa HalperUniversity of Minnesota Masonic Children's Hospital, 2450 Riverside Ave. East Bldg, Rm MB671, Minneapolis, MN, 55454, USA.
Mary C HookeUniversity of Minnesota School of Nursing, Minneapolis, MN, USA.
Maria Teresa Gonzalez-BolanosUniversity of Minnesota Masonic Children's Hospital, 2450 Riverside Ave. East Bldg, Rm MB671, Minneapolis, MN, 55454, USA.
Nancy VanderburgMinnesota Department of Health, St. Paul, MN, USA.
Thang N TranUniversity of Minnesota College of Pharmacy, Minneapolis, MN, USA.
Jane TorkelsonUniversity of Minnesota Masonic Children's Hospital, 2450 Riverside Ave. East Bldg, Rm MB671, Minneapolis, MN, 55454, USA.
Kyriakie SarafoglouUniversity of Minnesota Masonic Children's Hospital, 2450 Riverside Ave. East Bldg, Rm MB671, Minneapolis, MN, 55454, USA. saraf010@umn.edu.ORCID http://orcid.org/0000-0002-5741-3629

Funding

Pre-Faculty Research Training in Pediatric EndocrinologyT32DK065519 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BELLIN, MELENA D. · 2004 to 2024
$3.6M
NIDDK NIH HHS T32 DK065519
6 · The paper itself

Abstract

backgroundChildren with congenital adrenal hyperplasia (CAH) require life-long glucocorticoid replacement and have daily intermittent hyper/hypocortisolemia and hyperandrogenemia. Health-related quality of life (HRQL) is important for understanding the impact the disease and therapy have on physical, mental, emotional, and social functioning. Little is known about HRQL in CAH. We compared HRQL in children with CAH to healthy norms and examined how these scores related to physiologic variables.

methodsA cross-sectional study examined 45 patients (mean age 8.2(4.5) years). Thirty-two self-reported their quality of life (QoL) on the PedsQL™ Generic Core Scale and PedsQL™ Fatigue Scale, and 44 parents completed a parent report. Bone age Z-scores were calculated from the most recent bone age.

resultsChildren with CAH did not report lower QoL than healthy norms. However, their parents reported lower overall QoL and fatigue scores than parents of healthy norms. Children with CAH rated sleep poorer than their parents. QoL scores did not differ by sex or CAH subtype and were not associated with total daily hydrocortisone dose. Bone age Z-scores were negatively associated with child-reported emotional health and cognitive fatigue.

conclusionsParents of children with CAH reported a negative impact of disease on their children's QoL, but their children did not. The negative associations between bone age Z-scores and emotional health and cognitive fatigue suggest an impact from chronic hypocortisolemia and hyperandrogenemia.

Indexed as

AdolescentAdrenal Hyperplasia, CongenitalCase-Control StudiesChildChild, PreschoolCross-Sectional StudiesFatigueFemaleGlucocorticoidsHumansMaleMental HealthParentsQuality of LifeSelf ReportGlucocorticoidsAndrogenCongenital adrenal hyperplasiaCortisolFatigueGlucocorticoidsHydrocortisonePediatricsQuality of life

Identifiers

PMID28985742
PMCPMC5639595

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.