ArticleHealth and quality of life outcomes2018
Obstetric brachial plexus injuries (OBPIs): health-related quality of life in affected adults and parents.
Article in Health and quality of life outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- A systematic review of brachial plexus injuries after caesarean birth: challenging delivery?BMC pregnancy and childbirth · 2023Pooled it
- A mixed methods analysis of health literacy among adults with brachial plexus birth injury.Journal of pediatric rehabilitation medicine · 2026Article
- Anatomical predisposition and neurological vulnerability to brachial plexus birth injury: a contemporary narrative review.The Journal of hand surgery, European volume · 2026Review
- Assessment of Pain, Quality of Life, and Impaction in Caregivers of Children with Obstetric Brachial Plexus Paralysis.Turkish archives of pediatrics · 2025Article
- The dynamic and diverse experience of adults with brachial plexus birth injury: a collective case study.International journal of qualitative studies on health and well-being · 2024Article
- Case Report: Bionic Reconstruction in an Adult With Obstetric Brachial Plexus Injury.Frontiers in rehabilitation sciences · 2021Article
- A model-based cost-utility analysis of multi-professional simulation training in obstetric emergencies.PloS one · 2021Article
- Anatomically accurate 3D modelling and printing in a case of obstetric brachial plexus injury.JPRAS open · 2020Article
- Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports.Clinics and practice · 2019Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObstetric brachial plexus injuries (OBPIs) are rare but can have significant implications for those affected, their caregivers and the health system. Symptoms can range from restricted movement to complete paralysis of the arm. We investigated health-related quality of life in adults with OBPIs and parents of children with permanent OBPIs, compared these with population norms, and investigated whether certain socio-demographic or clinical factors were associated with the quality of life in these cohorts.
methodsA cross-sectional study examined 50 affected adults and 78 parents. Participants completed EQ-5D-5 L and characteristics questionnaires. EQ-5D-5 L responses were mapped onto an EQ-5D-3 L value set to generate utility scores. Mean utility scores were compared with English population norms. Univariable and multivariable linear regression models were conducted to assess for associations between participant characteristics and the utility scores.
resultsThe overall mean utility scores for affected adults and parents were 0.56 (SD 0.28) and 0.80 (SD 0.19) respectively. Affected adults (95% CI (- 0.38, - 0.22), p < 0.001) and parents of children with permanent OBPIs (95% CI (- 0.10, - 0.02), p = 0.007) had lower mean utility scores, and therefore quality of life, compared to English population norms. For affected adults, previous OBPI surgery (95% CI (0.01, 0.25), p = 0.040), employment in non-manual work (95% CI (0.06, 0.30), p = 0.005) and having a partner (95% CI (0.04, 0.25), p = 0.009) appeared to be positively associated with the utility score. Affected adults receiving disability benefits related to OBPIs appeared to have worse utility scores than those not receiving any disability benefits (95% CI (- 0.31, - 0.06), p = 0.005). For parents, employment was associated with better utility scores (95% CI (0.02, 0.20), p = 0.024) but the presence of one or more medical condition appeared to be associated with worse utility scores (95% CI (- 0.16, - 0.04), p = 0.001).
conclusionsAdults with OBPIs and parents of children with permanent OBPIs reported worse utility scores, and therefore quality of life, compared to the English general population. We also identified certain characteristics as possible factors to consider when dealing with utility scores in these cohorts. The utility scores in this study can be used in future economic evaluations related to OBPIs.
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