Evidence map›Paper›PMID 32003479›Full record

ArticleClinical endocrinology2020

A value-based healthcare approach: Health-related quality of life and psychosocial functioning in women with Turner syndrome.

Allard T van den Hoven, Lidia R Bons, Ramon H M Dykgraaf, Arianne B Dessens, Hester Pastoor, Laura C G de Graaff, Mick R Metselaar, Annemiek Kneppers-Swets, Isabella Kardys, Hester Mijnarends and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical endocrinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 8% of its field
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Approach to the Patient With Turner Syndrome.The Journal of clinical endocrinology and metabolism · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
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  14. Review
  15. Article
  16. Article
  17. Socioeconomic status in patients with Turner syndrome.Comprehensive psychoneuroendocrinology · 2021
    Article
  18. Article
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

15 authors at 1 institution in 1 country.

Allard T van den HovenDepartment of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands.
Lidia R BonsDepartment of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands.
Ramon H M DykgraafDepartment of Gynecology, Erasmus Medical Center, Rotterdam, The Netherlands.
Arianne B DessensDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Hester PastoorDepartment of Gynecology, Erasmus Medical Center, Rotterdam, The Netherlands.
Laura C G de GraaffDepartment of Internal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
Mick R MetselaarDepartment of Otolaryngology, Erasmus Medical Center, Rotterdam, The Netherlands.
Annemiek Kneppers-SwetsDepartment of Orthopedics, Erasmus Medical Center, Rotterdam, The Netherlands.
Isabella KardysDepartment of Clinical Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands.
Hester MijnarendsDepartment of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands.
Frank ZweerusDepartment of Quality and Patient care, Erasmus Medical Center, Rotterdam, The Netherlands.
Jan A HazelzetDepartment of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands.
Elisabeth M W J UtensDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Annemien E van den BoschDepartment of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands.
Jolien W Roos-HesselinkDepartment of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-6770-3830
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAs part of the value-based healthcare programme in our hospital, a set of patient-reported outcome measures was developed together with patients and implemented in the dedicated Turner Syndrome (TS) outpatient clinic. This study aims to investigate different aspects of health-related quality of life (HR-QoL) and psychosocial functioning in women with TS in order to establish new possible targets for therapy. DESIGN/

participantsA comprehensive set of questionnaires (EQ-5D, PSS-10, CIS-20, Ferti-QoL, FSFI) was developed and used to capture different aspects of HR-QoL and psychosocial functioning in a large cohort of adult women with Turner syndrome. All consecutive women, ≥18 years, who visited the outpatient clinic of our tertiary centre were eligible for inclusion.

resultsOf the eligible 201 women who were invited to participate, 177 women (age 34 ± 12 years, mean ± SD) completed at least one of the validated questionnaires (88%). Women with TS reported a lower health-related quality of life (EQ-5D: 0.857 vs 0.892, P = .003), perceived more stress (PSS-10:14.7 vs 13.3; P = .012) and experienced increased fatigue (CIS-20: P < .001) compared to the general Dutch population. A relationship between noncardiac comorbidities (eg diabetes, orthopaedic complaints) and HR-QoL was found (R = .508).

conclusionsWe showed that TS women suffer from impaired HR-QoL, more perceived stress and increased fatigue compared to healthy controls. A relationship between noncardiac comorbidities and HR-QoL was found. Especially perceived stress and increased fatigue can be considered targets for improvement of HR-QoL in TS women.

Indexed as

Quality of LifeTurner SyndromeAdultDelivery of Health CareFemaleHumansInfant, NewbornPsychosocial FunctioningSurveys and Questionnairescongenital heart defectshypogonadism-stresspatient-reported outcome measuresphysiological-fatiguequality of lifeTurner syndrome

Identifiers

PMID32003479
PMCPMC7216918
OpenAlexW3003507892

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.