Evidence map›Paper›PMID 38031542›Full record

ArticleOpen journal of blood diseases2022

Health Related Quality of Life among Children with Sickle Cell Anaemia in Northwestern Tanzania.

Zivonishe Mwazyunga, Emmanuela E Ambrose, Neema Kayange, Respicious Bakalemwa, Benson Kidenya, Luke R Smart, Adolfine Hokororo

Open access · diamondAbstract read
In one paragraph

Article in Open journal of blood diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 50% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 2 institutions in 2 countries.

Zivonishe MwazyungaDepartment of Paediatrics, Catholic University of Health & Allied Sciences and Bugando Medical Centre, Mwanza, Tanzania.
Emmanuela E AmbroseDepartment of Paediatrics, Catholic University of Health & Allied Sciences and Bugando Medical Centre, Mwanza, Tanzania.
Neema KayangeDepartment of Paediatrics, Catholic University of Health & Allied Sciences and Bugando Medical Centre, Mwanza, Tanzania.
Respicious BakalemwaDepartment of Paediatrics, Catholic University of Health & Allied Sciences and Bugando Medical Centre, Mwanza, Tanzania.
Benson KidenyaDepartment of Paediatrics, Catholic University of Health & Allied Sciences and Bugando Medical Centre, Mwanza, Tanzania.
Luke R SmartDepartment of Paediatrics, Catholic University of Health & Allied Sciences and Bugando Medical Centre, Mwanza, Tanzania.
Adolfine HokororoDepartment of Paediatrics, Catholic University of Health & Allied Sciences and Bugando Medical Centre, Mwanza, Tanzania.
Catholic University of Health and Allied Sciences · TZCincinnati Children's Hospital Medical Center · US

Funding

Sickle Cell Anemia, Splenic Pathology, and Hydroxyurea in Sub-Saharan AfricaK23HL153763 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI SMART, LUKE · 2020 to 2024
$848k
NHLBI NIH HHS K23 HL153763
6 · The paper itself

Abstract

Background: Sickle cell anaemia (SCA) is a serious, multisystem, genetic disorder affecting millions of children worldwide. The disease causes numerous complications that interfere with the health-related quality of life (HRQoL) of these children including an impact on educational, physical and psychosocial development. Few studies have described the clinical spectrum and quality of life of children with SCA living in a low-resource area. Objectives: This study aimed to determine the clinical spectrum and HRQoL among children living with sickle cell anaemia (SCA) in northwest Tanzania. Methods: This hospital-based cross-sectional study took place at Tertiary and teaching hospital, Bugando Medical Centre, Mwanza Tanzania. The study enrolled children ages 2 - 12 years old with SCA attending the Bugando Medical Centre sickle cell clinic. Health related quality of life was measured using the Pediatric Quality of Life, Brief Generic Core Scale after translating from English into a Swahili version. Important SCA complications were assessed using a structured questionnaire. Results: From October 2016 to March 2017, 204 children were enrolled. Participants presented at a median age of 6 years [IQR 4 - 9]. Among children with SCA the most common clinical signs at the time of enrolment were pale in 69.6% (142/204), jaundice in 65.9% (134/204), oxygen saturation < 90% in 25% (51/204) and splenomegaly in 19% (39/204). Severe anaemia was observed in 30.9% (63/204). A majority reported vaso-occlusive crisis (166/204, 81.4%), and very few had experienced a prior stroke (5/204, 2.5%). Using a modified Likert scale, a total of 41/204 (20.1%) children had poor HRQoL indicated by low scores on PedsQL Conclusion: SCA complications, negatively impact the HRQoL of children living with the disease. Severe anaemia, older age and frequent hospitalizations were highly associated with poor HRQoL. Comprehensive management is needed beginning at diagnosis to identify these children early and provide them with adequate support.

Indexed as

ChildrenHealthQuality of LifeSickle Cell AnaemiaTanzania

Identifiers

PMID38031542
PMCPMC10686543
OpenAlexW4285204054

What OpenQuestion holds

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LicenceCC BY
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.