Evidence map›Paper›PMID 41361771›Full record

ArticleBMC pediatrics2025

Clinical features and health-related quality of life in children with sickle cell disease in Khartoum, Sudan.

Gaffar Manhal, Abdullatif Yasir H Eissa, Ahmed Zaki W Mohamed Elhassan, Mohamed H Fadul, Ammar Elgadi, Duha Mohammed, Khabab Abbasher Hussien Mohamed Ahmed, Tina Magzoub A Merghani, Mohamed Awad, Suodad Elhassan

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Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Gaffar ManhalFaculty of Medicine, University of Khartoum, Khartoum, 11111, Sudan. gaffaralemamabdullah@gmail.com.ORCID 0000-0001-7939-0117
Abdullatif Yasir H EissaFaculty of Medicine, University of Khartoum, Khartoum, 11111, Sudan.ORCID 0009-0004-5345-8469
Ahmed Zaki W Mohamed ElhassanFaculty of Medicine, University of Khartoum, Khartoum, 11111, Sudan.ORCID 0009-0006-9267-3836
Mohamed H FadulFaculty of Medicine, University of Khartoum, Khartoum, 11111, Sudan.
Ammar ElgadiFaculty of Medicine, University of Khartoum, Khartoum, 11111, Sudan.ORCID 0000-0003-1730-9023
Duha MohammedFaculty of Medicine, University of Khartoum, Khartoum, 11111, Sudan.
Khabab Abbasher Hussien Mohamed AhmedFaculty of Medicine, University of Khartoum, Khartoum, 11111, Sudan.
Tina Magzoub A MerghaniFaculty of Medicine, University of Khartoum, Khartoum, 11111, Sudan.
Mohamed AwadFaculty of Medicine, Sudan University of Science and Technology, Khartoum, Sudan.
Suodad ElhassanFaculty of Medicine, University of Khartoum, Khartoum, 11111, Sudan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSickle cell disease (SCD), a chronic hematologic disorder, is linked to higher morbidity and mortality rates. SCD is thought to impact 0.8% to 30% of Sudanese, making it one of the most common genetic diseases in the country. Patients with sickle cell disease may experience negative effects from the disease. In this study, children with SCD were evaluated at the selected hospitals in Khartoum state to assess their health-related quality of life (HRQOL). MATERIALS AND

methodsA cross-sectional facility-based study was conducted at five governmental pediatric hospitals in Khartoum state and their referral clinics. A four-section questionnaire (sociodemographic information, clinical characteristics, barriers to accessing health care, and the standardized PedQL™ Generic Core Scale) was employed. Total coverage was used. The statistical software for social sciences (SPSS) was used to analyze the data and determine the correlation between the variables.

resultsWe included 336 children with sickle cell disease, 191 (56.8%) males. Most participants were from Gaafar Ibnauf Specialized Hospital (n = 286, 85.1%). The majority were outpatients (77.4%), and 52.7% had a family history of the disease. Blood transfusions were required for 59.5% of patients, while 83.0% never needed exchange transfusions. The most common initial manifestation was painful crises (55.7%), while arthritis (49.4%) became a frequent symptom. The median total HRQOL score was 73.75 [57.50, 87.50]. The highest median HRQOL scores were in East Darfur, River Nile, and Central Darfur, while the lowest were in White Nile and Blue Nile. Factors significantly influencing HRQOL included hospital setting, number of affected siblings, rural residence, and father's employment. Linear regression showed that having more affected siblings was associated with higher HRQOL, while rural residence lowered HRQOL in older children. Father's employment improved HRQOL in younger children, while consanguinity had a negative impact.

conclusionsChildren with SCD had poor HRQOL, with low scores across multiple HRQOL domains. Factors such as consanguinity and father's unemployment negatively affected patients' HRQOL. Interventions are required to address such factors, and to alleviate the impact of barriers to healthcare access.

Indexed as

Anemia, Sickle CellQuality of LifeAdolescentBlood TransfusionChildChild, PreschoolCross-Sectional StudiesFemaleHealth Services AccessibilityHumansMaleSudanSurveys and QuestionnairesCross-Sectional studyHealth-related quality of life (HRQOL)PediatricsSickle cell disease (SCD)Sudan

Identifiers

PMID41361771
PMCPMC12802174

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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.