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Understanding the impact of uveitis on health-related quality of life in adolescents.
MedLine Citation:
PMID:  23280117     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Purpose:  A reduction in quality of life (QoL) during an active phase of disease has been shown for patients with uveitis of various age groups. Adult uveitis patients were shown to also have reduced QoL-values despite disease being quiescent, but adolescents have not been investigated in this respect. Methods:  This clinic-based, cross-sectional pilot study assessed the overall health-related quality of life (HRQoL) in adolescents (11-18 years) with a history of inactive uveitis and good visual function. Two independent generic (non-disease-specific) instruments were applied, the Inventory for Assessing the Quality of Life and the German KINDL-R-questionnaire. Results:  Thirty-seven adolescents, 20 females (54%) and 17 males with a mean age of 15 ± 3 years and diagnosis since 5 ± 2 years participated. Subgroups with a reduced HRQoL were those with anterior and intermediate localization of uveitis, bilateral disease, application of immunosuppressive therapy, a short time since diagnosis, and a high number of recurrences. Conclusion:  Even despite quiescence of disease and good visual function, certain risk factors may result in a decreased HRQoL in juvenile uveitis patients. Our findings support the need of further evaluation of HRQoL in this patient group, the validation of specific psychometric inventories for this disease and the establishment of interdisciplinary collaboration including psychological counselling.
Authors:
Saskia M Maca; Arsine Amirian; Carolin Prause; Kathrin Gruber; Lamiss Mejdoubi; Talin Barisani-Asenbauer
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-31
Journal Detail:
Title:  Acta ophthalmologica     Volume:  -     ISSN:  1755-3768     ISO Abbreviation:  Acta Ophthalmol     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-1-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101468102     Medline TA:  Acta Ophthalmol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Acta Ophthalmologica © 2012 Acta Ophthalmologica Scandinavica Foundation.
Affiliation:
Department of Ophthalmology, Hietzing Hospital, Vienna, Austria Department of Ophthalmology, Medical University Vienna, Vienna, Austria Department of Child and Adolescent Psychiatry, Medical University Vienna, Vienna, Austria Department of Finance, Accounting and Statistics, University of Economics, Vienna, Austria Centre for Ocular Inflammation & Infection, Laura Bassi Centre of Expertise, Department of Specific Prophylaxis & Tropical Medicine, Medical University Vienna, Vienna, Austria.
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