1 Brazilian Journal of Otorhinolaryngology 2009 Vol: 75(5):. DOI: 10.1590/S1808-86942009000500005

Quality of life in children and adolescents with allergic rhinitis

A rinite alérgica (RA) representa importante problema de saúde pública, compromete as atividades diárias e pode repercutir no bem estar dos pacientes. OBJETIVO: Avaliar o impacto da RA na qualidade de vida relacionada à saúde (QVRS) de crianças e adolescentes por meio do questionário genérico Child Health Questionnaire (CHQ-PF50). CASUÍSTICA E MÉTODOS: Entre janeiro e novembro de 2004 pais ou responsáveis de 23 crianças e adolescentes com RA sem comorbidades e teste cutâneo de hipersensibilidade imediata positivo para pelo menos um aeroalérgeno foram convidados a participar de um estudo transversal e solicitados a responder o CHQ-PF50. Os escores obtidos foram comparados com os de crianças e adolescentes saudáveis. RESULTADOS: Os escores obtidos pelos pacientes foram menores (p<0,05) que os do grupo controle nos sumários físico e psicossocial e na maioria das escalas, com exceção na escala "alteração na saúde". O tamanho do efeito foi maior no escore sumário físico que no psicossocial. CONCLUSÕES: A RA causa impacto negativo global na QVRS de crianças e adolescentes com maior repercussão na função física, e afeta negativamente a dinâmica familiar.

Mentions
Altmetric
References
  1. Juniper EF. Can quality of life be quantified? Clin Exp All Rev.2(2) , 57-60 (2002) .
  2. Juniper EF. Impact of upper respiratory allergic diseases on quality of life. J Allergy Clin Immunol.101 Suppl 2 , 386-91 (1998) .
  3. Thompson A, Juniper EF, Meltzer EO. Quality of life in patients with allergic rhinitis. Ann Allergy Asthma Immunol.85(5) , 338-48 (2000) .
  4. Meltzer EO. Quality of life in adults and children with allergic rhinitis. J Allergy Clin Immunol.108 Suppl 1 , 45-53 (2001) .
  5. De Graff-in 't Veld T, Koenders S, Gerrelds IM, Gerth Van Wijk R. The relationships between nasal hyper reactivity, quality of life, and nasal symptoms in patients with perennial allergic rhinitis. J Allergy Clin Immunol.98(3) , 508-13 (1996) .
  6. Juniper EF. Measuring health-related quality of life in rhinitis. J Allergy Clin Immunol.99 Suppl 2 , 742-9 (1997) .
  7. The WHOQOL Group. The World Health Organization Quality of Life Assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med.41 , 1403-9 (1995) .
  8. Gerth Van Wijk R. Allergy: A global problem. Quality of life. Allergy.57(12) , 1097-110 (2002) .
  9. Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med.118(8) , 622-9 (1993) .
  10. Jenney MEM, Campbell S. Measuring quality of life. Arch Dis Child.77(4) , 347-54 (1997) .
  11. Consenso sobre rinites. Rev Bras Otorrinolaringol.66 Suppl 10 , 4-34 (2000) .
  12. Guimarães R, Ceccon CL, Fernandes DT, Pinto LF, Faria TL, Ambrosio MR et al. Prevalência da rinite alérgica em escolares de 6 a 7 anos na cidade de Uberlândia, ISAAC fase 3. Anais da XVI Semana Científica da Medicina;Set ;Uberlândia, Brasil. p. 31 , 17-20 (2003) .
  13. Scadding GK, Bousquet J. Introduction. Allergy.62 Suppl 85 , 3-5 (2007) .
  14. Canonica GW, Bousquet J, Mullol J, Scadding GK, Virchow JC. A survey of the burden of allergic rhinitis in Europe. Allergy.62 Suppl 85 , 17-25 (2007) .
  15. Schatz M. A survey of the burden of allergic rhinitis in the USA. Allergy.62 Suppl 85 , 9-16 (2007) .
  16. Juniper EF, Guyatt GH. Development and testing of a new measure of health status for clinical trials rhinoconjunctivitis. Clin Exp Allergy.21(1) , 77-83 (1991) .
  17. Bousquet J, Bullinger M, Fayol C, Marquis P, Valentin B, Burtin B. Assessment of quality of life in patients with perennial allergic rhinitis with the French version of the SF-36 health status questionnaire. J Allergy Clin Immunol.94(2 Pt 1) , 182-8 (1994) .
  18. Meltzer EO, Nathan RA, Selner JC, Storms W. Quality of life and rhinitic symptoms: Results of a nationwide survey with the SF-36 and RQLQ questionnaires. J Allergy Clin Immunol.99 Suppl , 815-9 (1997) .
  19. Leynaert B, Neukirch C, Liard R, Bousquet J, Neukirch F. Quality of life in allergic rhinitis and asthma. A population-based study of young adults. Am J Respir Crit Care Med.162(4) , 1391-6 (2000) .
  20. Juniper EF, Guyatt GH, Dolovich J. Assessment of quality of life in adolescents with allergic rhinoconjunctivitis: development and testing of a questionnaire for clinical trials. J Allergy Clin Immunol.93(2) , 413-23 (1994) .
  21. Juniper EF, Howland WC, Roberts NB, Thompson AK, King DR, Math B. Measuring quality of life in children with rhinoconjunctivitis. J Allergy Clin Immunol.101(2 Pt 1) , 163-70 (1998) .
  22. Silva MGN. Adaptação e validação do questionário "RQLQ" para avaliação da qualidade de vida em crianças e adolescentes com rinite alérgica [tese de mestrado]. São Paulo(SP): Universidade Federal de São Paulo , (1999) .
  23. Passalacqua G, Canônica GW, Baiardini I. Rhinitis, rhinosinusitis and quality of life in children. Pediatr Allergy Imunnol.18 Suppl 18 , 40-5 (2007) .
  24. Kremer B, Klimek L, Bullinger M, Mösges L. Generic or disease-specific quality of life scales to characterize health status in allergic rhinitis? Allergy.56 , 957-63 (2001) .
  25. Landgraf JM, Abetz L, Ware JE Jr. The Child Health Questionnaire: A user's manual. 2nd ed. Boston (MA): The Health Act , (1999) .
  26. Machado CSM, Ruperto N, Silva CHM, Ferriani VPL, Roscoe I, Campos LMA et al. For the Pediatric Rheumatology International Trials Organization (PRINTO) The Brazilian version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol.19 Suppl 23 , 25-9 (2001) .
  27. Gomes DC. Adaptação e validação para a língua portuguesa do questionário genérico de avaliação de qualidade de vida - "50-item, parent complete short form, Child Health Questionnaire" (CHQ-PF50) [tese de mestrado]. Uberlândia (MG): Universidade Federal de Uberlândia , (2001) .
  28. Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A et al. Allergic rhinitis and its impact on asthma (ARIA)update (in collaboration with World Health Organization, GA2LEN and AllerGen). Allergy .2008;63 Suppl 86 , 8-160 (2008) .
  29. Health outcomes methodology symposium. Glossary Med Care.38 Suppl 2 , 7-13 (2000) .
  30. Landgraf JM, Maunsell E, Speechley KN, Bullinger M, Campbell S, Abetz L, et al. Canadian-French, German and UK versions of the Child Health Questionnaire: methodology and preliminary item scaling results. Qual Life Res.7(5) , 433-45 (1998) .
  31. Morales NMO, Silva CHM, Frontarolli AC, Araújo RRH, Rangel VO, Pinto RMC et al. Psychometric properties of the initial Brazilian version of the CHQ-PF50 applied to the caregivers of children and adolescents with cerebral palsy. Qual Life Res.16(3) , 437-44 (2007) .
  32. Meltzer EO. Does rhinitis compromise night-time sleep and daytime productivity? Clin Exp All Rev.2(2) , 67-72 (2002) .
  33. Mccormick MC, Stemmler MM, Athreya BH. The impact of childhood rheumatic diseases on the family. Arthritis Rheum.29(7) , 872-9 (1986) .
  34. Eiser C, Morse R. The measurement of quality of life in children: past and future perspectives. J Dev Behav Pediatr. 22(4) , 248-56 (2001) .
Expand