The Quality of Life in Patients with Familial Mediterranean Fever and Their Parents Perception Die Lebensqualität von Patienten mit familiärem Mittelmeerfieber und die Wahrnehmung ihrer Eltern


Ensari E., Akyol Onder E. N., BİLAÇ Ö., ERTAN P.

Klinische Padiatrie, 2024 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2024
  • Doi Number: 10.1055/a-2339-3742
  • Journal Name: Klinische Padiatrie
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts
  • Keywords: children, colchicine, familial Mediterranean fever, quality of life, Kinder, Colchicin, famili & auml;res Mittelmeerfieber, Lebensqualit & auml;t
  • Manisa Celal Bayar University Affiliated: Yes

Abstract

Background Familial Mediterranean fever (FMF) is a chronic disease characterized by recurrent episodes of fever and polyserositis. This study aimed to assess children's quality of life (QoL), as reported by children and their parents, and to compare the results according to clinical variables. Material and Methods The study examined 107 children with FMF, evaluating their demographic and genetic data, utilizing the Pediatric Quality of Life Inventory (PedsQL) to assess QoL, and comparing scores based on disease severity. Results The severity of FMF is inversely correlated with QoL scores, with mild cases having the highest scores (97±4), followed by moderate (76±11) and severe cases (52±10.3) (p<0,001). Disease severity, treatment adherence, healthcare utilization, genetic mutations, family income, and maternal age at birth all significantly impact perceived quality of life in FMF patients (p<0,001). Additionally, parents reported lower QoL for children with FMF who experienced various adverse factors such as low family income, household smoking, frequent attacks, hospitalizations, irregular medication use, and low maternal education levels (p<0,001). Conclusion Children's daily activities, academic performance, and family functioning are all significantly impacted by FMF. Physicians caring for patients with FMF should be aware of the QoL changes in the management of these patients. As a result, medical therapy, patient education, and indicators of psychological and social support can all be offered more effectively.