Patient-driven healthcare recommendations for adults with esophageal atresia and their families.

作者: Chantal A. ten Kate , André B. Rietman , Lieke S. Kamphuis , Saskia Gischler , Demi Lee

DOI: 10.1016/J.JPEDSURG.2020.12.024

关键词:

摘要: Background: Adults with esophageal atresia (EA) require a multidisciplinary follow-up approach, taking into account gastroesophageal problems, respiratory problems and psychosocial wellbeing. Too little is known about the full scope of these individuals’ healthcare needs. We aimed to map all medical needs adults EA their family members, formulate recommendations for daily practice. Methods: A qualitative study was performed, using data from recorded semi-structured interviews two focus groups, one consisting adult patients (n = 15) members 13). After verbatim transcription computerized thematic analysis, results were organized according International Classification Functioning, Disability Health. Ethical approval had been obtained. Results: Healthcare described through 74 codes, classified 20 themes. Most important findings included impact gastrointestinal pulmonary on life, long-term emotional distress parents need standardized program during both child- adulthood. Conclusion: The groups revealed numerous physical mental health as well social difficulties, that attention different providers. have formulated several physicians may use in follow-up.

参考文章(39)
Hanneke IJsselstijn, René Wijnen, Marco Bruno, Manon Spaander, Florence Vergouwe, Screening and Surveillance in Esophageal Atresia Patients: Current Knowledge and Future Perspectives. European Journal of Pediatric Surgery. ,vol. 25, pp. 345- 352 ,(2015) , 10.1055/S-0035-1559817
H. IJsselstijn, N. W. G. van Beelen, R. M. H. Wijnen, Esophageal atresia: long-term morbidities in adolescence and adulthood. Diseases of The Esophagus. ,vol. 26, pp. 417- 421 ,(2013) , 10.1111/DOTE.12059
Antti Koivusalo, Mikko P. Pakarinen, Pertti Turunen, Hanna Saarikoski, Harry Lindahl, Risto J. Rintala, Health-related quality of life in adult patients with esophageal atresia--a questionnaire study. Journal of Pediatric Surgery. ,vol. 40, pp. 307- 312 ,(2005) , 10.1016/J.JPEDSURG.2004.10.014
M. Pakarinen, R. Rintala, Long-term outcome of esophageal anastomosis. European Journal of Pediatric Surgery. ,vol. 23, pp. 219- 225 ,(2013) , 10.1055/S-0033-1347912
Z. N. Kain, L. C. Mayes, A. A. Caldwell-Andrews, D. E. Karas, B. C. McClain, Preoperative Anxiety, Postoperative Pain, and Behavioral Recovery in Young Children Undergoing Surgery Pediatrics. ,vol. 118, pp. 651- 658 ,(2006) , 10.1542/PEDS.2005-2920
Saara J. Sistonen, Antti Koivusalo, Urpo Nieminen, Harry Lindahl, Jouko Lohi, Mia Kero, Päivi A. Kärkkäinen, Martti A. Färkkilä, Seppo Sarna, Risto J. Rintala, Mikko P. Pakarinen, Esophageal morbidity and function in adults with repaired esophageal atresia with tracheoesophageal fistula: a population-based long-term follow-up. Annals of Surgery. ,vol. 251, pp. 1167- 1173 ,(2010) , 10.1097/SLA.0B013E3181C9B613
Monique H.M. van der Cammen-van Zijp, Saskia J. Gischler, Petra Mazer, Monique van Dijk, Dick Tibboel, Hanneke IJsselstijn, Motor-function and exercise capacity in children with major anatomical congenital anomalies: an evaluation at 5 years of age. Early Human Development. ,vol. 86, pp. 523- 528 ,(2010) , 10.1016/J.EARLHUMDEV.2010.06.014
Leif Sieurin, Malin Josephson, Eva Vingård, Positive and negative consequences of sick leave for the individual, with special focus on part-time sick leave. Scandinavian Journal of Public Health. ,vol. 37, pp. 50- 56 ,(2009) , 10.1177/1403494808097171
A Zaccara, F Felici, A Calzolari, M.C Lucchetti, M Rivosecchi, A.G Coran, Physical fitness testing in children operated on for tracheoesophageal fistula Journal of Pediatric Surgery. ,vol. 30, pp. 1334- 1337 ,(1995) , 10.1016/0022-3468(95)90498-0
Saara J. Sistonen, Mikko P. Pakarinen, Risto J. Rintala, Long-term results of esophageal atresia: Helsinki experience and review of literature Pediatric Surgery International. ,vol. 27, pp. 1141- 1149 ,(2011) , 10.1007/S00383-011-2980-7