title: A difference in perception of quality of life in chronically ill children was found between parents and pediatricians.
abstract: OBJECTIVE
  Quality of life measurements can help to estimate the well-being of chronically ill patients, and disclose discrepancies in perception between physicians and patients that might otherwise interfere with the effectiveness of treatment. The objective was to investigate the differences in perception of quality of life between parents of chronically ill children and pediatricians.
  
  
  METHODS
  A cross-sectional study was conducted in four tertiary pediatric care centers in The Netherlands. The Health Utilities Index mark 3 (HUI3) was used by 37 pediatricians and 279 parents of patients (children aged 1 to 17 years) with cystic fibrosis admitted either in daycare or for a pneumonia, or patients with newly diagnosed acute lymphoblastic leukemia, juvenile idiopathic arthritis, or asthma.
  
  
  RESULTS
  Differences in perception of quality of life between parents and pediatricians appeared to be dependent of the disease. In patients with acute lymphoblastic leukemia (OR 7.4; [95% CI 2.88-18.97], juvenile idiopathic arthritis (4.7; [95% CI 2.00-11.22]), and asthma (2.3; [95% CI 1.13-4.69]) a difference in perception was more likely to occur than in patients with cystic fibrosis admitted in daycare.
  
  
  CONCLUSIONS
  At the onset of a chronic disease, the parents of pediatric patients may be misunderstood by health care professionals, especially in subjective attributes. Assessment of quality of life may contribute to better understanding between pediatricians and parents, and thus may even enhance compliance and treatment effects.
authors.affiliation: Department of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, The Netherlands.
authors.forename: A J
authors.initials: AJ
authors.lastname: Janse
authors.forename: C S P M
authors.initials: CS
authors.lastname: Uiterwaal
authors.forename: R J B J
authors.initials: RJ
authors.lastname: Gemke
authors.forename: J L L
authors.initials: JL
authors.lastname: Kimpen
authors.forename: G
authors.initials: G
authors.lastname: Sinnema
mesh_terms: D000293:Adolescent; D001171:Arthritis, Juvenile / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation; D001249:Asthma / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease / Q000523:psychology / Q000534:rehabilitation*; D003071:Cognition; D003430:Cross-Sectional Studies; D003550:Cystic Fibrosis / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation; D004644:Emotions; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007223:Infant; D008124:Locomotion / Q000502:physiology; D008297:Male; D010146:Pain / Q000503:physiopathology; D010290:Parents / Q000523:psychology*; D010372:Pediatrics; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation; D011788:Quality of Life; D012938:Social Perception; D013060:Speech / Q000502:physiology