title: Quality of life assessment in preterm children: physicians' knowledge, attitude, belief, practice--a KABP study.
abstract: BACKGROUND
  The sequelae of extremely preterm birth have an impact on the quality of life (QoL) of these children. Standardized assessment of their QoL is rarely done in France. The aim of this study is to examine among all the types of physicians involved in the management of children born extremely preterm, their knowledge, use in routine practice and expectations concerning QoL assessment of these children using standardized questionnaires.
  
  
  METHODS
  Prospective survey among heads of obstetric, neonatal medicine and paediatric neurology departments, by means of questionnaires. Two qualitative methods were used: focus groups and Delphi method.
  
  
  RESULTS
  Seventy-eight physicians participated (obstetricians 24%, neonatologists 58%, paediatric neurologists 18%). The physicians considered QoL a relevant concept which they assessed subjectively. They expressed a need for information on methods of assessment. An ideal QoL questionnaire was described. Expectations regarding availability of QoL data were expressed from a medical, family and societal perspective. The impact of QoL measurement on the ethical aspect of decision-making was approached, in particular the potential impact of this tool on the decision made. Expectations were found to differ between specialties.
  
  
  CONCLUSIONS
  This original study reports the perspective of experts on taking into consideration the QoL of children born extremely preterm. This is a subjective notion that is difficult to implement and which may influence therapeutic choices.
authors.affiliation: Timone University Hospital, Espace Ethique Méditerranéen; Aix-Marseille University, UMR 7268 Anthropologie bio-culturelle, Droit, Éthique & Santé (ADÉS), Marseille, France. marieange.einaudi@ap-hm.fr
authors.forename: Marie-Ange
authors.initials: MA
authors.lastname: Einaudi
authors.forename: Catherine
authors.initials: C
authors.lastname: Gire
authors.forename: Anderson
authors.initials: A
authors.lastname: Loundou
authors.forename: Pierre
authors.initials: P
authors.lastname: Le Coz
authors.forename: Pascal
authors.initials: P
authors.lastname: Auquier
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000706:statistics & numerical data*; D003697:Delphi Technique; D005260:Female; D017144:Focus Groups; D005602:France; D019538:Health Care Surveys; D006801:Humans; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009359:Neonatology; D009462:Neurology; D009774:Obstetrics; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D036301:Qualitative Research; D011788:Quality of Life; D011795:Surveys and Questionnaires