Health related quality of life in adolescent: systematic review 1970-2013
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Universidad Industrial de Santander
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Introducción: En la actualidad no se han sistematizado las investigaciones sobre la calidad de vida del adolescente, a pesar de surelevancia científica, sanitaria, socioeconómica y política. Objetivo: caracterizar los estudios sobre calidad de vida relacionada con la salud del adolescente, 1970-2013. Materiales y métodos: revisión sistemática en seis bases de datos multidisciplinarias, siguiendo las fases de identificación, tamización, elegibilidad e inclusión. El protocolo de investigación fue aplicado por dos investigadores de forma independiente para garantizar la reproducibilidad del estudio. Resultados: se incluyeron 909 investigaciones con 323 239 sujetos sanos; en los estudios con enfermos los que incluyeron mayor número de pacientes correspondieron a enfermedades circulatorias (n= 12 325), nerviosas (n= 6 590), músculo-esqueléticas (n= 6 236), sanguíneas (n= 4 807), cáncer (n= 4 491) e infecciosas (n= 3 677); 43,1% de los estudios se realizaron en América y 39,9% en Europa. Se identificaron 170 escalas de calidad de vida, siendo más frecuentes Pediatric Quality of Life Inventory con un 22,2%, Medical Outcome Study Short Form con un 7,6%, Child Health Questionnaire 5,8%, German generic quality of life instrument for children 5,3% y KIDSCREEN 5,1%. Conclusión: la producción científica en la calidad de vida relacionada con la salud de los adolescentes se ha focalizado en enfermedades crónicas; se evidenció la relevancia de este tema para todas las especialidades médicas y la salud pública, además de la disponibilidad de un elevado número de instrumentos validados para población sana y enferma. Pese a ello, las investigaciones predominan en países de altos ingresos lo que pone al descubierto la necesidad de que investigaciones posteriores adapten y validen escalas para generar evidencia en los países de medianos y bajos ingresos. MÉD.UIS. 2015;28(1):23-30.Palabras claves: Calidad de vida. Beneficios en salud. Adolescente. Revisión.
Background: at present have not been systematized the researches on quality of life of adolescents, despite their scientific, health, socio-economic and political relevance. Objective: to characterize the studies in Health-related quality of life of adolescents, 1970- 2013. Methods: a systematic review in six multidisciplinary databases, following the phases of identification, screening, eligibility and inclusion. The research protocol was applied by two researchers independently to ensure the reproducibility of the study. Results: The study included 909 researches with 323 239 healthy adolescents; in the studies with patients the most high frequency was in circulatory diseases (n= 12 325), nervous system (n= 6 590), musculoskeletal (n= 6 236, blood system (n= 4 807), cancer (n= 4 491) and infectious (n= 3,677). 43.1 % made in America and 39.9 % in Europe. 170 scales of Health related quality of life were identified, they more frequently was Pediatric Quality of Life Inventory with 22.2%, Medical Outcome Study Short Form in 7.6 % , Child Health Questionnaire 5.8% , German generic quality of life instrument for children 5.3% and KIDSCREEN 5.1%. Conclusion: scientific production in Health-related quality of life of adolescents has been focused on chronic diseases; the relevance of this issue for all medical specialties and public health was evident, and the availability of a large number of validated instruments for healthy and sick population. Nevertheless, research predominate in high-income countries which exposes the need for further research to adapt and validate scales and to generate evidence on middle and low incomes. MÉD.UIS. 2015;28(1):23 30.Keywords: Quality of life, Insurance benefits, Adolescent, Review.
Background: at present have not been systematized the researches on quality of life of adolescents, despite their scientific, health, socio-economic and political relevance. Objective: to characterize the studies in Health-related quality of life of adolescents, 1970- 2013. Methods: a systematic review in six multidisciplinary databases, following the phases of identification, screening, eligibility and inclusion. The research protocol was applied by two researchers independently to ensure the reproducibility of the study. Results: The study included 909 researches with 323 239 healthy adolescents; in the studies with patients the most high frequency was in circulatory diseases (n= 12 325), nervous system (n= 6 590), musculoskeletal (n= 6 236, blood system (n= 4 807), cancer (n= 4 491) and infectious (n= 3,677). 43.1 % made in America and 39.9 % in Europe. 170 scales of Health related quality of life were identified, they more frequently was Pediatric Quality of Life Inventory with 22.2%, Medical Outcome Study Short Form in 7.6 % , Child Health Questionnaire 5.8% , German generic quality of life instrument for children 5.3% and KIDSCREEN 5.1%. Conclusion: scientific production in Health-related quality of life of adolescents has been focused on chronic diseases; the relevance of this issue for all medical specialties and public health was evident, and the availability of a large number of validated instruments for healthy and sick population. Nevertheless, research predominate in high-income countries which exposes the need for further research to adapt and validate scales and to generate evidence on middle and low incomes. MÉD.UIS. 2015;28(1):23 30.Keywords: Quality of life, Insurance benefits, Adolescent, Review.