Pediatric rheumatology

Systematic Review of Health‐Related Quality of Life Impact in Juvenile Localized Scleroderma

Arthritis Care Res (Hoboken)Published Systematic review

Authors' conclusion

Overall, quantitative studies did not report a statistically significant impairment in HRQoL in JLS. However, qualitative studies (focus groups) reported significant psychosocial impacts related to JLS.

Study context

Population
Pediatric patients with juvenile localized scleroderma (morphea); literature published 2000–2020, English language
Participants
690 patients13 studies
Outcome
Measures of HRQoL, psychosocial functioning, self-perception and treatment burden
Methodological detailsthematic synthesis, descriptive analysis
  • Thematic synthesis
  • Descriptive analysis

Pooled result

As reported in the abstract

  • Children's Dermatology Life Quality Index (6 studies): little to no effect on health-related quality of life (HRQoL)
  • Health-Related Quality of Life in Children and Adolescents Questionnaire (1 study): no differences between children with juvenile localized scleroderma (JLS) or atopic dermatitis and healthy controls
  • Self-perception questionnaire (1 study): normal self-worth in JLS
  • Focus groups (2 studies): elevated stress, decreased self-worth, "feeling different" and bullying/teasing in JLS, associated with skin symptoms (pain, itch, tightness), physical limitations and treatment burden

Original publication

Systematic Review of Health‐Related Quality of Life Impact in Juvenile Localized Scleroderma. Arthritis Care Res (Hoboken). Published 7 January 2024. doi:10.1002/acr.25243

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