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      Health-related quality of life in children with sickle cell anemia: impact of blood transfusion therapy.

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          Abstract

          The completion of the Multicenter Silent Infarct Transfusion Trial demonstrated that children with pre-existing silent cerebral infarct and sickle cell anemia (SCA) who received regular blood transfusion therapy had a 58% relative risk reduction of infarct recurrence when compared to observation. However, the total benefit of blood transfusion therapy, as assessed by the parents, was not measured against the burden of monthly blood transfusion therapy. In this planned ancillary study, we tested the hypothesis that a patient centered outcome, health-related quality of life (HRQL), would be greater in participants randomly assigned to the blood transfusion therapy group than the observation group. A total of 89% (175 of 196) of the randomly allocated participants had evaluable entry and exit HRQL evaluations. The increase in Change in Health, measured as the child's health being better, was significantly greater for the transfusion group than the observation group (difference estimate = -0.54, P ≤ 0.001). This study provides the first evidence that children with SCA who received regular blood transfusion therapy felt better and had better overall HRQL than those who did not receive transfusion therapy.

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          Author and article information

          Journal
          Am. J. Hematol.
          American journal of hematology
          Wiley-Blackwell
          1096-8652
          0361-8609
          Feb 2015
          : 90
          : 2
          Affiliations
          [1 ] Medical College of Wisconsin/Children's Research Institute of the Children's Hospital of Wisconsin, Milwaukee, Wisconsin.
          Article
          NIHMS638789
          10.1002/ajh.23877
          4304929
          25345798
          d8230340-373d-4d64-8424-a953c1b61dbc
          History

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