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Health-Related Quality-of-Life Outcomes of Very Preterm or Very Low Birth Weight Adults: Evidence From an Individual Participant Data Meta-Analysis

Author

Listed:
  • Corneliu Bolbocean

    (University of Oxford, Radcliffe Observatory Quarter)

  • Sylvia Pal

    (Netherlands Organisation for Applied Scientific Research)

  • Stef Buuren

    (Netherlands Organisation for Applied Scientific Research)

  • Peter J. Anderson

    (Monash University
    Murdoch Children’s Research Institute)

  • Peter Bartmann

    (University Hospital Bonn, Children’s Hospital)

  • Nicole Baumann

    (Monash University
    University of Leicester
    University of Warwick)

  • Jeanie L. Y. Cheong

    (University of Melbourne)

  • Brian A. Darlow

    (University of Otago Christchurch)

  • Lex W. Doyle

    (University of Melbourne
    The University of Melbourne)

  • Kari Anne I. Evensen

    (Norwegian University of Science and Technology
    Oslo Metropolitan University)

  • John Horwood

    (University of Otago Christchurch)

  • Marit S. Indredavik

    (Norwegian University of Science and Technology)

  • Samantha Johnson

    (University of Leicester)

  • Neil Marlow

    (University College London)

  • Marina Mendonça

    (University of Melbourne)

  • Yanyan Ni

    (University of Melbourne
    University College London)

  • Dieter Wolke

    (University of Warwick and Division of Health Sciences)

  • Lianne Woodward

    (University of Canterbury)

  • Erik Verrips

    (Netherlands Organisation for Applied Scientific Research)

  • Stavros Petrou

    (University of Oxford, Radcliffe Observatory Quarter)

Abstract

Background and Objective Assessment of health-related quality of life for individuals born very preterm and/or low birthweight (VP/VLBW) offers valuable complementary information alongside biomedical assessments. However, the impact of VP/VLBW status on health-related quality of life in adulthood is inconclusive. The objective of this study was to examine associations between VP/VLBW status and preference-based health-related quality-of-life outcomes in early adulthood. Methods Individual participant data were obtained from five prospective cohorts of individuals born VP/VLBW and controls contributing to the ‘Research on European Children and Adults Born Preterm’ Consortium. The combined dataset included over 2100 adult VP/VLBW survivors with an age range of 18–29 years. The main exposure was defined as birth before 32 weeks’ gestation (VP) and/or birth weight below 1500 g (VLBW). Outcome measures included multi-attribute utility scores generated by the Health Utilities Index Mark 3 and the Short Form 6D. Data were analysed using generalised linear mixed models in a one-step approach using fixed-effects and random-effects models. Results VP/VLBW status was associated with a significant difference in the Health Utilities Index Mark 3 multi-attribute utility score of − 0.06 (95% confidence interval − 0.08, − 0.04) in comparison to birth at term or at normal birthweight; this was not replicated for the Short Form 6D. Impacted functional domains included vision, ambulation, dexterity and cognition. VP/VLBW status was not associated with poorer emotional or social functioning, or increased pain. Conclusions VP/VLBW status is associated with lower overall health-related quality of life in early adulthood, particularly in terms of physical and cognitive functioning. Further studies that estimate the effects of VP/VLBW status on health-related quality-of-life outcomes in mid and late adulthood are needed.

Suggested Citation

  • Corneliu Bolbocean & Sylvia Pal & Stef Buuren & Peter J. Anderson & Peter Bartmann & Nicole Baumann & Jeanie L. Y. Cheong & Brian A. Darlow & Lex W. Doyle & Kari Anne I. Evensen & John Horwood & Marit, 2023. "Health-Related Quality-of-Life Outcomes of Very Preterm or Very Low Birth Weight Adults: Evidence From an Individual Participant Data Meta-Analysis," PharmacoEconomics, Springer, vol. 41(1), pages 93-105, January.
    • Handle: RePEc:spr:pharme:v:41:y:2023:i:1:d:10.1007_s40273-022-01201-2
    DOI: 10.1007/s40273-022-01201-2
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    References listed on IDEAS

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    1. William J Furlong & David H. Feeny & George W. Torrance & Ronald D. Barr, 2001. "The Health Utilities Index (HUI®) System for Assessing Health-Related Quality of Life in Clinical Studies," Centre for Health Economics and Policy Analysis Working Paper Series 2001-02, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
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