Out-of-pocket expenses and parent reported quality of life in children with cow's milk protein allergy in Bogotá, Colombia.

Autor: Fakih-Botero I; Pediatric Residency Program, Facultad de Medicina, Fundación Universitaria Sanitas, Bogotá, Colombia., Cerchiaro-Mejia MC; Pediatric Residency Program, Facultad de Medicina, Fundación Universitaria Sanitas, Bogotá, Colombia., Rusinque MJ; Pediatric Residency Program, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, Colombia., Palacios-Ariza MA; Unidad de Investigación, Fundación Universitaria Sanitas, Bogotá, Colombia., Plata-Garcia CE; Colsanitas Medicina Prepagada, Grupo Keralty, Bogotá, Colombia., Peña-Hernández S; Departamento de Gastroenterología, Fundación Cardioinfantil - Instituto de Cardiología, Bogotá, Colombia.
Jazyk: angličtina
Zdroj: Journal of pediatric gastroenterology and nutrition [J Pediatr Gastroenterol Nutr] 2024 Jul; Vol. 79 (1), pp. 18-25. Date of Electronic Publication: 2024 Apr 08.
DOI: 10.1002/jpn3.12203
Abstrakt: Objective: To identify the out-of-pocket expenses and parent-reported quality of life (QoL) of children with a diagnosis of cow's milk protein allergy between the ages of 0 and 5 using the Food Allergy Quality of Life Questionnaire - Parent Form.
Methods: A cross-sectional study was conducted in two tertiary care centers in Bogotá. Demographic, medical information, and QoL scores were collected by parental interview. We carried out a cost-of-illness analysis based on self-reported out-of-pocket expenses attributed to the treatment as a whole and the family's monthly income. Exploratory analyses used the QoL scores and the percentage of out-of-pocket expenses attributable to treatment as outcomes.
Results: 122 families were analyzed. Median subject age was 17 months (Q1-Q3: 11-26.75 months) and female subjects made up 71% of the sample. The median QoL score was 3.21 points (Q1-Q3: 2.43-4.34) and only differed by age groups and personal history of other food allergies. The median out-of-pocket treatment related costs was 300,000 Colombian pesos (COP) (Q1-Q3: 280,000-340,000 COP). About 17% of the families had to pay over 15% of their monthly income to purchase food and dietary products. Out-of-pocket treatment related costs differed depending on whether the treatment included formulas (Mann-Whitney test p < 0.001). Out-of-pocket treatment expenses were uncorrelated with the QoL scores.
Conclusion: Food allergy related QoL scores were not associated with out-of-pocket expenses as a whole or as a fraction of monthly income but were higher in children with additional food allergies and in older age groups, suggesting a lower QoL.
(© 2024 European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.)
Databáze: MEDLINE
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