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Identification of Impaired Executive Functioning after Pediatric Liver Transplantation Using Two Short and Easily Applicable Tests

Cognitive Functioning Module PedsQL and Children’s Color Trail Test

Bibliographic Data

ID15714296
AuthorsImeke Goldschmidt (0000-0002-7648-9127, Medizinische Hochschule Hannover, corresponding author), Rolf Van Dick (0000-0002-6308-9466, Goethe University Frankfurt), Christoph A Jacobi (Medizinische Hochschule Hannover), Eva‐Doreen Pfister (0000-0003-2446-4304, Medizinische Hochschule Hannover), Ulrich Baumann (0000-0002-0162-0266, Medizinische Hochschule Hannover)
Year2021
Volume8
Issue7
Pages571-571
Publication date2021-07-02
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children8070571
PMID34356549
OpenAlexW3187150623
LanguageEN
Citations received1
References cited2

We aimed to assess executive functioning in children after liver transplantation compared with healthy controls and in relation to real-life school performance using the PedsQL TM Cognitive Functioning Scale (CogPedsQL) and the Childrens' Color Trail Test (CCTT). One hundred and fifty five children (78f, median age 10.4 (1.2-18.3) years) underwent testing with CogPedsQL and/or CCTT 4.9 (0.1-17.0) years after transplantation. Results were compared to those of 296 healthy children (165f, median age 10.0 (2.0-18.0) years). Liver transplanted children displayed significantly reduced scores for cogPedsQL and CCTT1&2 compared to healthy controls. Overall, school performance was lower in patients compared to controls. In both patients and controls, results of CCTT2 and CogPedsQL correlated strongly with school performance. In contrast to controls, school performance in patients correlated with the level of maternal but not paternal primary education degree (r = -0.21, p = 0.03). None of the patient CCTT or CogPedsQL test results correlated with parental school education. Conclusion: CogPedsQL and CCTT 1&2 were easily applicable in children after OLT and revealed reduced executive functioning compared to controls. Results reflect real life school performance. The association of parental education with school performance is reduced in transplanted children, which possibly indicates the overriding impact of transplant-associated morbidity on cognitive outcomes

Cognition · Cognitive skill · Cognitive test · Effects of sleep deprivation on cognitive performance · Executive functions · Liver transplantation · Psychiatry · Test (biology · Acute Lymphoblastic Leukemia research · Childhood Cancer Survivors' Quality of Life · Clinical Psychology · Family Support in Illness · Medicine · Internal Medicine · Pediatrics · Transplantation

  • Influence of Parental Attitudes on Formation of Psychological Resilience and Adherence to Medical Regime in Adolescents after Liver or Renal Transplantation

    Open Access•Marta Biernacka, A Jakubowska-Winecka et al.•Children•2021

  • The PedsQLTM in pediatric cancer

    Open Access•James W Varni, Tasha M Burwinkle et al.•Cancer•2002

  • PedsQLTM Cognitive Functioning Scale in pediatric liver transplant recipients

    Open Access•James W Varni, Christine A Limbers et al.•Quality of Life Research•2010

Citations per year0.2
Citation span2021 - 2021 (1)
Highly citedNo

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