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Table 3 Correlation between PedsQL™ 4.0 HRQoL scores and demographic factors

From: Health-related quality of life among children with transfusion-dependent thalassemia: A cross-sectional study in Malaysia

Demographic

Mean (SD) Scores

Total Summary Score

Physical Health Summary

Psychosocial Health Summary

Emotional Functioning

Social Functioning

School Functioning

All Patients (n = 368)

80.12 (13.87)

82.21 (16.82)

79.39 (14.81)

78.95 (19.11)

88.80 (14.02)

69.52 (20.92)

Age (Years)

 2–4.9 (n = 36)

86.18 (13.15)

93.19 (7.69)

83.60 (15.86)

77.63 (19.43)

94.44 (9.78)

74.27 (37.43)

 5–7.9 (n = 62)

80.96 (12.62)

83.57 (15.00)

80.10 (14.02)

77.61 (18.18)

91.61 (11.52)

71.08 (19.38)

 8–12.9 (n = 134)

80.17 (14.28)

81.48 (17.57)

79.73 (14.78)

79.97 (19.13)

89.10 (13.47)

69.89 (19.86)

 13–18.9 (n = 136)

78.04 (13.82)

79.32 (17.52)

77.57 (14.81)

78.89 (19.60)

85.64 (15.82)

67.53 (15.82)

p-Value¥

0.005*

< 0.001*

0.056

0.706

0.001*

0.012*

Spearman’s Rank Correlation Coefficient*

−0.157*

−0.197*

−0.126*

0.036

−0.206*

−0.149*

Gender

 Female (n = 190)

79.26 (14.23)

80.13 (18.38)

78.95 (14.99)

79.06 (19.89)

88.24 (14.39)

68.87 (14.39)

 Male (n = 178)

81.05 (13.46)

84.44 (14.70)

79.85 (14.64)

78.82 (18.31)

89.40 (13.62)

70.24 (20.24)

p-Value¶

0.254

0.05

0.597

0.63

0.387

0.805

Point Biserial Correlation

−0.065

−0.128*

−0.03

0.006

−0.041

− 0.033

Effect Size (Cohen’s d)

− 0.129

− 0.258

−0.06

0.012

−0.083

− 0.064

Source of survey

 Parent-Proxy reported (n = 257)

80.52 (13.77)

82.88 (16.44)

79.69 (14.75)

78.94 (18.69)

89.69 (13.42)

69.47 (21.92)

 Self-Reported (n = 111)

79.18 (14.14)

80.60 (17.68)

78.67 (15.01)

78.95 (20.21)

86.68 (15.20)

69.66 (18.42)

p-Value¶

0.405

0.263

0.528

0.738

0.036*

0.738

Point Biserial Correlation

−0.043

−0.062

−0.031

0.0003

−0.098

0.004

Effect Size (Cohen’s d)

−0.096

−0.136

− 0.069

< 0.001

− 0.215

0.009

Years of Transfusion

 Less than 10 years (n = 242)

81.25 (13.34)

83.51 (16.32)

8045 (14.22)

79.21 (18.43)

90.66 (12.25)

70.53 (21.56)

 More than 10 years (n = 126)

77.92 (14.65)

79.67 (17.55)

77.31 (15.77)

78.43 (20.47)

85.16 (16.41)

67.59 (19.59)

p-Value¶

0.042*

0.045*

0.08

0.969

0.001*

0.105

Point Biserial Correlation

0.114*

0.108*

0.101

0.019

0.186*

0.067

Effect Size (Cohen’s d)

0.24

0.228

0.213

0.041

0.398

0.14

Presence of Iron Overload Complication

 Absent (n = 267)

81.00 (13.61)

83.62 (16.21)

80.09 (14.76)

79.17 (19.12)

89.64 (13.52)

70.48 (21.30)

 Present (n = 101)

77.78 (14.34)

78.44 (17.90)

77.52 (14.88)

78.34 (19.21)

86.57 (15.11)

67.01 (19.76)

p-Value¶

0.044

0.011

0.094

0.743

0.068

0.091

Point Biserial Correlation

0.103

0.137

0.078

0.019

0.098

0.074

Effect Size (Cohen’s d)

0.233

0.31

0.174

0.043

0.22

0.166

 Endocrine (n = 57)

80.12 (13.02)

80.26 (18.45)

80.00 (13.29)

81.91 (18.11)

87.36 (15.39)

70.31 (17.78)

 Liver (n = 24)

74.38 (16.57)

74.61 (17.42)

74.31 (17.22)

82.92 (19.67)

86.45 (16.38)

63.54 (24.02)

 Cardiac (n = 3)

83.33 (11.16)

83.33 (10.04)

83.33 (12.01)

83.33 (20.82)

86.67 (10.41)

80.00 (18.03)

 Multi-system (n = 20)

75.44 (14.49)

79.13 (17.24)

74.18 (15.36)

74.8 (19.86)

84.25 (12.80)

61.84 (18.42)

p-Value¥

0.155

0.074

0.217

0.241

0.175

0.149

Number of Iron Chelating Agents Used

 Monotherapy (n = 304)

81.41 (12.87)

83.27 (15.71)

80.76 (13.75)

80.18 (18.14)

90.28 (12.67)

70.95 (20.47)

 Dual Therapy (n = 64)

73.88 (16.75)

77.03 (20.84)

72.76 (17.84)

72.95 (22.52)

81.61 (17.71)

62.63 (17.71)

p-Value¶

0.001*

0.049*

< 0.001*

0.032*

< 0.001*

0.008*

Point Biserial Correlation

0.204*

0.14*

0.203*

0.142*

0.233*

0.15*

Effect Size (Cohen’s d)

0.554

0.374

0.551

0.381

0.635

0.401

Route of Iron Chelation Administration

 Subcutaneous (SC) Only (n = 42)

80.03 (12.46)

79.89 (16.33)

80.08 (13.27)

80.85 (20.09)

89.14 (12.49)

69.62 (19.91)

 Oral (PO) Only (n = 268)

81.65 (12.93)

83.69 (15.70)

80.93 (13.89)

80.09 (18.01)

90.45 (12.66)

71.39 (20.55)

 Combination of SC + PO (n = 58)

72.94 (16.87)

76.84 (20.92)

71.57 (17.66)

72.11 (22.22)

80.71 (18.10)

60.56 (12.45)

p-Value¥

0.001*

0.041*

< 0.001*

0.049*

< 0.001*

0.004*

Iron Chelation Therapy

 SC Desferrioxamine (n = 42)

80.02 (12.46)

79.87 (16.33)

80.08 (13.27)

80.85 (20.09)

89.14 (12.49)

69.62 (19.91)

 PO Deferasirox (n = 233)

81.58 (12.89)

83.64 (15.81)

80.85 (13.78)

80.16 (17.80)

90.43 (12.78)

70.98 (20.66)

 PO Deferiprone (n = 29)

82.03 (13.57)

85.27 (13.44)

80.96 (14.71)

79.28 (18.59)

90.71 (12.30)

72.63 (20.34)

 SC Desferrioxamine + PO Deferiprone (n = 41)

76.13 (16.10)

81.46 (19.54)

74.25 (17.67)

76.97 (22.49)

81.67 (18.86)

62.36 (19.98)

 SC Desferrioxamine + PO Deferasirox (n = 17)

65.62 (16.76)

66.25 (20.64)

65.41 (16.51)

60.94 (17.52)

78.53 (16.56)

56.76 (24.49)

 PO Deferiprone + PO Deferasirox (n = 6)

82.60 (13.70)

78.75 (21.92)

83.89 (16.92)

80.83 (25.96)

90.00 (11.40)

80.83 (18.28)

p-Value¥

0.003*

0.013*

0.002*

0.011*

0.007*

0.031*

History of Serious Adverse Event with Iron Chelation Therapy

 No (n = 345)

80.16 (13.85)

82.22 (16.90)

79.44 (14.74)

78.93 (18.96)

88.82 (13.76)

69.65 (20.80)

 Yes (n = 23)

79.62 (14.52)

82.02 (15.76)

78.58 (16.37)

79.09 (21.95)

88.57 (18.04)

67.37 (23.41)

p-Value¶

0.913

0.815

0.912

0.807

0.558

0.692

Point Biserial Correlation

0.009

0.003

0.013

−0.002

0.004

0.025

Effect Size (Cohen’s d)

0.039

0.012

0.058

−0.008

0.017

0.109

  1. Values of scores are presented as Mean (Standard Deviation); n number SC, subcutaneous, PO oral p-value¥, using Kruskal Wallis Test, p-value¶ using Mann Whitney U Test
  2. Spearman’s Rank Correlation and Point Biserial Correlation coefficients which are bold and marked * indicate p-values < 0.05
  3. Effect Size (Cohen’s d Interpreted as d = 0.2–0.5 (Small), d = 0.5–0.8 (Moderate) and d > 0.8 (Large)