Patient-driven healthcare recommendations for adults with esophageal atresia and their families
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Read the article on jpedsurg.org ↗Article · Jan 2021 · 1 min read
In brief
In brief
Qualitative study with 28 adult EA patients and family members identifies critical gaps in lifelong care, revealing significant gastrointestinal and respiratory burden, persistent emotional distress across generations, and urgent need for standardized multidisciplinary follow-up protocols extending into adulthood.
Written by the GCMD Library team from the article.
Abstract
Background: Adults with esophageal atresia (EA) require a multidisciplinary follow-up approach, taking into account gastroesophageal problems, respiratory problems and psychosocial wellbeing. Too little is known about the full scope of these individuals' healthcare needs. We aimed to map all medical and psychosocial needs of adults with EA and their family members, and to formulate healthcare recommendations for daily practice.
Methods: A qualitative study was performed, using data from recorded semi-structured interviews with two focus groups, one consisting of adult patients with EA (n = 15) and one of their family members (n = 13). After verbatim transcription and computerized thematic analysis, results were organized according to the International Classification of Functioning, Disability and Health. Ethical approval had been obtained.
Results: Healthcare needs were described through 74 codes, classified into 20 themes. Most important findings for patients included the impact of gastrointestinal and pulmonary problems on daily life, long-term emotional distress of patients and parents and the need of a standardized multidisciplinary follow-up program during both child- and adulthood.
Conclusion: The focus groups revealed numerous physical and mental health problems, as well as social difficulties, that require attention from different healthcare providers. We have formulated several healthcare recommendations that physicians may use in long-term follow-up.