Caregiver-reported symptom burden and preferences for therapeutic goals in pediatric primary sclerosing cholangitis

J Pediatr Gastroenterol Nutr. 2024 Oct;79(4):835-840. doi: 10.1002/jpn3.12287. Epub 2024 Jun 20.

Abstract

This study analyzed qualitative and quantitative survey responses from 51 pediatric primary sclerosing cholangitis (PSC) patients and caregivers using the PSC Partners Patient Registry-Our Voices survey. The most common symptoms reported by children/caregivers include: fatigue (71%), abdominal pain (69%), anxiety (59%), appetite loss (51%), insomnia (49%), and pruritus (45%). When experiencing symptoms at their worst, over half of patients/caregivers reported limitations in physically demanding activities (67%), work/school duties (63%), social life activities (55%), and activities for fun or exercise (53%). Over half of patients/caregivers expressed willingness to participate in clinical trials, however none reported ever participating in trials for new or investigational PSC drugs. This study revealed a substantial patient/caregiver-reported symptom burden for children with PSC that impacts quality of life and limits access to clinical trials. Future efforts should focus on developing patient-centered clinical endpoints for PSC trials, increasing trial availability for pediatric PSC patients, and reducing logistical barriers to trial involvement.

Keywords: PSC; clinical trials; patient reported outcome measures; quality‐of‐life.

MeSH terms

  • Adolescent
  • Anxiety
  • Caregivers* / psychology
  • Child
  • Child, Preschool
  • Cholangitis, Sclerosing* / psychology
  • Cholangitis, Sclerosing* / therapy
  • Cost of Illness*
  • Fatigue / etiology
  • Female
  • Humans
  • Male
  • Patient Preference
  • Quality of Life*
  • Surveys and Questionnaires
  • Symptom Burden