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Patient- and caregiver-reported factors associated with school absenteeism in children with chronic kidney disease.
Pediatr Nephrol. 2023 05; 38(5):1591-1598.PN

Abstract

BACKGROUND

Children with chronic kidney disease (CKD) are at risk for neurocognitive deficits while simultaneously being at risk for chronic school absenteeism (≥ 18 school days per school year). Chronic school absenteeism compounds the negative impacts of CKD on academic achievement. In this study, we examined patient- and caregiver-reported factors associated with school absenteeism in children with non-dialysis- or transplant-dependent CKD in order to help identify which factors could be modifiable and ultimately improve school attendance.

METHODS

We utilized a combination of chart review and questionnaires distributed in person to patients and caregivers at a pediatric nephrology clinic between November 2018 and August 2019 to gather data. We used descriptive statistics to illustrate clinical characteristics of the children included in the study, caregiver characteristics, and examined reported reasons for missing school.

RESULTS

Twenty-one percent of participants (10/48) missed 18 full days of school or more, categorizing them as chronically absent. The top three reasons for missing school were doctor appointments, feeling sick, and being bullied. More specific sequelae of CKD were not highly reported as reasons for missing school.

CONCLUSIONS

Chronic absenteeism is a highly reported phenomenon among children with pediatric CKD. Given that missing school for doctor appointments was a top reason for absenteeism, this data suggests alternative appointment hours and virtual appointments may reduce chronic school absenteeism in children, and by extension improve their health, behavioral, and academic outcomes. A higher resolution version of the Graphical abstract is available as Supplementary information.

Authors+Show Affiliations

Department of Pediatrics, Division of Pediatric Nephrology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA.Biostatistics and Design Program, OHSU-PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA.Department of Pediatrics, Division of Pediatric Nephrology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA. richarke@ohsu.edu.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

36269405

Citation

Craven, Sarah, et al. "Patient- and Caregiver-reported Factors Associated With School Absenteeism in Children With Chronic Kidney Disease." Pediatric Nephrology (Berlin, Germany), vol. 38, no. 5, 2023, pp. 1591-1598.
Craven S, Brumbach BH, Richardson KL. Patient- and caregiver-reported factors associated with school absenteeism in children with chronic kidney disease. Pediatr Nephrol. 2023;38(5):1591-1598.
Craven, S., Brumbach, B. H., & Richardson, K. L. (2023). Patient- and caregiver-reported factors associated with school absenteeism in children with chronic kidney disease. Pediatric Nephrology (Berlin, Germany), 38(5), 1591-1598. https://doi.org/10.1007/s00467-022-05780-2
Craven S, Brumbach BH, Richardson KL. Patient- and Caregiver-reported Factors Associated With School Absenteeism in Children With Chronic Kidney Disease. Pediatr Nephrol. 2023;38(5):1591-1598. PubMed PMID: 36269405.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patient- and caregiver-reported factors associated with school absenteeism in children with chronic kidney disease. AU - Craven,Sarah, AU - Brumbach,Barbara H, AU - Richardson,Kelsey L, Y1 - 2022/10/21/ PY - 2022/05/03/received PY - 2022/10/04/accepted PY - 2022/10/03/revised PY - 2023/3/31/medline PY - 2022/10/22/pubmed PY - 2022/10/21/entrez KW - Absenteeism KW - Academic achievement KW - Chronic illness KW - Chronic kidney disease KW - School SP - 1591 EP - 1598 JF - Pediatric nephrology (Berlin, Germany) JO - Pediatr Nephrol VL - 38 IS - 5 N2 - BACKGROUND: Children with chronic kidney disease (CKD) are at risk for neurocognitive deficits while simultaneously being at risk for chronic school absenteeism (≥ 18 school days per school year). Chronic school absenteeism compounds the negative impacts of CKD on academic achievement. In this study, we examined patient- and caregiver-reported factors associated with school absenteeism in children with non-dialysis- or transplant-dependent CKD in order to help identify which factors could be modifiable and ultimately improve school attendance. METHODS: We utilized a combination of chart review and questionnaires distributed in person to patients and caregivers at a pediatric nephrology clinic between November 2018 and August 2019 to gather data. We used descriptive statistics to illustrate clinical characteristics of the children included in the study, caregiver characteristics, and examined reported reasons for missing school. RESULTS: Twenty-one percent of participants (10/48) missed 18 full days of school or more, categorizing them as chronically absent. The top three reasons for missing school were doctor appointments, feeling sick, and being bullied. More specific sequelae of CKD were not highly reported as reasons for missing school. CONCLUSIONS: Chronic absenteeism is a highly reported phenomenon among children with pediatric CKD. Given that missing school for doctor appointments was a top reason for absenteeism, this data suggests alternative appointment hours and virtual appointments may reduce chronic school absenteeism in children, and by extension improve their health, behavioral, and academic outcomes. A higher resolution version of the Graphical abstract is available as Supplementary information. SN - 1432-198X UR - https://www.unboundmedicine.com/medline/citation/36269405/Patient__and_caregiver_reported_factors_associated_with_school_absenteeism_in_children_with_chronic_kidney_disease_ DB - PRIME DP - Unbound Medicine ER -