Adrenal disease

National Service Evaluation of the Quality of Care for Children and Young People with Congenital Adrenal Hyperplasia in the UK: Survey Responses from Patients and Clinicians

Horm Res PaediatrPublished Cross-sectional study

Authors' conclusion

While there is overall good satisfaction with care provision among patients and carers with CAH in the UK, extra resources addressing the psychological and educational needs about the disease and its management would benefit patients and carers. Improved access to allied health professionals and psychologists will help support families and improve patient outcomes.

Study context

Population
Children and young people (CYP) aged 0–20 years with congenital adrenal hyperplasia (CAH) attending 33 UK secondary and tertiary clinics, their carers, and clinicians195 responses · 34 clinicians
Participants
34 / 152 / 43
Exposure
Clinicians vs Carers vs Patients
  • Cliniciansn = 34
  • Carersn = 152
  • Patientsn = 43
Outcome
"Completely satisfied" with the service provided
Methodological detailsnational service evaluation, online questionnaires
  • National service evaluation
  • Online questionnaires

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeCarersPatients
Appetite for further training86%55%

Formal training

Clinicians reporting providing formal training to families
94%
Patients and carers reporting not attending what they considered formal training
over 80%

Clinician-reported service aspects

Access to psychological services difficult
44%
Regular use of dried blood spots
67%
Regular urinary steroid metabolites
12%

Original publication

National Service Evaluation of the Quality of Care for Children and Young People with Congenital Adrenal Hyperplasia in the UK: Survey Responses from Patients and Clinicians. Horm Res Paediatr. Published 12 March 2024. doi:10.1159/000537978

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