NDLI: Children with congenital colorectal malformations often require special education or remedial teaching, despite normal intelligence.

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Children with congenital colorectal malformations often require special education or remedial teaching, despite normal intelligence.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Van Den Hondel, Desiree Aarsen, Femke K. Wijnen, Rene M. H. Sloots, Cornelius E. J. IJsselstijn, Hanneke
Description	Country affiliation: Netherlands Author Affiliation: van den Hondel D ( Department of Paediatric Surgery, Erasmus MC - Sophia Children's Hospital, Rotterdam, the Netherlands.); Aarsen FK ( Department of Paediatric Surgery, Erasmus MC - Sophia Children's Hospital, Rotterdam, the Netherlands.); Wijnen RM ( Department of Paediatric Surgery, Erasmus MC - Sophia Children's Hospital, Rotterdam, the Netherlands.); Sloots CE ( Department of Paediatric Surgery, Erasmus MC - Sophia Children's Hospital, Rotterdam, the Netherlands.); IJsselstijn H ( Department of Paediatric Surgery, Erasmus MC - Sophia Children's Hospital, Rotterdam, the Netherlands.)
Abstract	AIM: This study prospectively evaluated neuropsychological functioning in 8-year-old patients with anorectal malformation (ARM) and Hirschsprung's disease (HD). METHODS: School functioning and behaviour were assessed in a standardised interview. Intelligence, attention, self-esteem and quality of life were evaluated with validated tests and questionnaires. The following predictors were assessed: socio-economic status, number of episodes of general anaesthesia, laxative treatment and premature birth. Severely intellectually disabled patients were excluded. RESULTS: In total, twelve of the 23 (52%) patients with ARM and 11 (55%) of the 20 patients with HD received special education or remedial teaching. The intelligence quotient was normal: mean (standard deviation or SD) was 98 (17) and 96 (17), respectively. However, sustained attention was below the norm: mean (SD) Z-score was -1.90 (1.94) and -1.43 (1.98) for ARM and HD patients; both p < 0.01. Self-esteem was normal: mean (SD) Z-score was 0.10 (1.29) and -0.20 (1.11) for ARM and HD patients. Quality of life was normal in ARM patients and slightly impaired in HD patients. No predictors for neuropsychological outcome were identified. CONCLUSION: Despite normal intelligence, more than half of these patients received special education or remedial teaching. In addition, problems with sustained attention were found. These findings are important for long-term care.
File Format	HTM / HTML
ISSN	08035253
Issue Number	2
Volume Number	105
e-ISSN	16512227
Journal	Acta Paediatrica
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2016-02-01
Publisher Place	Norway
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Pediatrics Colon Abnormalities Education, Special Intelligence Rectum Attention Child Child Development Cognition Emotions Female Hirschsprung Disease Physiopathology Humans Interviews As Topic Male Prospective Studies Quality Of Life Remedial Teaching Self Concept Journal Article
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health

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