Evidence map›Paper›PMID 40116467›Full record

ArticlePediatric pulmonology2025

Congenital Central Hypoventilation Syndrome (CCHS): Patient Quality of Life and Caregiver Burden.

Casey M Rand, Julien Pelissou, Narayanan Krishnamurthi, Xenia Proton de la Chapelle, Martin Samuels, Melinda Riccitelli, Linda Dokas, Ajay Kasi, Bruno Massenavette, Marie-Emilie Lampin and 2 more

Abstract read
In one paragraph

Article in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Casey M RandDivision of Autonomic Medicine, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.ORCID http://orcid.org/0000-0003-1077-8978
Julien PelissouLa Mine Consulting Company, Paris, France.
Narayanan KrishnamurthiDivision of Autonomic Medicine, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Xenia Proton de la ChapelleAtmosR, Paris, France.
Martin SamuelsDivision of Respiratory Sleep, Great Ormond Street Hospital, London, UK.
Melinda RiccitelliCCHS Network US, Encinitas, California, USA.
Linda DokasCCHS Network US, Encinitas, California, USA.
Ajay KasiDivision of Pediatric Pulmonology, Children's Healthcare of Atlanta, Emory University, Atlanta, Georgia, USA.ORCID http://orcid.org/0000-0003-0435-2807
Bruno MassenavettePediatric Intensive Care Unit, Lyon University Hospital, Lyon, France.
Marie-Emilie LampinPediatric Intensive Care Unit, Lille University Hospital, Lille, France.
Claire LoirePediatric Intensive Care Unit, Lille University Hospital, Lille, France.
Debra E Weese-MayerDivision of Autonomic Medicine, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.ORCID http://orcid.org/0000-0001-6061-220X

Funding

National Center for Advancing Translational Sciences, National Institutes of Health, under grant number R03TR00386.
6 · The paper itself

Abstract

backgroundCongenital central hypoventilation syndrome (CCHS) is a rare genetic disorder characterized by autonomic dysregulation and abnormal control of breathing, necessitating lifelong artificial ventilation. The impact of CCHS on patient quality of life (QoL) and caregiver burden remains unquantified.

methodsA cross-sectional study of QoL in CCHS patients (≥ 12 years; WHOQOL-BREF) and burden in CCHS caregivers (Zarit Burden Interview) was conducted. Participants were recruited from CCHS support organizations. Participant age group, sex, primary language, and country of residence were collected.

resultsTwo hundred seventy-one individuals (78 CCHS, 193 caregivers) from 15 countries participated. CCHS patients reported significantly reduced physical, psychological, and social relationships domain scores compared to healthy controls (p < 0.01), yet > 70% reported good overall QoL. Over half reported moderate or worse impact on QoL items including medical treatment dependence and cognitive function. Young CCHS patients (< 25 years) reported better overall QoL and general health than those ≥ 25 years. CCHS caregiver burden was increased compared to that reported in other chronic diseases, with > 50% reporting frequent caregiving-induced stress. Caregivers who reported financial issues also reported higher total burden (p < 0.05).

conclusionsCCHS QoL scores are depressed compared to healthy individuals. This study identified specific domains of QoL and caregiver burden most impacted by CCHS, revealed a relationship between age and QoL in CCHS, and finances and burden in caregivers. Results offer targets for future interventions to enhance QoL in CCHS and reduce caregiver burden. Further work is needed to elucidate the relationship between CCHS impact and disease- and treatment-specific factors.

Indexed as

Caregiver BurdenCaregiversCost of IllnessHypoventilationQuality of LifeSleep Apnea, CentralAdolescentAdultAgedChildCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairesautonomic nervous systemHirschsprung diseasemechanical ventilationPHOX2BZarit Burden Interview

Identifiers

PMID40116467
PMCPMC11927375

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.