The Disease Burden of Hereditary Pancreatitis on Children and Their Families: A Systematic Review

Objective: To systematically review existing research evidence on the disease burden of hereditary pancreatitis (HP) in children, focusing on physical, psychological, social and financial consequences for families. Methods: The review followed Synthesis Without Meta-analysis (SWiM) and PRSIMA guidelines. A structured search of PubMed, Google Scholar, and EMBASE was conducted. The PCC (Population, Concept, Context) framework guided study selection, targeting children (0-18 years) with HP and assessing physical, psychological, socioeconomic impacts. Data was extracted using a standardised form, and study quality was appraised using the Joanna Briggs Institute Checklist. Due to heterogeneity, a narrative synthesis was conducted using thematic analysis. Results: Six studies met inclusion criteria. Children with HP presented chronic abdominal pain and hospitalisations, with median lifetime hospitalisations of 4 in chronic versus 1 in acute recurrent cases. Exocrine pancreatic insufficiency (EPI) were more common in chronic pancreatitis (CP) (33% vs 10%), and diabetes occurred in 8.7% versus 5.9%. Psychological distress was prevalent, with 19% showing clinically significant internalising behaviours and reduced quality of life. Up to 70% missed ≥ 1 school day per month, with greater pain-related social interference among females. High treatment costs with annual treatment exceeding $40,000 per patient. Conclusion: HP significantly affects the physical and mental health of children and imposes financial and social strain on families. A structured, multidisciplinary approach to care including improved medical management, psychological support, and financial assistance is essential. Further research is required to develop targeted interventions aimed at managing psychological distress, reducing hospitalisations, and improving the quality of life of these children.