Association of rural life setting and poorer quality of life in Parkinson's disease patients: a cross‐sectional study in Croatia

Klepac, Nataša; Pikija, Slaven; Kraljić, T.; Relja, Maja; Trkulja, Vladimir; Juren, S.; Pavliček, Ivan; Babić, Tomislav

doi:10.1111/j.1468-1331.2006.01604.x

Cited by 37 publications

(33 citation statements)

References 13 publications

(12 reference statements)

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“…The relationship between people who live in rural and urban communities ranges according to the analyzed disease. For Parkinson's disease, for instance, quality of life is better in urban areas 27 ; at the same time, for rheumatoid arthritis, this relationship is inverse 28 . Our results show that living in the rural zone presented higher chances of realizing the impacts of oral health on quality of life.…”

Section: Discussionmentioning

confidence: 99%

Associação entre resiliência e qualidade de vida relacionada à saúde bucal em idosos

Teixeira

Martins

Celeste

et al. 2015

Rev. bras. epidemiol.

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ABSTRACT:Objective: To evaluate the association between psychological resilience and oral health related to quality of life through a hierarchical approach based on a conceptual theoretical model in a cohort of elderly residents in Rio Grande do Sul, Brazil. Methods: We conducted a cross-sectional study nested in a cohort study in 2008. We evaluated 498 elderly residents in Carlos Barbosa, Rio Grande do Sul. The measures included sociodemographic questionnaire, health behavior, quality of life related to oral health (OHRQOL), measured by the Oral Health Impact Profile (OHIP-14), Resilience Scale, and DMFT. The association between resilience and potential impacts on perceptions of oral health-related quality of life was assessed through negative binomial regression. Mean ratios (MR) are presented with 95% confidence intervals (95%CI). Results: Higher means of OHIP were found in women 6.7 ± 6.3; p = 0.011), in rural dwellers (7.3 ± 6.7; p = 0.004) and singles (8.0 ± 6.3; p = 0.032). The final model of multivariate analysis showed that being a rural dweller (MR = 1.32; 95%CI 1.06 -1.65) and being married (MR = 1.36; 95%CI 1.07 -1.72) were independently associated with OHRQOL. There was no association between resilience and OHRQOL. Conclusion: The results suggest that factors such as sociodemographic variables are associated with OHRQOL. The hypothesis that resilience might play a role in the outcome has not been confirmed.

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Section: Discussionmentioning

confidence: 99%

Associação entre resiliência e qualidade de vida relacionada à saúde bucal em idosos

Teixeira

Martins

Celeste

et al. 2015

Rev. bras. epidemiol.

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“…Representing the impact of a disease on a person's self-perceived well-being, HrQoL is an important aspect in the healthcare of chronic diseases such as neurodegenerative disorders. The majority of studies evaluating HrQoL in parkinsonian disorders concentrated on idiopathic PD [6][7][8][9][10][11][12] and only a few investigated APS [15,16,18,22] .…”

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life in Multiple System Atrophy and Progressive Supranuclear Palsy

Winter¹,

Spottke²,

Stamelou³

et al. 2011

Neurodegener Dis

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Objective: Multiple system atrophy (MSA) and progressive supranuclear palsy (PSP), known as atypical parkinsonian syndromes (APS), are neurodegenerative disorders with severe disability and decreased life expectancy. Little is known about the health-related quality of life (HrQoL) and its determinants in patients with those disorders. The objective of our cross-sectional study was to evaluate the HrQoL in patients with APS and to identify the determinants of HrQoL. Methods: A total of 101 consecutive patients with MSA (n = 54) and PSP (n = 47) were recruited in four German neurological centers. Disease severity was assessed using the Hoehn and Yahr stages and the Unified MSA Rating Scale. The HrQoL was evaluated using the EuroQol instrument (EQ-5D and EQ-VAS). Independent determinants of HrQoL were identified in multiple regression analyses. Results: The mean EQ-VAS score was 52% lower than that reported for the general population (36.9 ± 18.3 vs. 77.4 ± 19.0). Of the study participants, 63% reported severe problems in at least one dimension of the EQ-5D. Cerebellar dysfunction was associated with a more considerable reduction of HrQoL. Independent determinants of reduced HrQoL were female gender, <12 years of education, disease severity, a decreased number of persons in the household and depression. Conclusions: The HrQoL in MSA and PSP is considerably reduced. While therapeutic options in the treatment of motor symptoms remain restricted, greater attention should be paid to the treatment of depression, which was identified among independent determinants of HrQoL. Independent determinants of HrQoL should be considered when developing healthcare programs aimed at improving the HrQoL in APS.

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“…The majority of studies used disease-specific instruments to investigate HrQoL in PD [3,14,27,31]. We used a generic instrument, EuroQol, because our aim was to assess overall HrQoL and compare it with the general population.…”

Section: This Is the First Study Investigating Health-related Qualitymentioning

confidence: 99%

“…HrQoL is defined as an individual's perception of his or her well-being that is related to health status and can be affected by disease and its treatment [5]. The demographic and clinical determinants of HrQoL, such as age, disease severity, motor and non-motor symptoms, have been thoroughly investigated in previous studies [4,7,9,20,22,23,25,32], whereas less is known about the role of social factors in HrQoL of patients with PD [3,14,32].…”

Section: Introductionmentioning

confidence: 99%

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Social and clinical determinants of quality of life in Parkinson’s disease in Austria: a cohort study

et al. 2009

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Parkinson's disease (PD) is associated with a reduction of health-related quality of life (HrQoL). Demographic and clinical determinants of HrQoL in PD have been previously investigated, but less is known about its social determinants. Data on HrQoL in Austrian patients with PD are not available. The objective of this cross-sectional survey was to evaluate HrQoL of Austrian patients with PD and to provide a comprehensive analysis of its social and clinical determinants. Outpatients (n = 100) with idiopathic PD were recruited in the Department of Neurology of the University Innsbruck. Clinical status was estimated using the Unified Parkison's Disease Rating Scale (UPDRS). HrQoL was evaluated using a generic instrument, the EuroQol (EQ5D and EQ-VAS). Independent determinants of HrQoL were assessed in multivariate regression analysis. The proportion of PD patients with moderate or severe problems in at least one dimension of the EQ5D was significantly higher than in the general population (90.1 vs. 35.1%, P < 0.001). The mean EQ-VAS score in PD was lower than in the general population (48.9 +/- 19.6 vs. 77.0 +/- 20.8, P < 0.001). Social support (number of household members) was identified as an independent social determinant of HrQoL. Demographic and clinical determinants were age, depression, UPDRS and motor fluctuations. The analysis of determinants of HrQoL showed that a greater attention should be paid to social support and home care. Our data on HrQoL in PD should be considered in the development of new health care programs.

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Association of rural life setting and poorer quality of life in Parkinson's disease patients: a cross‐sectional study in Croatia

Cited by 37 publications

References 13 publications

Associação entre resiliência e qualidade de vida relacionada à saúde bucal em idosos

Associação entre resiliência e qualidade de vida relacionada à saúde bucal em idosos

Health-Related Quality of Life in Multiple System Atrophy and Progressive Supranuclear Palsy

Social and clinical determinants of quality of life in Parkinson’s disease in Austria: a cohort study

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