Evaluation of the Short-Form 36-Item Questionnaire to Measure Health-Related Quality of Life in Patients With Idiopathic Pulmonary Fibrosis

Martinez, Tieko Yamamoto; Pereira, C; Santos, Manuel Lopes dos; Ciconelli, Rozana Mesquita; Guimarães, Sandra M.; Martínez, José Antônio Baddini

doi:10.1378/chest.117.6.1627

Cited by 132 publications

(122 citation statements)

References 25 publications

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“…Whether it is due to dissatisfaction with the residency program, excessive time spent with critical patients or performing shift work at other institutions, the fact is that the first year residents had a low HRQOL that was equivalent to that described in patients with chronic diseases such as idiopathic pulmonary fibrosis 21 and chronic renal insufficiency. 22 It is important to identify the factors that affect doctors' quality of live so that strategies to enhance it can be developed: being a medical resident should not lead to serious emotional damage.…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life predictors during medical residency in a random, stratified sample of residents

Macedo

Cítero

Schenkman

et al. 2009

Rev. Bras. Psiquiatr.

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Section: Discussionmentioning

confidence: 99%

Health-related quality of life predictors during medical residency in a random, stratified sample of residents

Macedo

Cítero

Schenkman

et al. 2009

Rev. Bras. Psiquiatr.

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“…The scales used have yet to be formally validated in Brazil, although they are easily translated and have been widely used in previous studies carried out in our milieu (11,12,20,21) . However, concerning the BDI in particular, interobserver reproducibility was high.…”

Section: Discussionmentioning

confidence: 99%

“…The MRC, 1984 AMA and 1993 AMA scales have been translated into Portuguese and have been used in other studies carried out in our milieu (12,20) . In the present study, the BDI questionnaire was translated into Portuguese by two medical professionals, both It should also be emphasized that this scale has been used in our milieu (11,21) . A cutoff point for normality determined by the BDI has not been described.…”

Section: Methodsmentioning

confidence: 99%

Dispnéia crônica e alterações funcionais respiratórias em ex-trabalhadores com asbestose avaliados para concessão de benefício

Nápolis¹,

Sette²,

Bagatin³

et al. 2004

J. bras. pneumol.

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INTRODUÇÃO: A dispnéia é um sintoma de difícil avaliação, principalmente nas doenças ocupacionais. OBJETIVO: Avaliar a relação entre presença e intensidade de dispnéia crônica, e sua repercussão funcional em ex-trabalhadores com asbestose na avaliação de disfunção e incapacidade. MÉTODO: Escores de dispnéia pelas escalas Medical Research Council modificada, American Medical Association de 1984 e 1993 e Baseline Dyspnea Index foram obtidos em 40 ex-trabalhadores com diagnóstico de asbestose, os quais foram também submetidos a espirometria, medidas da capacidade de difusão pulmonar do monóxido de carbono e testes de exercício cardiopulmonar incremental e submáximo. RESULTADO: Dispnéia esteve presente em 72,5% e 67,5% dos indíviduos de acordo com as escalas do Medical Research Council e American Medical Association de 1984, respectivamente e em apenas 37,5% e 31,6% dos pacientes de acordo com as escalas American Medical Association de 1.993 e Baseline Dyspnea Index. Houve melhor concordância entre as escalas Medical Research Council e American Medical Association de 1993, e American Medical Association de 1984 e American Medical Association de 1993 quando as graduações "ausente" e "leve" foram agrupadas. Não foi observada relação significativa entre dispnéia de acordo com cada uma das escalas e presença de anormalidades funcionais no repouso e/ou exercício. CONCLUSÃO: O nível de concordância entre as escalas de dispnéia varia significativamente em indivíduos com asbestose. Há falta de relação dos índices de dispnéia com variáveis que avaliam disfunção respiratória em repouso e exercício.

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“…(2) Dyspnea is certainly a major complaint in clinical practice and is the principal factor limiting the quality of life of many patients with chronic lung diseases. (3,4) Despite recent advances in the understanding of the mechanism of respiratory sensations, the large numbers of and the complexity of the interactions among receptors and neural pathways remain as obstacles to a full understanding of the mechanisms of dyspnea. (5) There is mounting evidence that dyspnea does not involve a single, specific perception; rather, it involves a set of distinct sensations.…”

Section: Introductionmentioning

confidence: 99%

Uso de descritores de dispneia desenvolvidos no Brasil em pacientes com doenças cardiorrespiratórias ou obesidade

Teixeira¹,

Rodrigues-Júnior

Straccia

et al. 2011

J. bras. pneumol.

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Objective: To develop a set of descriptive terms applied to the sensation of dyspnea (dyspnea descriptors) for use in Brazil and to investigate the usefulness of these descriptors in four distinct clinical conditions that can be accompanied by dyspnea. Methods: We collected 111 dyspnea descriptors from 67 patients and 10 health professionals. These descriptors were analyzed and reduced to 15 based on their frequency of use, similarity of meaning, and potential pathophysiological value. Those 15 descriptors were applied in 50 asthma patients, 50 COPD patients, 30 patients with heart failure, and 50 patients with class II or III obesity. The three best descriptors, as selected by the patients, were studied by cluster analysis. Potential associations between the identified clusters and the four clinical conditions were also investigated. Results: The use of this set of descriptors led to a solution with seven clusters, designated sufoco (suffocating), aperto (tight), rápido (rapid), fadiga (fatigue), abafado (stuffy), trabalho/inspiração (work/inhalation), and falta de ar (shortness of breath). Overlapping of descriptors was quite common among the patients, regardless of their clinical condition. Asthma was significantly associated with the sufoco and trabalho/inspiração clusters, whereas COPD and heart failure were associated with the sufoco, trabalho/ inspiração, and falta de ar clusters. Obesity was associated only with the falta de ar cluster. Conclusions: In Brazil, patients who are accustomed to perceiving dyspnea employ various descriptors in order to describe the symptom, and these descriptors can be grouped into similar clusters. In our study sample, such clusters showed no usefulness in differentiating among the four clinical conditions evaluated.Keywords: Dyspnea; Pulmonary disease, chronic obstructive; Asthma; Heart failure. ResumoObjetivo: Desenvolver um conjunto de termos descritores de dispneia para uso no Brasil. Investigar a utilidade desses descritores em quatro condições distintas que cursam com dispneia. Métodos: Um conjunto de 111 frases descritivas da sensação de falta de ar foi coletado a partir das informações de 67 pacientes e de 10 profissionais da saúde. Tais frases foram analisadas e reduzidas a 15 expressões, em função de sua frequência de citação, similaridade de significados e potencial importância fisiopatológica. O conjunto de expressões foi aplicado a 50 pacientes com asma, 50 com DPOC, 30 com insuficiência cardíaca e 50 com obesidade graus II ou III. Os três melhores termos selecionados pelos pacientes foram estudados por análise de agrupamentos. Também foram investigadas as possíveis associações entre os agrupamentos encontrados e as quatro condições clínicas incluídas. Resultados: O emprego dessa lista de descritores levou a uma solução com sete agrupamentos, denominados sufoco, aperto, rápido, fadiga, abafado, trabalho/inspiração e falta de ar. Houve grande superposição no uso de descritores pelos pacientes com as quatro condições clínicas. A asma mostrou associações ex...

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Evaluation of the Short-Form 36-Item Questionnaire to Measure Health-Related Quality of Life in Patients With Idiopathic Pulmonary Fibrosis

Cited by 132 publications

References 25 publications

Health-related quality of life predictors during medical residency in a random, stratified sample of residents

Health-related quality of life predictors during medical residency in a random, stratified sample of residents

Dispnéia crônica e alterações funcionais respiratórias em ex-trabalhadores com asbestose avaliados para concessão de benefício

Uso de descritores de dispneia desenvolvidos no Brasil em pacientes com doenças cardiorrespiratórias ou obesidade

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