Patient-Reported Health Status in Coronary Heart Disease in the United States

Xie, Jipan; Wu, Eric Q.; Zheng, Zhi; Sullivan, Patrick W.; Li, Zhan; Labarthe, Darwin R.

doi:10.1161/circulationaha.107.752006

Cited by 130 publications

(134 citation statements)

References 28 publications

(18 reference statements)

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“…The composite index of EQ-5D was 0.72 (SD 0.19), which is lower than in the international analysis of high-risk patients in the EPA-Cardio study, where it was found to be 0.78 (SD 0.19) (23) and lower than in other studies, even for CVD patients (24). On the other hand, coronary patients in the national analysis of Epa-Cardio data showed lower HRQoL in coronary patients, measured by EQ-5D VAS scale (58.6±19.9) (25), compared to high risk patients in The association of isolated risk diseases, such as hypertension, is conflicting and shows no relationship with HRQoL (26,27) or contributes to a lower HRQoL (28).…”

Section: Discussioncontrasting

confidence: 64%

Health behavior and health-related quality of life in patients with a high risk of cardiovascular disease

Petek¹,

Petek-Ster²,

Tušek-Bunc³

2018

Slovenian Journal of Public Health

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Original scientific articleBackground: Health-related quality of life (HRQoL) is measuring a patient's experience of his health status and represents an outcome of medical interventions. Existing data proves that a healthy lifestyle is positively associated with HRQoL in all age groups. Patients with a high risk for cardiovascular disease typically led an unhealthy lifestyle combined with risk diseases. We aimed to analyse these characteristics and their reflection in HRQoL. Methods:A cross-sectional study in 36 family practices, stratified by location and size. Each practice invited 30 high-risk patients from the register. Data were obtained from medical records and patient questionnaire. The EQ-5D questionnaire and the VAS scale were used for measuring the patient's HRQoL as an independent variable.Results: 871 patients (80.6% response rate) were included in the analysis. 60.0% had 3-4 uncontrolled risk factors for CVD. The average VAS scale was 63.2 (SD 19.4). The correlation of EQ-5D was found in the number of visits in the practice (r=-0.31, p<0.001), the socioeconomic status (r=-0.25, p=0.001), age (r=-0.27, p=0.001) and healthy diet (r=0.20, p=0.006). In a multivariate model, only physical activity among lifestyle characteristics was an independent predictor of HRQoL (p=0.001, t=3.3), along with the frequency of visits (p<0.001, t=-5.3) and age (p=0.025, t=-2.2). Conclusion:This study has been performed on a specific group of patients, not being "really sick", but having less optimal lifestyle in many cases. Encouragement to improve or keep healthy lifestyle, especially physical activity, is important, not only to lower the risk for CVD, but also to improve HRQoL. Izhodišča Metode: Presečna raziskava je bila izvedena v 36 ambulantah družinske medicine, stratificiranih glede na lokacijo (mesto, podeželje) in velikost (do dva oz. več polno zaposlenih zdravnikov na lokaciji). Vsaka ambulanta je k sodelovanju povabila 30 bolnikov iz registra visoko ogroženih za nastanek bolezni srca in ožilja (BSO) po Framinghamski tabeli ogroženosti. Ustrezni podatki so bili pridobljeni iz zdravstvenih kartotek in s pomočjo vprašalnikov za bolnike. Z zdravjem povezana kakovost življenja je bila merjena s petdimenzionalnim EQ-5D vprašalnikom in z VAS lestvico kakovosti življenja, ki sta predstavljala neodvisni spremenljivki.Rezultati: V analizo je bilo vključenih 871 bolnikov (80,6 % vseh vabljenih). Od teh je 60,0 % imelo 3-4 prisotne dejavnike tveganja za nastanek BSO. Povprečna vrednost VAS lestvice je bila 63,2 (SE 0,72). Ugotovljena je bila korelacija med EQ-5D in pogostostjo obiskov bolnika v enem letu v ambulanti (r=-0,31, p<0,001), socialnoekonomskim statusom bolnika (r=-0,25, p=0,001), starostjo bolnika (r=-0,27, p=0,001) in zdravim načinom prehranjevanja (r=0,20, p=0,006). Med vsemi spremenljivkami so bili v multivariatnem modelu neodvisni napovedni dejavniki HRQoL telesna aktivnost (p=0,001, t=3,3), pogostost obiskov bolnika v ambulanti (p<0,001,3) in starost bolnika (p=0,025, t=-2,2 Petek D, Petek-Ster M, Tusek-...

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Section: Discussioncontrasting

confidence: 64%

Health behavior and health-related quality of life in patients with a high risk of cardiovascular disease

Petek¹,

Petek-Ster²,

Tušek-Bunc³

2018

Slovenian Journal of Public Health

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“…Patients suffering from CHD are likely to have an impaired QoL, due to pain, anxiety, functional and social limitations (5)(6)(7)(8). Although still under debate, several studies have observed a relationship between QoL, depression, anxiety and worse long-term health outcomes (9)(10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of three commonly used quality of life measures in a large European population of coronary heart disease patients

Smedt

Clays

Doyle

et al. 2013

International Journal of Cardiology

118

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“…Most studies assessing HRQoL in patients with CAD have been carried out in the United States (6)(7)(8) , European countries (5,(9)(10) and a smaller number of studies have been conducted in countries like Canada (11) . Their assessments of HRQoL have been largely based on the Medical Outcomes Study: 36-Item Short Form Survey (SF-36) questionnaire and researchers have conducted these assessments at different time points after first hospital admission due to CAD (7,(9)(10)(11)(12)(13)(14)(15) .…”

Section: Introductionmentioning

confidence: 99%

“…Based on a literature search and our clinical experience, we decided to explore the following question: are there any differences in HRQoL in patients admitted for the first time due to ACS (AMI and UA) according to gender and prior treatment for any other cardiovascular condition? Some studies have reported lower scores of HRQoL among women with CAD (6,8,11,13,16) and other cardiovascular conditions (14) .…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in patients admitted after a first episode of acute coronary syndrome

Dessotte

Dantas

Schmidt

et al. 2011

Rev. Latino-Am. Enfermagem

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This study aimed to investigate health-related quality of life based on the four weeks antecedent to first admission for acute coronary syndrome and describe potential associations between quality of life, gender and prior treatment for any other cardiovascular condition. An exploratory, descriptive and cross-sectional study was conducted in two public hospitals in an inner state city of the State of São Paulo. Of 253 participants studied, 69.2% were male, 69.6% were married or living with a partner, and 58.1% were professionally active before the current hospital admission. Mean age was 57.9 years old. Higher scores were seen in the Social Functioning ( x =86.1) domain, while the domain perceived as more compromised was Role Physical ( x =57.7). Female participants and those who had previously been treated for any other cardiovascular condition had lower quality of life, and these differences were all statistically significant (p<0.05). Calidad de vida relacionada a la salud de sujetos internados, como consecuencia del primer síndrome coronario agudoEl objetivo de este estudio fue investigar la calidad de vida relacionada a la salud, basada en las últimas cuatro semanas que antecedieron a la primera internación, por un síndrome coronario agudo, y describir potenciales asociaciones entre la calidad de vida, sexo y tratamiento previo para otras enfermedades cardiovasculares. Como método, se utilizó el estudio descriptivo y exploratorio, de tipo transversal, realizado en dos hospitales públicos en el interior del Estado de Sao Paulo. De los 253 sujetos estudiados, 69,2% eran hombres, 69,6% casados, o vivían con un compañero, y 58,1% eran profesionalmente activos antes de la internación. La edad promedio fue de 57,9 años. Los mayores puntajes obtenidos fueron en el dominio aspectos sociales ( x =86,1), en cuanto el dominio más comprometido fue aspectos físicos ( x =57,7). Se concluye que las mujeres, así como los sujetos que ya hacían tratamiento previo para otras enfermedades cardiovasculares, presentaron peor calidad de vida, y las diferencias fueron todas estadísticamente significativas (p<0,05).

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Patient-Reported Health Status in Coronary Heart Disease in the United States

Abstract: Background-Coronary heart disease (CHD) affects 15.8 million Americans. However, data on the national impact of CHD on health-related quality of life, particularly among people of different age, sex, racial, and ethnic groups, are limited. Methods and Results-Using

Cited by 130 publications

References 28 publications

Health behavior and health-related quality of life in patients with a high risk of cardiovascular disease

Health behavior and health-related quality of life in patients with a high risk of cardiovascular disease

Validity and reliability of three commonly used quality of life measures in a large European population of coronary heart disease patients

Health-related quality of life in patients admitted after a first episode of acute coronary syndrome

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