Predicting Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease: The Impact of Age

Corlăteanu, Alexandru; Botnaru, Victor; Covanţev, Serghei; Dumitru, Silvia; Siafakas, Nikolaos M.

doi:10.1159/000448625

Cited by 19 publications

(17 citation statements)

References 22 publications

(23 reference statements)

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“…In fact, older people had better HRQoL after controlling for several other variables. These results are in agreement with those of another cohort [37], and while some authors found opposite results [38], they made no mention of controlling for confounders. The reasons why HRQoL improves as age increases have not been clearly identified.…”

Section: Discussionsupporting

confidence: 89%

Predictive factors over time of health-related quality of life in COPD patients

et al. 2020

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Background: Health-related quality of life (HRQoL) should be seen as a tool that provides an overall view of the general clinical condition of a COPD patient. The aims of this study were to identify variables associated with HRQoL and whether they continue to have an influence in the medium term, during follow-up. Methods: Overall, 543 patients with COPD were included in this prospective observational longitudinal study. At all four visits during a 5-year follow-up, the patients completed the Saint George's Respiratory Questionnaire (SGRQ), pulmonary function tests, the 6-min walk test (6MWT), and a physical activity (PA) questionnaire, among others measurements. Data on hospitalization for COPD exacerbations and comorbidities were retrieved from the personal electronic clinical record of each patient at every visit. Results: The best fit to the data of the cohort was obtained with a beta-binomial distribution. The following variables were related over time to SGRQ components: age, inhaled medication, smoking habit, forced expiratory volume in one second, handgrip strength, 6MWT distance, body mass index, residual volume, diffusing capacity of the lung for carbon monoxide, PA (depending on level, 13 to 35% better HRQoL, in activity and impacts components), and hospitalizations (5 to 45% poorer HRQoL, depending on the component). Conclusions: Among COPD patients, HRQoL was associated with the same variables throughout the study period (5-year follow-up), and the variables with the strongest influence were PA and hospitalizations.

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Section: Discussionsupporting

confidence: 89%

Predictive factors over time of health-related quality of life in COPD patients

et al. 2020

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“…However, a different report by Abbott and colleagues suggested that %pred FEV 1 was significantly associated with all domains of HRQOL including physical health, psychological state, social relationships and so on in 234 cystic fibrosis patients [13]. A previous study also found 180 patients with COPD had a deterioration of psychosocial domain as well as a decline in physical health domain [23]. These studies reported more domains were associated with lung function in addition to physical health domain.…”

Section: Discussionmentioning

confidence: 99%

Potential Effects of Lung Function Reduction on Health-Related Quality of Life

Wen

Wang

Zhou

et al. 2019

IJERPH

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Health-related quality of life (HRQOL) was reported to reflect overall quality of life and individual perceptions related to health. Decreased lung function is associated with reduced ventilation and oxygen intake and reported to affect body functions. However, the effect of lung function reduction on HRQOL is still unclear. A total of 8398 retired workers from Dongfeng-Tongji Cohort Study were included in this cross section study. Lung function was measured using an electronic spirometer. HRQOL was evaluated through a questionnaire designed according to the WHOQOL-BREF. The mean of the HRQOL scores of its four domains (physical health, psychological state, social relationships and environment) is the total HRQOL score. A general linear model was used to analyse the association between lung function and HRQOL. In the continuous analysis by the general linear model, FVC was associated with the total HRQOL, physical health domain and social relationships domain scores. In the categorical analysis, there was a linear trend between FVC and the total HRQOL and physical health scores. We also found a similar relationship between FEV1 and HRQOL scores. Further analysis suggested that elevated lung function could improve the scores of pain and discomfort facet and independence facet of physical health domain. The lung function was significantly positively associated with HRQOL in middle-aged and older Chinese.

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“…Similarly, the impact of increasing age involves trouble with sleeping, dyspnea, and loss of muscle mass, resulting in a decline in functional performance and HRQOL [1,20,23]. However, this was different from the study of Corlateanu et al, who found that both the elderly age group with COPD and the adult age group with COPD had a significantly positive correlation with HRQOL [29].…”

Section: Personal Factorsmentioning

confidence: 99%

The Factors Predicting the Health-Related Quality of Life Among Persons with Chronic Obstructive Pulmonary Disease in Public Health Region 4, Thailand: A Mixed-Methods Study

Wangsom¹,

Othaganont²,

Ladores³

2020

TOPHJ

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Background: Health-Related Quality Of Life (HRQOL) is an important consideration for persons with Chronic Obstructive Pulmonary Disease (COPD). This convergent parallel mixed-methods study aimed to examine the factors predicting HRQOL and to explore a comprehensive in-depth understanding of the factors associated with HRQOL in persons with COPD. Methods: For the quantitative arm, simple random sampling consisted of 240 persons with COPD in Public Health Region 4, Thailand and self-reported questionnaires were employed and analyzed by using SPSS version 22.0 software. For the qualitative arm, purposive sampling consisted of 30 participants that were interviewed and the transcripts analyzed using content analysis. Subsequently, a side-by-side joint display table was used to merge the data. Results: Social support was the strongest predictor of HRQOL, followed by nutritional status, pulmonary function, and functional performance with R2 = 0.801, p = 0.00. The participants perceived that social support can create encouragement, build convenience, and offer good recommendations. They also reported that the effects of COPD included poor nutritional status, deteriorating lung function, and activity limitations resulting in inadequate self-care in people living with COPD. Although age and gender were not found to be significant predictors of HRQOL, the participants perceived that differences in age and gender did not predict the prognosis of the disease. Conclusion: Four factors were seen to be significant predictors of HRQOL and potential explanations for the identification of the factors predicting HRQOL. Nurses and healthcare teams can modify the predicting factors and implement appropriate care leading to increased HRQOL in persons with COPD.

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Predicting Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease: The Impact of Age

Cited by 19 publications

References 22 publications

Predictive factors over time of health-related quality of life in COPD patients

Predictive factors over time of health-related quality of life in COPD patients

Potential Effects of Lung Function Reduction on Health-Related Quality of Life

The Factors Predicting the Health-Related Quality of Life Among Persons with Chronic Obstructive Pulmonary Disease in Public Health Region 4, Thailand: A Mixed-Methods Study

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