Quality of life assessments with SF 36 in different musculoskeletal diseases

Abstract

The aim of this study is to evaluate comparatively the life quality of patients with knee osteoarthritis (KO), shoulder impingement syndrome(SIS), fibromialgia(FM), or osteoporosis(OP) using SF 36 and establish the impact of these diseases on quality of life (QoL). A total of 193 patients with one of the above-mentioned different diagnoses completed SF 36 scale. The diseases were compared to each other with SF 36 subgroups scores. There were significant differences among patients with KO and SIS, SIS and FM with respect to all SF 36 subgroups scores. According to these assessments, QoL of KO and FM patients was worst than that of SIS. The QoL scores of KO patients were worse than those of FM patients considering the physical function, while QoL scores of FM patients were lower than those of KO patients with respect to their general well-being. Scores of physical function and pain in KO patients were lower than those of OP patients. In domains of social functioning, emotional role, energy, pain, and general health condition QoL of FM patients was worse than that of OP patients. Quality of life of SIS patients was less affected than the patients of the other disease groups. In spite of their young age, FM patients appear to be the group with the worst quality of life scores.

Health-related quality of life in older people with osteoporotic vertebral fractures: a systematic review and meta-analysis

“…Sixteen studies that met all inclusion criteria were included in the final analysis [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] with a total of 3131 men and women (1698 with vertebral fracture, and 1433 without vertebral fracture). Fourteen of these studies were cross-sectional [13-17, 19, 20, 22-28], one case-control [21], and one baseline data from an RCT [18].…”

“…Osteoporosis was defined as T score ≤ 2.5 SD, and lumbar BMD was measured in five studies [19][20][21][22]24], eight studies reported lumbar or/and hip BMD [13, 16-18, 23, 25, 27, 28], and in three studies the site of DXA scan was not mentioned [14,15,26]. Vertebral fractures were identified using Semi-quantitative (SQ) method in 11 studies [13, 16, 17, 21-25, 27, 28], quantitative morphometric (QM) method in two studies [14,19], the SQ, the binary semi quantitative (BSQ), and the QM in one study, the Japanese diagnostic criteria in one study [26], and in one study the method is not mentioned [15]. The number of participants with vertebral fracture in each study ranged from 9 [28] to 548 [17].…”

“…Six papers reported HRQoL by using the (QUALEFFO) questionnaire [17,19,20,22,23,25], three used the (SF-36) questionnaire [14,15,28], one used the generic SF-12 [16], one used both QUALEFFO and SF-36 [27], one used SF-36, mini-osteoporosis quality of life questionnaire (OQLQ) and the generic (EQ-5D) [13], one used QUALEFFO and EQ-5D [21], one used QUALEFFO and the World Health Organization Quality of Life questionnaire (WHOQOL-100) [24], one used the generic Nottingham health profile questionnaire (NHP), EQ-5D and QUALEFFO [18], and one used SF-36, the Japanese Osteoporosis Quality of Life Questionnaire (JOQOL), and EQ-5D [26]. The effect size between groups was reported as mean (SD) in all studies apart from Lombardi study [14] which reported effect in median (range).…”

“…In 13 studies patients were recruited from secondary care [14,15,[17][18][19][21][22][23][24][25][26][27][28], one study recruited patients from primary care [20], one study from both secondary and primary care [13], and one was a population-based study [16]. In 11 studies the age for those with and without vertebral fractures were reported [13, 14, 16-18, 21-23, 25, 27, 28].…”

“…For these studies, and where data on age was available, the mean age for cases was 70.3 ± 6.6 years and for controls was 66.5 ± 7.6 years. Five studies reported the mean age of the whole sample [15,19,20,24,26], and combined this was 64.7 ± 7.8 years. Within all 15 studies, the age for the combined patients was 68.0 ± 7.4 years.…”