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Effects of Different Comorbidities on Health-Related Quality of Life among Respiratory Patients in Vietnam

Comorbidities are common in respiratory disease patients and have been well-known to impact their quality of life. The objective of this study is to estimate the minimal clinically important difference (MCID) of the health-related quality of life (HRQOL) among respiratory disease patients with diffe...

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Autores principales: Ngo, Chau Quy, Phan, Phuong Thu, Vu, Giap Van, Pham, Quyen Le Thi, Nguyen, Long Hoang, Vu, Giang Thu, Tran, Tung Thanh, Nguyen, Huong Lan Thi, Tran, Bach Xuan, Latkin, Carl A., Ho, Cyrus S. H., Ho, Roger C. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406871/
https://www.ncbi.nlm.nih.gov/pubmed/30736474
http://dx.doi.org/10.3390/jcm8020214
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author Ngo, Chau Quy
Phan, Phuong Thu
Vu, Giap Van
Pham, Quyen Le Thi
Nguyen, Long Hoang
Vu, Giang Thu
Tran, Tung Thanh
Nguyen, Huong Lan Thi
Tran, Bach Xuan
Latkin, Carl A.
Ho, Cyrus S. H.
Ho, Roger C. M.
author_facet Ngo, Chau Quy
Phan, Phuong Thu
Vu, Giap Van
Pham, Quyen Le Thi
Nguyen, Long Hoang
Vu, Giang Thu
Tran, Tung Thanh
Nguyen, Huong Lan Thi
Tran, Bach Xuan
Latkin, Carl A.
Ho, Cyrus S. H.
Ho, Roger C. M.
author_sort Ngo, Chau Quy
collection PubMed
description Comorbidities are common in respiratory disease patients and have been well-known to impact their quality of life. The objective of this study is to estimate the minimal clinically important difference (MCID) of the health-related quality of life (HRQOL) among respiratory disease patients with different comorbidities in a Vietnamese tertiary hospital. We performed a cross-sectional study from October to November 2016 at the Respiratory Center of Bach Mai Hospital, Hanoi, with a total of 508 participants. Information about socio-economic characteristics, HRQOL and comorbidities of participants was collected. ANOVA was used to identify MCID between patients with and without specific comorbid conditions. Tobit regression was used to explore the associations between comorbidities and the HRQOL. Results showed that the prevalence of cardiovascular comorbidities was 23.8%, followed by musculoskeletal diseases (12.0%), digestive diseases (11.8%), endocrine diseases (10.0%), kidney diseases (5.1%) and ear, nose, and throat diseases (4.5%). Regarding HRQOL, having a problem in pain/discomfort was observed in 61.0% of participants, followed by anxiety/depression (48.2%). Mean EQ-5D index was 0.66 (SD (Standard Deviation) = 0.31). The significant MCID (p < 0.05) was found between patients with and without cardiovascular diseases, musculoskeletal diseases, kidney diseases, and endocrine diseases. The multivariate regression model showed that only musculoskeletal diseases were found to be related with the marked decrement of EQ-5D index score (Coef. = −0.13; 95% CI (Confident Interval) = −0.23; −0.02). Suffering at least one chronic illness was correlated to the marked decrease of EQ-5D index score (Coef. = −0.09; 95% CI = −0.17; −0.01). These results underline the importance of appropriate pain management as well as the provision of an interprofessional care approach to patients in order to alleviate the burden of comorbidities to their treatment outcomes and HRQOL.
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spelling pubmed-64068712019-03-22 Effects of Different Comorbidities on Health-Related Quality of Life among Respiratory Patients in Vietnam Ngo, Chau Quy Phan, Phuong Thu Vu, Giap Van Pham, Quyen Le Thi Nguyen, Long Hoang Vu, Giang Thu Tran, Tung Thanh Nguyen, Huong Lan Thi Tran, Bach Xuan Latkin, Carl A. Ho, Cyrus S. H. Ho, Roger C. M. J Clin Med Article Comorbidities are common in respiratory disease patients and have been well-known to impact their quality of life. The objective of this study is to estimate the minimal clinically important difference (MCID) of the health-related quality of life (HRQOL) among respiratory disease patients with different comorbidities in a Vietnamese tertiary hospital. We performed a cross-sectional study from October to November 2016 at the Respiratory Center of Bach Mai Hospital, Hanoi, with a total of 508 participants. Information about socio-economic characteristics, HRQOL and comorbidities of participants was collected. ANOVA was used to identify MCID between patients with and without specific comorbid conditions. Tobit regression was used to explore the associations between comorbidities and the HRQOL. Results showed that the prevalence of cardiovascular comorbidities was 23.8%, followed by musculoskeletal diseases (12.0%), digestive diseases (11.8%), endocrine diseases (10.0%), kidney diseases (5.1%) and ear, nose, and throat diseases (4.5%). Regarding HRQOL, having a problem in pain/discomfort was observed in 61.0% of participants, followed by anxiety/depression (48.2%). Mean EQ-5D index was 0.66 (SD (Standard Deviation) = 0.31). The significant MCID (p < 0.05) was found between patients with and without cardiovascular diseases, musculoskeletal diseases, kidney diseases, and endocrine diseases. The multivariate regression model showed that only musculoskeletal diseases were found to be related with the marked decrement of EQ-5D index score (Coef. = −0.13; 95% CI (Confident Interval) = −0.23; −0.02). Suffering at least one chronic illness was correlated to the marked decrease of EQ-5D index score (Coef. = −0.09; 95% CI = −0.17; −0.01). These results underline the importance of appropriate pain management as well as the provision of an interprofessional care approach to patients in order to alleviate the burden of comorbidities to their treatment outcomes and HRQOL. MDPI 2019-02-07 /pmc/articles/PMC6406871/ /pubmed/30736474 http://dx.doi.org/10.3390/jcm8020214 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ngo, Chau Quy
Phan, Phuong Thu
Vu, Giap Van
Pham, Quyen Le Thi
Nguyen, Long Hoang
Vu, Giang Thu
Tran, Tung Thanh
Nguyen, Huong Lan Thi
Tran, Bach Xuan
Latkin, Carl A.
Ho, Cyrus S. H.
Ho, Roger C. M.
Effects of Different Comorbidities on Health-Related Quality of Life among Respiratory Patients in Vietnam
title Effects of Different Comorbidities on Health-Related Quality of Life among Respiratory Patients in Vietnam
title_full Effects of Different Comorbidities on Health-Related Quality of Life among Respiratory Patients in Vietnam
title_fullStr Effects of Different Comorbidities on Health-Related Quality of Life among Respiratory Patients in Vietnam
title_full_unstemmed Effects of Different Comorbidities on Health-Related Quality of Life among Respiratory Patients in Vietnam
title_short Effects of Different Comorbidities on Health-Related Quality of Life among Respiratory Patients in Vietnam
title_sort effects of different comorbidities on health-related quality of life among respiratory patients in vietnam
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406871/
https://www.ncbi.nlm.nih.gov/pubmed/30736474
http://dx.doi.org/10.3390/jcm8020214
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