Health-related QOL of elderly patients with pulmonary M. avium complex disease in a university hospital

被引:19
作者
Asakura, T. [1 ,2 ]
Ishii, M. [1 ]
Ishii, K. [1 ]
Suzuki, S. [1 ,2 ]
Namkoong, H. [1 ,3 ]
Okamori, S. [1 ]
Kamata, H. [1 ]
Yagi, K. [1 ]
Funatsu, Y. [1 ]
Betsuyaku, T. [1 ]
Hasegawa, N. [4 ]
机构
[1] Keio Univ, Dept Med, Div Pulm Med, Sch Med, Tokyo, Japan
[2] Japan Soc Promot Sci, Tokyo, Japan
[3] Eiju Gen Hosp, Dept Pulm Med, Tokyo, Japan
[4] Keio Univ, Ctr Infect Dis & Infect Control, Sch Med, Tokyo, Japan
基金
日本学术振兴会;
关键词
non-tuberculous mycobacteria (NTM); St George's Respiratory Questionnaire (SGRQ); 36-Item Short-Form Health Survey (SF-36); cavitary lesions; QUALITY-OF-LIFE; NONTUBERCULOUS MYCOBACTERIAL DISEASE; LUNG-DISEASE; PROGNOSTIC-FACTORS; CLARITHROMYCIN; EPIDEMIOLOGY; JAPAN; INFECTIONS; VALIDATION; THERAPY;
D O I
10.5588/ijtld.17.0433
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
BACKGROUND: Little is known about the clinical characteristics and health-related quality of life (HQOL) of elderly patients with pulmonary Mycobacterium avium complex (pMAC) disease. OBJECTIVES: To evaluate HQOL using the 36-Item Short-Form Health Survey and St George's Respiratory Questionnaire (SGRQ) and to investigate the predictors of HQOL changes among elderly patients with pMAC disease. METHODS: This prospective cohort registry was conducted at Keio University Hospital, Tokyo, Japan, between May 2012 and July 2015 and included 84 patients with pMAC disease aged >= 75 years who had completed the HQOL questionnaire and 48 patients with pMAC disease who had been followed up and completed the HQOL questionnaire in cross-sectional and longitudinal analyses, respectively. RESULTS: In cross-sectional analyses, elderly patients with pMAC disease had significantly lower rolephysical, general health, vitality, social functioning, role-emotional and role/social component scores than the general Japanese elderly population. Analysis of covariance revealed that patients with cavitary lesions had significantly worse physical functioning and SGRQ scores (P < 0.05). Longitudinal analysis showed that under-treatment, short duration of disease and positive sputum smear at baseline were predictors of worse HQOL at 12 months. CONCLUSIONS: Elderly patients with pMAC disease have reduced HQOL. Further large studies on HQOL are required to refine the use of this parameter in the treatment of these patients.
引用
收藏
页码:695 / +
页数:11
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