scholarly journals P1-535 Relationship between characteristics of social network, health-related quality of life and mortality patterns in older age. Krakow study

2011 ◽  
Vol 65 (Suppl 1) ◽  
pp. A215-A215 ◽  
Author(s):  
B. Tobiasz-Adamczyk ◽  
P. Brzyski ◽  
A. Galas ◽  
M. Brzyska ◽  
M. Florek
2020 ◽  
Vol 18 (1) ◽  
Author(s):  
José Felipe Varona ◽  
◽  
José Miguel Seguí-Ripoll ◽  
Cristina Lozano-Duran ◽  
Luis Miguel Cuadrado-Gómez ◽  
...  

Abstract Background There is a dearth of evidence regarding Health-Related Quality of Life (HRQoL) in nonvalvular atrial fibrillation (NVAF) patients undergoing oral anticoagulation therapy. Our objective was to describe HRQoL in NVAF patients on oral anticoagulation, focusing on uncontrolled patients on vitamin K antagonists (VKAs) versus controlled patients on VKAs or non-vitamin K antagonist oral anticoagulants (NOACs), in a real-world setting. Additionally, we assessed the clinical characteristics of patients with uncontrolled anticoagulation. Methods An observational, multicentre, and cross-sectional study, enrolling 38 Spanish Hospitals' Internal Medicine Departments. HRQoL was assessed using the validated Spanish version of the Sawicki questionnaire. High self-perceived HRQoL was indicated by high scores in the general treatment satisfaction and self-efficacy dimensions, and by low scores in the strained social network, daily hassles and distress dimensions. Results Five hundred and one patients were included for assessment. Mean scores ± SD were closer to a high perceived HRQoL in controlled than uncontrolled patients for the five dimensions of the questionnaire: 4.9 ± 1.0 versus 3.6 ± 1.3 for general treatment satisfaction; 4.3 ± 1.0 versus 3.6 ± 1.0 for self-efficacy, 3.1 ± 0.9 versus 3.9 ± 1.1 for strained social network, 2.1 ± 0.8 versus 3.0 ± 1.0 for daily hassles and 1.8 ± 0.9 versus 2.6 ± 1.2 for distress. Conclusions HRQoL in patients with controlled anticoagulant status treated with NOACs or VKAs was better than in patients with uncontrolled anticoagulant status. This seems to indicate that anticoagulation control status influences perception of HRQoL, highlighting the importance of its evaluation when assessing HRQoL in NVAF patients.


2005 ◽  
Vol 14 (2) ◽  
pp. 511-520 ◽  
Author(s):  
E. L�pez. Garc�a ◽  
J. R. Banegas ◽  
A. Graciani. P�rez-Regadera ◽  
R. Herruzo. Cabrera ◽  
F. Rodr�guez-Artalejo

2017 ◽  
Vol 23 (2) ◽  
pp. 283-288 ◽  
Author(s):  
Gabriella Velonias ◽  
Grace Conway ◽  
Elizabeth Andrews ◽  
John J. Garber ◽  
Hamed Khalili ◽  
...  

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Lorraine Watson ◽  
John Belcher ◽  
Elaine Nicholls ◽  
Priyanka Chandratre ◽  
Milisa Blagojevic-Bucknall ◽  
...  

Abstract Background Gout affects 2.5% of adults in the UK but is often poorly managed. It can impair health-related quality of life (HRQOL), yet little is known about which people with gout are at risk of worse outcomes. We investigated factors associated with change in HRQOL over a three-year period in people living with gout in primary care. Methods People with gout registered with 20 general practices in the West Midlands completed the Gout Impact Scale (GIS), Short-Form-36 Physical Function subscale (PF10) and health assessment questionnaire disability index (HAQ-DI) at five time-points (baseline & 6, 12, 24 and 36 months) via postal questionnaire. Linear mixed modelling (LMM) with multivariate adjustment for baseline and time-varying covariates was used to investigate gout-specific, comorbid and socio-demographic factors associated with change in the Concern Overall (GIS-CO), PF10 and HAQ-DI over three years. Higher scores are worse for GIS-CO and HAQ-DI, but better for PF10. Results Of 1,184 baseline respondents, 818 (80%), 721 (73%), 696 (75%), 605 (68%) responded at 6, 12, 24 and 36 months respectively. Mean age (SD) at baseline was 65.6 (12.5) years. 990 (84%) were male, 494 (42%) reported >2 gout flares in the previous year, 624 (54%) were taking allopurinol and 318 (27%) had an eGFR<60mL/min/1.73m2. Factors identified as being associated with a deterioration in HRQOL over three years (table), were gout flare frequency (GIS-CO, PF10), history of oligo/polyarticular flares (GIS-CO, HAQ-DI), having a flare currently (GIS-CO), allopurinol use (PF10), having body pain (GIS-CO, PF10, HAQ-DI), higher pain severity (GIS-CO, PF10, HAQ-DI), number of comorbidities (PF10), eGFR <60mL/min/1.73m2 (PF10, HAQ-DI), anxiety (GIS-CO), depression (PF10, HAQ-DI), and older age (PF10, HAQ-DI). Factors associated with an improvement in HRQOL were longer gout duration (GIS-CO), older age (GIS-CO), lower socioeconomic deprivation (PF10, HAQ-DI) and more frequent alcohol consumption (PF10, HAQ-DI). Conclusion Gout-specific, comorbid and socio-demographic factors associated with change in HRQOL over a three-year period in people living with gout in primary care were identified, highlighting people at risk of worse outcomes over three years and at greatest need of urate-lowering therapy and other targeted interventions. Disclosures L. Watson None. J. Belcher None. E. Nicholls None. P. Chandratre None. M. Blagojevic-Bucknall None. S. Hider None. S.A. Lawton None. C.D. Mallen None. S. Muller None. K. Rome None. E. Roddy None.


2003 ◽  
Vol 163 (20) ◽  
pp. 2460 ◽  
Author(s):  
Martha L. Daviglus ◽  
Kiang Liu ◽  
Amber Pirzada ◽  
Lijing L. Yan ◽  
Daniel B. Garside ◽  
...  

Author(s):  
Kamrun Nahar Koly ◽  
Md. Saiful Islam ◽  
Daniel D Reidpath ◽  
Jobaida Saba ◽  
Sohana Shafique ◽  
...  

Background: The study aimed to assess the health-related quality of life (HRQoL) and its associated factors among urban slum dwellers who migrated from different rural parts of Bangladesh. Methods: The present study analyzed data from a Migration and Mobility Determinants on Health survey and was conducted in 2017 among 935 migrant slum dwellers of Dhaka city (North & South) and Gazipur City Corporations, as a part of the icddr,b’s Urban Health and Demographic Surveillance System (UHDSS). The face-to-face interviews were conducted with the adult population by using a semi-structured questionnaire that included variables related to socio-demographics, migration, occupation, and HRQoL (SF-12). Bivariate and multiple linear regression analyses were performed to determine the factors associated with HRQoL. Results: The mean (±SD) scores of physical component summary (PCS), and mental component summary (MCS) were 57.40 ± 22.73 and 60.77 ± 22.51, respectively. As per multiple regression analysis, lower PCS scores were associated with having older age, being female, and not having any job. Mean MCS scores were significantly lower among participants who reported having older age, not having any job, not working/ less working hours (≤8 h/day), as well as increased work-related stress in the current urban slum. Conclusions: The findings suggest that available urban social protection programs should include a comprehensive social safety net for the improvement of the slum infrastructure as well as proper health care and risk mitigation plans at workplaces.


Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Thanh Huyen T Vu ◽  
Martha L Daviglus ◽  
Norrina B Allen ◽  
Kiang Liu ◽  
Daniel B Garside ◽  
...  

Background: Healthy lifestyle (HL) practices such as not smoking, frequent exercise and having normal BMI are related to better health-related quality of life (HRQoL). However, data on associations of long-term patterns on the combined effects of these HL practices in older age and in HRQoL is limited. Methods: We included 4,074 participants mean age 70 in 1996 from the CHA study who participated in a health survey in 1996 and at least two more in 2001, 2003, and 2012. HRQoL was assessed by Health Status Questionnaire-12 (HSQ-12) on health perception, and physical and mental well-being. The higher the HSQ-12 score, the better the quality of life. The number of HL practices was defined as a sum of the following three HL factors: never smoked, exercised frequently, and had a normal BMI. Results: Using Group-Based modelling, we identified three HL practice trajectories [practiced high (15.8%), medium (45.0%), and low number (39.1%) over time], and three HSQ-12 score trajectories for the total sum of scores and for the physical and mental component score separately (see Table for group identifications). With adjustment for age, sex, race, education attainment, marital status, alcohol intake, and comorbidities in 1996, odds ratios (95% confidence intervals) for having the best (high score and slow decline) QoL over 16 years of follow-up were highest in persons who maintained a high and moderate number of HL practices compared to those with a low number of HL practices were 8.72 (6.23-12.22) and 2.54 (1.92-3.37), respectively; findings were similar for having moderate (medium score and fast decline) QoL over time, and after stratifying by sex. Conclusions: Highly maintained healthy lifestyle practices in older ages is associated with high score and slow decline in health-related quality of life over time. This finding underscores the importance of consistently maintaining ideal healthy lifestyle practices in older age for better maintenance of quality of life.


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