Currently Viewing:
Newsroom
Currently Reading
A Significant Unmet Mental Health Care Need Exists for Patients With COPD
August 25, 2019 – Kelly Davio
Medicaid Expansion Linked to Increased HIV Testing
August 24, 2019 – Jaime Rosenberg
5 Things to Look for at the European Society of Cardiology 2019 Congress
August 23, 2019 – Mary Caffrey
Phase I Pancreatic Cancer Trial Identifies Effective Combination Treatment
August 23, 2019 – Alison Rodriguez
AJMC® in the Press, August 23, 2019
August 23, 2019 – AJMC Staff
Fatal AEs Associated With Alemtuzumab for MS May Occur More Frequently Than Previously Thought
August 23, 2019 – Laura Joszt
What We're Reading: ACA Plan Offerings Expand; Combo Pill Cuts CV Events; Biosimilar Savings
August 23, 2019 – AJMC Staff
This Week in Managed Care: August 23, 2019
August 23, 2019
HHS Proposes Easing Privacy Restrictions for Patients With History of Substance Use Disorder
August 22, 2019 – Jaime Rosenberg

Which Factors Affect Quality of Life in COPD?

Alison Rodriguez
Older age, dyspnea, longer duration of illness, comorbidities, and use of oxygen hurt quality of life for those with chronic obstructive pulmonary disease.
 
Chronic obstructive pulmonary disease (COPD) is considered to be a significant challenge and remains a leading cause of morbidity and mortality worldwide. A recent study, which evaluated the impact of selected sociodemographic and clinical factors on a patient’s quality of life (QOL), found that COPD patients’ age decreases the levels of both QOL and level of illness acceptance (LIA), while factors including dyspnea, longer duration of illness, comorbidities, oxygen therapy undertaking, affect the deterioration of QOL.

 



The study evaluated 100 patients who had COPD for at least half a year and were treated at a clinic at Wroclaw Medical University in Poland. In order to assess QOL and LIA, the researchers used standardized questionnaires, including Short Form-36 Health Survey, Saint George’s Respiratory Questionnaire, Acceptance of Illness Scale, and COPD Author’s Questionnaire.

“The life of people with a chronic disease changes dramatically and leads to significant deterioration in its quality. Comparing the needs with existing reality, especially in chronic diseases, occurs on many levels of quality of life (QOL),” explained the authors. “The studies conducted on the QOL are an attempt to assess the influence of disease on all areas of human life. The progress of medicine that has taken place in recent years has not significantly reduced morbidity and mortality resulting from chronic diseases.”

The main results included:
  • QOL level was not dependent of the sex of the patient.
  • Higher education levels improved QOL scores.
  • The increasing age of a patient decreases the level of QOL and LIA.
  • Determinants such as exacerbation of dyspnea, longer duration of illness, comorbidities, use of oxygen therapy, and positive family history of respiratory disease affected QOL negatively.
  • Positive family history of respiratory disorders translated to lower QOL and lower LIA in COPD patients.
  • Longer disease duration affected QOL in COPD patients and significantly reduced LIA.


The researchers noted that assessment and identification of selected sociodemographic and clinical factors in COPD patients are likely to improve the QOL and LIA and optimize management, while also leading to better patient outcomes.

“Today, increasing attention is paid to QOL in chronic diseases of the respiratory system. Health-related QOL studies confirm that people with COPD require holistic approach by health care workers who should take into account not only the medical parameters but also other indicators that influence the overall well-being, that is, mental status or socioeconomic status,” concluded the authors. “Thus, it is necessary to carry out studies detecting potential determinants affecting the assessment of QOL in COPD patients, and identifying these factors will be helpful in planning comprehensive care plan for this group of patients.”

Future studies are necessary to evaluate the number and severity of comorbidities that may influence the results of relationships involved in the duration of the disease.

Reference

Rosińczuk J, Przyszlak M, Uchmanowicz I. Sociodemographic and clinical factors affecting the quality of life of patients with chronic obstructive pulmonary disease. [published online September 12, 2018]. nt J Chron Obstruct Pulmon Dis. doi: 10.2147/COPD.S165714.

Related Articles

Medicare ACOs Achieve Savings When Treating Patients With Comorbidities
COPD Medication Regimens Linked To Disease Severity and Comorbidities
How Do Comorbidities Affect Treatment for Patients With COPD?
Study: Prescribers Unaware of Comorbidity of Nonselective Beta Blockers for Patients With COPD or Asthma
Patients With Asthma–COPD Overlap Have More Severe Disease, Study Finds
 
Copyright AJMC 2006-2019 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up