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Health-related quality of life in patients with immune mediated inflammatory diseases: A cross-sectional, multidisciplinary study.
Clinical Immunology ( IF 4.5 ) Pub Date : 2020-03-26 , DOI: 10.1016/j.clim.2020.108392
Julia Spierings 1 , Annemiek Sloeserwij 1 , Marieke E Vianen 1 , Joke H de Boer 2 , Vigfus Sigurdsson 3 , Janneke H H M van de Wijgert 4 , Jacob M van Laar 1
Affiliation  

Immune mediated inflammatory diseases (IMIDs) have similarities in pathophysiology and treatment. Not much is known, however, about health-related quality of life (HR-QoL) in IMIDs. We assessed and compared HR-QoL, using the validated EuroQoL 5-dimensions 5-levels questionnaire, in an observational cohort comprising 530 patients (67.5% female, mean age 49 years (95% CI 35.9-50.9), mean disease duration 31.0 months (95% CI 27.2-34.8)), with the following IMIDs: connective tissue diseases (32.6%), uveitis (20.8%), inflammatory arthritis (17.7%), psoriasis (15.5%), vasculitis (6.2%), primary antiphospholipid syndrome (4.2%), and autoinflammatory diseases (2.8%). Patients used either no anti-inflammatory therapy (31.5%), monotherapy (28.7%), or a combination of anti-inflammatory drugs (39.8%). The mean HR-QoL utility score was 0.75 (95% CI 0.72-0.78). Multinominal logistic regression analysis showed a statistically significant association between a very low HR-QoL (utility score (<0.70)) and female sex, rheumatological IMID or psoriasis, smoking or having smoked in the past, and current biological disease modifying anti-rheumatic drugs use.

中文翻译:

免疫介导的炎症性疾病患者与健康相关的生活质量:一项跨领域,多学科的研究。

免疫介导的炎性疾病(IMID)在病理生理学和治疗上有相似之处。但是,关于IMID中与健康有关的生活质量(HR-QoL)知之甚少。我们在包括530名患者(67.5%的女性,平均年龄49岁(95%的CI 35.9-50.9),平均病程31.0个月)的观察性队列中,使用经过验证的EuroQoL 5维5级问卷对HR-QoL进行了评估和比较。 (95%CI 27.2-34.8)),具有以下IMID:结缔组织疾病(32.6%),葡萄膜炎(20.8%),炎性关节炎(17.7%),牛皮癣(15.5%),血管炎(6.2%),原发性抗磷脂综合征(4.2%)和自身炎症性疾病(2.8%)。患者既不使用抗炎治疗(31.5%),也不使用单一疗法(28.7%)或联合使用抗炎药(39.8%)。平均HR-QoL效用得分为0.75(95%CI为0.72-0.78)。
更新日期:2020-03-27
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