Do generic and disease-specific quality of life measures associate similarly in individuals with stable heart failure and individuals with stable COPD?
Carla Mikaella de Moura Brasil, Geisyani Francisca Gomes Prudente, Vanessa Spinosa, Eanes Delgado Barros Pereira, Maria Tereza Aguiar Pessoa Morano, Daniela Gardano Bucharles Mont’Alverne, Rafael Mesquita
Abstract
Background: Individuals with heart failure (HF) present with chronic symptoms similar to those presented by individuals with chronic obstructive pulmonary disease (COPD). These symptoms can lead to worse health-related quality of life (HRQoL), which can be assessed through generic or disease-specific measures. Aim: To verify the association between generic and disease-specific measures of HRQoL in individuals with stable HF and those with stable COPD. Methods: Cross-sectional study which included two groups: 1) individuals with stable HF; 2) individuals with stable COPD. The Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) questionnaire was used as the generic measure of HRQoL answered by both groups. The disease-specific HRQoL instruments used in this study were the Minnesota Living with Heart Failure Questionnaire (MLHFQ) answered by individuals with HF, and the Saint George’s Respiratory Questionnaire (SGRQ) answered by individuals with COPD. All instruments were applied during interviews by trained researchers. Results: In total, 122 participants were included (62 with HF, 57% were men with a mean age of 55 ± 14 years; and 60 with COPD, 42% were men with a mean age of 66 ± 9 years). Stronger correlations were observed between generic and disease-specific HRQoL instruments in individuals with HF (-0.71≤r≤-0.48) when compared to the correlations observed in individuals with COPD (-0.57≤r≤-0.33). Worse scores in the SF-36’s component summaries were observed in individuals with worse HRQoL by the MLHFQ (p<0.05 for all analyses), but not in individuals with worse HRQoL by the SGRQ. Conclusion: There seems to be a stronger association between generic and disease-specific HRQoL measures in the group of individuals with stable HF compared to individuals with stable COPD.
Keywords
Referências
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Submetido em:
23/05/2022
Aceito em:
20/08/2023
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