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Responsiveness of the 36-item Short Form Health Survey and the Lupus Quality of Life questionnaire in SLE.
Devilliers, Hervé; Amoura, Zahir; Besancenot, Jean-François; Bonnotte, Bernard; Pasquali, Jean-Louis; Wahl, Denis; Maurier, Francois; Kaminsky, Pierre; Pennaforte, Jean-Loup; Magy-Bertrand, Nadine; Arnaud, Laurent; Binquet, Christine; Guillemin, Francis; Bonithon-Kopp, Claire.
Afiliação
  • Devilliers H; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Amoura Z; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Besancenot JF; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Bonnotte B; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Pasquali JL; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Wahl D; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Maurier F; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Kaminsky P; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Pennaforte JL; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Magy-Bertrand N; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Arnaud L; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Binquet C; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Guillemin F; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
  • Bonithon-Kopp C; Department of Internal Medicine and Systemic Diseases, University Hospital of Dijon, Clinical Investigation Centre, University Hospital of Dijon, Dijon, Department of Internal Medicine, University Hospital Pitié-Salpêtrière, Paris, Department of Internal Medicine and Clinical Immunology, University
Rheumatology (Oxford) ; 54(5): 940-9, 2015 May.
Article em En | MEDLINE | ID: mdl-25361539
ABSTRACT

OBJECTIVES:

This study aimed to estimate the responsiveness to change of a generic [the 36-item Short Form Health Survey (SF-36)] and a specific health-related quality of life questionnaire [the Lupus Quality if Life questionnaire (LupusQoL)] according to SLE patients' self-reported changes in health status.

METHODS:

In a cohort of 185 SLE patients, quality of life (QoL) was measured three times at 3 month intervals by the LupusQoL and SF-36 questionnaires. Anchors for responsiveness were defined by patients' global assessment of disease impact according to changes in a visual analogue scale (VAS), a 7-point Likert scale and a 0-3 scale of five patient-reported symptoms. Mean change and s.d. in worsening and improving patients according to anchors were estimated using mixed models for repeated measures. Standardized response means (SRMs) were calculated in each group.

RESULTS:

Patients [mean age 39.6 years (s.d. 10.5), mean Safety of Estrogen in Lupus Erythematosus National Assessment-SLEDAI score 2.6 (s.d. 3.5)] answered a total of 515 questionnaires. For the VAS and Likert global anchors, worsening patients showed a significant decrease in all LupusQoL domains except for burden to others, body image and fatigue and all SF-36 domains with low to moderate responsiveness. Improving patients had a significant increase in all LupusQoL domains except for intimate relationship and all SF-36 domains except for physical functioning and global health with low to moderate responsiveness. Regarding similar domains in the SF-36 and LupusQoL, SRMs were higher in LupusQoL domains in improving patients, while SF-36 domains had larger SRMs in worsening patients.

CONCLUSION:

Both the SF-36 and LupusQoL were responsive to changes in QoL in SLE patients over a 3 month interval. LupusQoL seems to be more appropriate to measure improvements in QoL.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Nível de Saúde / Inquéritos e Questionários / Inquéritos Epidemiológicos / Autorrelato / Lúpus Eritematoso Sistêmico Tipo de estudo: Clinical_trials / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Rheumatology (Oxford) Assunto da revista: REUMATOLOGIA Ano de publicação: 2015 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Nível de Saúde / Inquéritos e Questionários / Inquéritos Epidemiológicos / Autorrelato / Lúpus Eritematoso Sistêmico Tipo de estudo: Clinical_trials / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Rheumatology (Oxford) Assunto da revista: REUMATOLOGIA Ano de publicação: 2015 Tipo de documento: Article