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Long-term impact of a Q-fever outbreak: An evaluation of health symptoms, health-related quality of life, participation and health care satisfaction after ten years.
Bronner, Madelon B; Haagsma, Juanita A; Dontje, Manon L; Barmentloo, Lotte; Kouwenberg, Rianne M C E J; Olde Loohuis, Alfons G M; de Groot, Annemieke; Erasmus, Vicki; Polinder, Suzanne.
Afiliación
  • Bronner MB; Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: m.bronner@erasmusmc.nl.
  • Haagsma JA; Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: j.haagsma@erasmusmc.nl.
  • Dontje ML; Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: dr.m.l.dontje@gmail.com.
  • Barmentloo L; Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: l.barmentloo@erasmusmc.nl.
  • Kouwenberg RMCEJ; Q-support, Goudsbloemvallei 1, 5237 MH 's-Hertogenbosch, the Netherlands. Electronic address: r.kouwenberg@q-support.nu.
  • Olde Loohuis AGM; Q-support, Goudsbloemvallei 1, 5237 MH 's-Hertogenbosch, the Netherlands. Electronic address: a.oldeloohuis@q-support.nu.
  • de Groot A; Q-support, Goudsbloemvallei 1, 5237 MH 's-Hertogenbosch, the Netherlands. Electronic address: a.de.groot@q-support.nu.
  • Erasmus V; Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: v.erasmus@erasmusmc.nl.
  • Polinder S; Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: s.polinder@erasmusmc.nl.
J Psychosom Res ; 139: 110258, 2020 12.
Article en En | MEDLINE | ID: mdl-33069049
ABSTRACT

OBJECTIVE:

To assess health symptoms, health-related quality of life, participation, and health care satisfaction in Q-fever patients up to 10 years after infection.

METHODS:

Cross-sectional questionnaire survey in the Netherlands. Data on health symptoms, fatigue (CIS), health-related quality of life (EQ-5D), social/work participation, health care providers and health care satisfaction were collected in patients with chronic Q-fever (CQ), Q-fever fatigue syndrome (QFS), and patients who experience QFS-like disease without a post-infection diagnosis (QLD).

RESULTS:

A vast majority of the 478 Q-fever patients (response rate 54.3%) face several health problems 10 years after infection. Fatigue was the most prevalent symptom in all groups (91.2%). The median EQ-5D index value differed significantly between the three diagnostic groups (CQ 0.67; QFS 0.55; QLD0.70; p < 0.001). Approximately 50% of all patients had serious problems with work and physical activities, and more than 25% experienced difficulties with leisure time, household and social contacts. Also, more than one third stopped working permanently. Furthermore, GP's, internists, and physical therapists were the most often consulted health care providers. Patients gave low ratings for the overall quality of care for Q-fever, with 75% scoring a 5.0 or lower on a 10-point scale.

CONCLUSION:

Long-term health consequences are considerable for Q-fever patients, especially for those with QFS. The majority of the patients was unsatisfied with the quality of care for Q-fever. Awareness of the long-term impact of zoonotic diseases like Q-fever is needed to offer optimal health care for these patients.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Fiebre Q / Calidad de Vida Tipo de estudio: Diagnostic_studies / Evaluation_studies / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Psychosom Res Año: 2020 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Fiebre Q / Calidad de Vida Tipo de estudio: Diagnostic_studies / Evaluation_studies / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Psychosom Res Año: 2020 Tipo del documento: Article