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Erschienen in: Quality of Life Research 1/2014

01.02.2014 | Brief Communication

Association of patient demographics on quality of life in a sample of adult patients with cardiac arrhythmias

verfasst von: Derek H. Tang, Adrienne M. Gilligan, Klaus Romero

Erschienen in: Quality of Life Research | Ausgabe 1/2014

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Abstract

Purpose

Identify predictors of quality of life (QOL) in patients with any form of cardiac arrhythmia (CA).

Methods

Data from the Medical Panel Expenditure Survey were analyzed from 2004 to 2009. Patients aged ≥18 with any form of CA (identified via ICD-9-CM codes) were included. Primary outcomes included the physical and mental component scores (PCS and MCS) of the Short-Form 12 version 2 (SF-12) and EuroQoL-5D (EQ-5D) utility scores (US version). Patient demographics included insurance status, urban status, geographical region, federal poverty level, education, comorbidities, and disease-related risk factors of CA.

Results

Approximately 5,750,440 individuals had CA. Non-Hispanic Whites had the highest SF-12 MCS (mean 50.9; p < 0.001 across racial groups) and utility scores (mean 0.76; p < 0.001 across racial groups). Patients with both private and public insurance had significantly higher PCS (p = 0.001) and MCS (p < 0.001) in comparison with patients only covered by public insurance. Patients on antiarrhythmic agents had higher SF-12 MCS (51.4 vs. 48.4; p < 0.001) compared to individuals not on antiarrhythmic agents.

Conclusions

Significantly lower QOL existed in specific subpopulations (e.g., patients with only public health insurance, racial/ethnic minorities, and those not exposed to antiarrhythmic agents) within the CA population.
Literatur
2.
Zurück zum Zitat The American Heart Association Statistics Committee and Stroke Statistics Subcommittee. (2009). Heart disease and stroke statistics-2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 119, e21–e181.CrossRef The American Heart Association Statistics Committee and Stroke Statistics Subcommittee. (2009). Heart disease and stroke statistics-2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 119, e21–e181.CrossRef
3.
Zurück zum Zitat Coyne, K. S., Paramore, C., Grandy, S., Mercder, M., Reynolds, M., & Zimetbaum, P. (2006). Assessing the direct costs of treating nonvalvular atrial fibrillation in the United States. Value in Health, 9, 348–356.PubMedCrossRef Coyne, K. S., Paramore, C., Grandy, S., Mercder, M., Reynolds, M., & Zimetbaum, P. (2006). Assessing the direct costs of treating nonvalvular atrial fibrillation in the United States. Value in Health, 9, 348–356.PubMedCrossRef
4.
Zurück zum Zitat Rohrbacker, N. J., Kleinman, N. L., White, S. A., March, J. L., & Reynolds, M. R. (2010). The burden of atrial fibrillation and other cardiac arrhythmias in an employed population: Associated costs, absences, and objective productivity loss. Journal of Occupational and Environmental Medicine, 52, 383–391.PubMedCrossRef Rohrbacker, N. J., Kleinman, N. L., White, S. A., March, J. L., & Reynolds, M. R. (2010). The burden of atrial fibrillation and other cardiac arrhythmias in an employed population: Associated costs, absences, and objective productivity loss. Journal of Occupational and Environmental Medicine, 52, 383–391.PubMedCrossRef
5.
Zurück zum Zitat Le Heuzey, J. Y., Paziaud, O., Piot, O., Said, M. A., Copie, X., Lavergne, T., et al. (2004). Cost of care distribution in atrial fibrillation patients: The COCAF study. American Heart Journal, 147, 121–126.PubMedCrossRef Le Heuzey, J. Y., Paziaud, O., Piot, O., Said, M. A., Copie, X., Lavergne, T., et al. (2004). Cost of care distribution in atrial fibrillation patients: The COCAF study. American Heart Journal, 147, 121–126.PubMedCrossRef
6.
Zurück zum Zitat Reynolds, M. R., Essebag, V., Zimetbaum, P., & Cohen, D. J. (2007). Healthcare resource utilization and costs associated with recurrent episodes of atrial fibrillation: The FRACTAL registry. Journal of Cardiovascular Electrophysiology, 18, 628–633.PubMedCentralPubMedCrossRef Reynolds, M. R., Essebag, V., Zimetbaum, P., & Cohen, D. J. (2007). Healthcare resource utilization and costs associated with recurrent episodes of atrial fibrillation: The FRACTAL registry. Journal of Cardiovascular Electrophysiology, 18, 628–633.PubMedCentralPubMedCrossRef
7.
Zurück zum Zitat Dorian, P., Paquette, M., Newman, D., Green, M., Connolly, S. J., Talajic, M., et al. (2002). Quality of life improves with treatment in the Canadian trial of atrial fibrillation. American Heart Journal, 143, 984–990.PubMedCrossRef Dorian, P., Paquette, M., Newman, D., Green, M., Connolly, S. J., Talajic, M., et al. (2002). Quality of life improves with treatment in the Canadian trial of atrial fibrillation. American Heart Journal, 143, 984–990.PubMedCrossRef
8.
Zurück zum Zitat Lönnerholm, S., Blomström, P., Nilsson, L., Oxelbark, S., Jideus, L., & Blomström-Lundqvist, C. (2000). Effects of the maze operation on health-related quality of life in patients with atrial fibrillation. Circulation, 101, 2607–2611.PubMedCrossRef Lönnerholm, S., Blomström, P., Nilsson, L., Oxelbark, S., Jideus, L., & Blomström-Lundqvist, C. (2000). Effects of the maze operation on health-related quality of life in patients with atrial fibrillation. Circulation, 101, 2607–2611.PubMedCrossRef
9.
Zurück zum Zitat Pappone, C., Rosanio, S., Augello, G., Gallus, G., Vicedomini, G., Mazzone, P., et al. (2003). Mortality, morbidity, and quality of life after circumferential pulmonary vein ablation for atrial fibrillation: Outcomes from a controlled nonrandomized long-term study. Journal of the American College of Cardiology, 42, 185–197.PubMedCrossRef Pappone, C., Rosanio, S., Augello, G., Gallus, G., Vicedomini, G., Mazzone, P., et al. (2003). Mortality, morbidity, and quality of life after circumferential pulmonary vein ablation for atrial fibrillation: Outcomes from a controlled nonrandomized long-term study. Journal of the American College of Cardiology, 42, 185–197.PubMedCrossRef
10.
Zurück zum Zitat Singh, B. N., Singh, S. N., Reda, D. J., Tang, X. C., Lopez, B., Harris, C. L., et al. (2005). Amiodarone versus sotalol for atrial fibrillation. New England Journal of Medicine, 352, 1861–1872.PubMedCrossRef Singh, B. N., Singh, S. N., Reda, D. J., Tang, X. C., Lopez, B., Harris, C. L., et al. (2005). Amiodarone versus sotalol for atrial fibrillation. New England Journal of Medicine, 352, 1861–1872.PubMedCrossRef
12.
Zurück zum Zitat Chuang, L. H., & Kind, P. (2009). Converting the SF-12 into the EQ-5D: an empirical comparison of methodologies. Pharmacoeconomics, 27, 491–505.PubMedCrossRef Chuang, L. H., & Kind, P. (2009). Converting the SF-12 into the EQ-5D: an empirical comparison of methodologies. Pharmacoeconomics, 27, 491–505.PubMedCrossRef
13.
Zurück zum Zitat Chisholm, M. A., Wells, B. G., Schwinghammer, T. L., Malone, P. M., Kolesar, J. M., & Rotschafer, J. C. (Eds.). (2007). Pharmacotherapy principles and practice. New York: McGraw Hill Medical. Chisholm, M. A., Wells, B. G., Schwinghammer, T. L., Malone, P. M., Kolesar, J. M., & Rotschafer, J. C. (Eds.). (2007). Pharmacotherapy principles and practice. New York: McGraw Hill Medical.
14.
Zurück zum Zitat D’Hoore, W., Bouckaert, A., & Tilquin, C. (1996). Practical considerations on the use of the Charlson Comorbidity Index with administrative databases. Journal of Clinical Epidemiology, 49, 1429–1433.PubMedCrossRef D’Hoore, W., Bouckaert, A., & Tilquin, C. (1996). Practical considerations on the use of the Charlson Comorbidity Index with administrative databases. Journal of Clinical Epidemiology, 49, 1429–1433.PubMedCrossRef
16.
Zurück zum Zitat Lim, L. Y., & Fisher, J. D. (1999). Use of the 12-item Short-Form (SF-12) Health Survey in Australian heart and stroke population. Quality of Life Research, 8, 1–8.PubMedCrossRef Lim, L. Y., & Fisher, J. D. (1999). Use of the 12-item Short-Form (SF-12) Health Survey in Australian heart and stroke population. Quality of Life Research, 8, 1–8.PubMedCrossRef
17.
Zurück zum Zitat Dorian, P., & Mangat, I. (2003). Quality of life variables in the selection of rate versus rhythm control in patients with atrial fibrillation: observations from the Canadian trial of atrial fibrillation. Cardiac Electrophysiology Review, 7, 276–279.PubMedCrossRef Dorian, P., & Mangat, I. (2003). Quality of life variables in the selection of rate versus rhythm control in patients with atrial fibrillation: observations from the Canadian trial of atrial fibrillation. Cardiac Electrophysiology Review, 7, 276–279.PubMedCrossRef
18.
Zurück zum Zitat Ware, J. E., Snow, K. K., Kosinski, M. A., & Gandek, B. (1993). SF-36 health survey manual and interpretation guide. Boston: The Health Institute, New England Medical Center. Ware, J. E., Snow, K. K., Kosinski, M. A., & Gandek, B. (1993). SF-36 health survey manual and interpretation guide. Boston: The Health Institute, New England Medical Center.
19.
Zurück zum Zitat Ware, J. E., Bayliss, M. S., Rogers, W. H., Kosinski, M. A., & Tarlov, A. R. (1996). Differences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and Fee-for-Service Systems: Results from the Medical Outcomes Study. Journal of the American Medical Association, 276, 1039–1047.PubMedCrossRef Ware, J. E., Bayliss, M. S., Rogers, W. H., Kosinski, M. A., & Tarlov, A. R. (1996). Differences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and Fee-for-Service Systems: Results from the Medical Outcomes Study. Journal of the American Medical Association, 276, 1039–1047.PubMedCrossRef
20.
Zurück zum Zitat Burdine, J. N., Felix, M., Abel, A. L., Wiltraut, C. J., & Musselman, Y. J. (2000). The SF-12 as a population health measure: An exploratory examination of potential for application. Health Services Research, 35, 885–903.PubMed Burdine, J. N., Felix, M., Abel, A. L., Wiltraut, C. J., & Musselman, Y. J. (2000). The SF-12 as a population health measure: An exploratory examination of potential for application. Health Services Research, 35, 885–903.PubMed
21.
Zurück zum Zitat Cheadle, A., Wagner, E., Koepsell, T., Kristal, A., & Patrick, D. (1992). Environmental indicators: A tool for evaluating community-based health promotion programs. American Journal of Preventive Medicine, 8, 345–350.PubMed Cheadle, A., Wagner, E., Koepsell, T., Kristal, A., & Patrick, D. (1992). Environmental indicators: A tool for evaluating community-based health promotion programs. American Journal of Preventive Medicine, 8, 345–350.PubMed
22.
Zurück zum Zitat Marmot, M. G., Bobak, M., Smith. G. D. (1995). Explanations for social inequalities in health. Society and Health. 46–92. Marmot, M. G., Bobak, M., Smith. G. D. (1995). Explanations for social inequalities in health. Society and Health. 46–92.
Metadaten
Titel
Association of patient demographics on quality of life in a sample of adult patients with cardiac arrhythmias
verfasst von
Derek H. Tang
Adrienne M. Gilligan
Klaus Romero
Publikationsdatum
01.02.2014
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 1/2014
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0445-2

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