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Quality of Life Research

Erschienen in:

27.12.2016

Quality of life in adults with asthma treated in allergy and pneumology subspecialties: relationship with sociodemographic, clinical and psychological variables

verfasst von: Beatriz González-Freire, Isabel Vázquez

Erschienen in: Quality of Life Research | Ausgabe 3/2017

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Abstract

Purpose

Prior studies suggest that specialist care associates with improved health-related quality of life (HRQL) in asthmatic patients. However, there are limited studies focused on differences in HRQL among subspecialties. The aim of this study was to assess the differences in HRQL between adult asthmatic patients treated in pneumology or allergy practices, and to estimate to what extent the differences in HRQL can be explained by sociodemographic, clinical or psychological characteristics of patients from each specialty.

Methods

We recruited adult asthmatic outpatients from allergy and pneumology practices. Information on sociodemographic, clinical and psychological characteristics was collected, and HRQL was assessed with generic and disease-specific questionnaires. HRQL was compared between groups adjusting for sociodemographic, clinical and psychological characteristics.

Results

A total of 287 asthmatic patients participated in the study (105 from pneumology and 182 from allergy). Patients treated by pneumologists reported significantly poorer HRQL in physical dimensions of generic questionnaire and all dimensions of disease-specific questionnaire. Pneumology patients were older (p < .001) and had a lower education level (p < .001); a higher number of patients were in a non-active employment situation (p = .003) and had worse pulmonary function (p < .001), longer duration of disease (p = .020), higher prevalence of obesity (p < .001) and uncontrolled asthma (p < .001), and a higher rate of previous absenteeism (p = .001). Depression and the use of cognitive avoidance coping were also higher among pneumology patients (p = .050 and p = .022, respectively). There were not significant differences in HRQL between pneumology and allergy patients after adjustment for these sociodemographic, clinical and psychological characteristics.

Conclusions

Asthmatic patients treated by pneumologists reported poorer HRQL than patients treated by allergists, but this outcome is attributed to differences in several sociodemographic, clinical and psychological characteristics between the two groups of patients.

Baiardini, I., Braido, F., Brandi, S., Tarantini, F., Bonini, S., Bousquet, P. J., et al. (2008). The impact of GINA suggested drugs for the treatment of asthma on Health-Related Quality of Life: A GA²LEN review. Allergy. doi:10.1111/j.1398-9995.2008.01823.x.

Backer, V., Nepper-Christensen, S., & Nolte, H. (2006). Quality of care in patients with asthma and rhinitis treated by respiratory specialists and primary care physicians: A 3-year randomized and prospective follow-up study. Annals of Allergy, Asthma & Immunology. doi:10.1016/S1081-1206(10)60940-4.

Harmsen, L., Nolte, H., & Backer, V. (2010). The effect of generalist and specialist care on quality of life in asthma patients with and without allergic rhinitis. International Archives of Allergy and Immunology. doi:10.1159/000283041.PubMed

Schatz, M., Zeiger, R. S., Mosen, D., Apter, A. J., Vollmer, W. M., Stibolt, T. B., et al. (2005). Improved asthma outcomes from allergy specialist care: A population-based cross-sectional analysis. The Journal of Allergy and Clinical Immunology. doi:10.1016/j.jaci.2005.09.027.

Vilar, M. E., Reddy, B. M., Silverman, B. A., Bassett, C. W., Rao, Y. A., Chiaramonte, L. T., et al. (2000). Superior clinical outcomes of inner city asthma patients treated in an allergy clinic. Annals of Allergy, Asthma & Immunology. doi:10.1016/S1081-1206(10)62777-9.

Wu, A. W., Young, Y., Skinner, E. A., Diette, G. B., Huber, M., Peres, A., et al. (2001). Quality of care and outcomes of adults with asthma treated by specialists and generalists in managed care. Archives of Internal Medicine. doi:10.1001/archinte.161.21.2554.

Zeiger, R. S., Heller, S., Mellon, M. H., Wald, J., Falkoff, R., & Schatz, M. (1991). Facilitated referral to asthma specialist reduces relapses in asthma emergency room visits. The Journal of Allergy and Clinical Immunology. doi:10.1016/0091-6749(91)92162-T.PubMed

Chen, H., Gould, M. K., Blanc, P. D., Miller, D. P., Kamath, T. V., Lee, J. H., et al. (2007). Asthma control, severity, and quality of life: Quantifying the effect of uncontrolled disease. The Journal of Allergy and Clinical Immunology. doi:10.1016/j.jaci.2007.04.040.PubMedCentral

Blanc, P. D., Katz, P. P., Henke, J., Smith, S., & Yelin, E. H. (1997). Pulmonary and allergy subspecialty care in adults with asthma: Treatment, use of services, and health outcomes. Western Journal of Medicine, 167, 398–407.PubMedPubMedCentral

10.

Caminati, M., Magnoni, M. S., Rizzi, A., Braido, F., Foresi, A., Bettoncelli, G., et al. (2014). Asthma management among different specialists: Results from a national Italian survey. European Annals of Allergy and Clinical Immunology, 46, 74–82.PubMed

11.

Chen, H., Johnson, C. A., Haselkorn, T., Lee, J. H., & Israel, E. (2008). Subspecialty differences in asthma characteristics and management. Mayo Clinic Proceedings. doi:10.4065/83.7.786.PubMedCentral

12.

Erickson, S., Tolstykh, I., Selby, J. V., Mendoza, G., Iribarren, C., & Eisner, M. D. (2005). The impact of allergy and pulmonary specialist care on emergency asthma utilization in a large managed care organization. Health Services Research. doi:10.1111/j.1475-6773.2005.00410.x.PubMedPubMedCentral

13.

Borderías, L., García-Ortega, P., Badia, X., Casafont, J., Gambús, G., Roset, M., et al. (2006). Diagnóstico de asma alérgica en consultas de alergología y neumología. Gaceta Sanitaria, 20(6), 435–441.CrossRefPubMed

14.

Eisner, M. D., Katz, P. P., Yelin, E. H., Henke, J., Smith, S., & Blanc, P. D. (1998). Assessment of asthma severity in adults with asthma treated by family practitioners, allergists, and pulmonologists. Medical Care, 36(11), 1567–1577.CrossRefPubMed

15.

Global Initiative for Asthma. (2006). Global strategy for asthma management and prevention. Revised 2006. http://www.ginasthma.org/.

16.

Global Initiative for Asthma. (2009). Global strategy for asthma management and prevention. Revised 2009. http://www.ginasthma.org/

17.

Nathan, R. A., Sorkness, C. A., Kosinski, M., Schatz, M., Li, J. T., Marcus, P., et al. (2004). Development of the asthma control test: A survey for assessing asthma control. The Journal of Allergy and Clinical Immunology. doi:10.1016/j.jaci.2003.09.008.PubMed

18.

Schatz, M., Sorkness, C. A., Li, J. T., Marcus, P., Murray, J. J., Nathan, R. A., et al. (2006). Asthma control test: Reliability, validity, and responsiveness in patients not previously followed by asthma specialists. The Journal of Allergy and Clinical Immunology. doi:10.1016/j.jaci.2006.01.011.

19.

Vega, J. M., Badia, X., Badiola, C., López-Viña, A., Olaguíbel, J. M., Picado, C., et al. (2007). Validation of the Spanish version of the asthma control test. Journal of Asthma. doi:10.1080/02770900701752615.PubMed

20.

Ware, J. E., Snow, K. K., Kosinski, M., & Gandek, B. (1993). SF-36 Health Survey. Manual and Interpretation Guide. Boston, MA: The Health Institute, New England Medical Center.

21.

McHorney, C. A., Ware, J. E., Jr., Lu, J. F., & Sherbourne, C. D. (1994). The MOS 36-Item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Medical Care, 32(1), 40–66.CrossRefPubMed

22.

McHorney, C. A., Ware, J. E., Jr., & Raczek, A. E. (1993). The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medical Care, 31(3), 247–263.CrossRefPubMed

23.

Alonso, J., Prieto, L., & Antó, J. M. (1995). La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): Un instrumento para la medida de los resultados clínicos. Medicina Clínica (Barcelona), 104, 771–776.

24.

Jones, P. W., Quirk, F. H., Baveystock, C. M., & Littlejohns, P. (1992). A self-complete measure of health status for chronic airflow limitation: The St George’s Respiratory Questionnaire. American Review of Respiratory Disease.. doi:10.1164/ajrccm/145.6.1321.

25.

Ferrer, M., Alonso, J., Prieto, L., Plaza, V., Monsó, E., Marrades, R., et al. (1996). Validity and reliability of the St George’s Respiratory Questionnaire after adaptation to a different language and culture: The Spanish example. European Respiratory Journal. doi:10.1183/09031936.96.09061160.

26.

Sanjuás, C., Alonso, J., Prieto, L., Ferrer, M., Broquetas, J. M., & Antó, J. M. (2002). Health-related quality of life in asthma: A comparison between the St George’s respiratory questionnaire and the asthma quality of life questionnaire. Quality of Life Research. doi:10.1023/A:1020897816228.PubMed

27.

Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. doi:10.1111/j.1600-0447.1983.tb09716.PubMed

28.

Herrero, M. J., Blanch, J., Peri, J. M., De Pablo, J., Pintor, L., & Bulbena, A. (2003). A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. General Hospital Psychiatry. doi:10.1016/S0163-8343(03)00043-4.PubMed

29.

Quintana, J. M., Padierna, A., Esteban, C., Arostegui, I., Bilbao, A., & Ruiz, I. (2003). Evaluation of the psychometric characteristics of the Spanish version of the Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica. doi:10.1034/j.1600-0447.2003.00062.x.PubMed

30.

Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology. doi:10.1037/0022-3514.56.2.267.

31.

Crespo, M., & Cruzado, J. A. (1997). La evaluación del afrontamiento: Adaptación española del cuestionario COPE con una muestra de estudiantes universitarios. Análisis y Modificación de Conducta, 23(92), 797–830.

32.

Di Marco, F., Verga, M., Santus, P., Giovannelli, F., Busatto, P., Neri, M., et al. (2010). Close correlation between anxiety, depression, and asthma control. Respiratory Medicine. doi:10.1016/j.rmed.2009.08.005.

33.

Mancuso, C. A., Peterson, M. G., & Charlson, M. E. (2000). Effects of depressive symptoms on health-related quality of life in asthma patients. Journal of General Internal Medicine. doi:10.1046/j.1525-1497.2000.07006.x.PubMedPubMedCentral

34.

Nazarian, D., Smyth, J. M., & Sliwinski, M. J. (2006). A naturalistic study of ambulatory asthma severity and reported avoidant coping styles. Chronic Illness. doi:10.1179/174592006X93879.PubMed

35.

Eisner, M. D., Ackerson, L. M., Chi, F., Kalkbrenner, A., Buchner, D., Mendoza, G., et al. (2002). Health-related quality of life and future health care utilization for asthma. Annals of Allergy, Asthma & Immunology. doi:10.1016/S1081-1206(10)61910-2.

36.

González-Barcala, F. J., de la Fuente-Cid, R., Tafalla, M., Nuevo, J., & Caamaño-Isorna, F. (2012). Factors associated with health-related quality of life in adults with asthma. A cross-sectional study: Multidisciplinary Respiratory Medicine. doi:10.1186/2049-6958-7-32.

37.

Hesselink, A. E., Penninx, B. W., Schlösser, M. A., Wijnhoven, H. A., van der Windt, D. A., Kriegsman, D. M., et al. (2004). The role of coping resources and coping style in quality of life of patients with asthma or COPD. Quality of Life Research. doi:10.1023/B:QURE.0000018474.14094.2f.PubMed

38.

Mosen, D. M., Schatz, M., Magid, D. J., & Camargo, C. A. (2008). The relationship between obesity and asthma severity and control in adults. The Journal of Allergy and Clinical Immunology. doi:10.1016/j.jaci.2008.06.024.PubMed

39.

Siroux, V., Boudier, A., Bousquet, J., Vignoud, L., Gormand, F., Just, J., et al. (2012). Asthma control assessed in the EGEA epidemiological survey and health-related quality of life. Respiratory Medicine. doi:10.1016/j.rmed.2012.01.009.PubMed

40.

Vázquez, I., Sández, E., González-Freire, B., Romero-Frais, E., Blanco-Aparicio, M., & Verea-Hernando, H. (2010). The role of alexithymia in quality of life and health care use in asthma. Journal of Asthma. doi:10.3109/02770900903560217.

41.

Wang, G., Wang, L., Szczepaniak, W. S., Xiong, Z.-Y., Wang, L., Zhou, T., et al. (2010). Psychological status in uncontrolled asthma is not related to airway hyperresponsiveness. Journal of Asthma. doi:10.3109/02770900903331119.PubMedCentral

42.

Deshmukh, V. M., Toelle, B. G., Usherwood, T., O’Grady, B., & Jenkins, C. R. (2008). The association of comorbid anxiety and depression with asthma-related quality of life and symptom perception in adults. Respirology. doi:10.1111/j.1440-1843.2008.01310.x.PubMed

43.

Kullowatz, A., Kanniess, F., Dahme, B., Magnussen, H., & Ritz, T. (2007). Association of depression and anxiety with health care use and quality of life in asthma patients. Respiratory Medicine. doi:10.1016/j.rmed.2006.06.002.

44.

Lavoie, K. L., Cartier, A., Labrecque, M., Bacon, S. L., Lemière, C., Malo, J.-L., et al. (2005). Are psychiatric disorders associated with worse asthma control and quality of life in asthma patients? Respiratory Medicine. doi:10.1016/j.rmed.2005.03.003.

45.

Blanc, P. D., Trupin, L., Earnest, G., San Pedro, M., Katz, P. P., Yelin, E. H., et al. (2003). Effects of physician-related factors on adult asthma care, health status, and quality of life. American Journal of Medicine, 114, 581–587.CrossRefPubMed

Titel: Quality of life in adults with asthma treated in allergy and pneumology subspecialties: relationship with sociodemographic, clinical and psychological variables
verfasst von: Beatriz González-Freire
Isabel Vázquez
Publikationsdatum: 27.12.2016
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 3/2017
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-016-1486-0

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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