Modified Dermatology Life Quality Index as a measure of quality of life in patients with filarial lymphoedema
Identifieur interne : 007379 ( Main/Exploration ); précédent : 007378; suivant : 007380Modified Dermatology Life Quality Index as a measure of quality of life in patients with filarial lymphoedema
Auteurs : T. G. A. N. Chandrasena [Sri Lanka] ; R. Premaratna [Sri Lanka] ; M. A. R. V. Muthugala [Sri Lanka] ; A. Pathmeswaran [Sri Lanka] ; N. R. De Silva [Sri Lanka]Source :
- Transactions of The Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2007-03.
Descripteurs français
- KwdFr :
- MESH :
- psychologie : Filariose lymphatique.
- rééducation et réadaptation : Filariose lymphatique.
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Activities of Daily Living, Adult, Aged, Aged, 80 and over, Dermatology, Elephantiasis, Filarial (psychology), Elephantiasis, Filarial (rehabilitation), Epidemiology, Female, Health Status Indicators, Human, Humans, Lymphatic filariasis, Lymphedema, Lymphoedema, Male, Middle Aged, Modified Dermatology Life Quality Index, Morbidity, Quality of Life, Quality of life, Severity of Illness Index, Sri Lanka, Tropical medicine.
- MESH :
- psychology : Elephantiasis, Filarial.
- rehabilitation : Elephantiasis, Filarial.
- Activities of Daily Living, Adult, Aged, Aged, 80 and over, Female, Health Status Indicators, Humans, Male, Middle Aged, Quality of Life, Severity of Illness Index.
Abstract
The quality of life (QoL) and correlates of the QoL of lymphoedema patients attending filariasis clinics and a hospital outpatient department were studied using a Life Quality Index (LQI) in a region endemic for Bancroftian filariasis in Sri Lanka. The index was derived by modifying a previously validated Dermatology Life Quality Index (DLQI) to focus on the oedematous limb rather than the skin. The index was scored from 0 (normal) to 30 (severely affects QoL). Lymphoedema was graded using criteria recommended by the WHO. Another semi-structured questionnaire was used to assess the patient's socioeconomic status, frequency of acute adenolymphangitis attacks (ADLA) and measures practiced for morbidity control. Ninety-one patients (62 females, 29 males; mean age 50.4 years) were studied. A single lower limb, both lower limbs or a single upper limb were affected in 78 (85.7%), 10 (11.0%) and 3 (3.3%) patients, respectively. The severity of lymphoedema ranged from stage 1 (mild) to stage 6 (severe). The mean LQI was 8.2 (SD 5.2, range 0–20). The modified DLQI scores showed a significant positive correlation with severity of lymphoedema and a negative correlation with age (R = 0.59 and R = −0.1, respectively). The frequency of ADLAs correlated with an increased modified DLQI score. Local pain, embarrassment and limitations of physical activities were the most distressing aspects of lymphoedema. Disease severity and early onset lymphoedema were found to be significantly associated with poorer QoL in filarial lymphoedema.
Url:
DOI: 10.1016/j.trstmh.2006.08.012
Affiliations:
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Le document en format XML
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Box 6, Thalagolla Road, Ragama</wicri:regionArea><wicri:noRegion>Ragama</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Transactions of The Royal Society of Tropical Medicine and Hygiene</title><title level="j" type="abbrev">Trans R Soc Trop Med Hyg</title><idno type="ISSN">0035-9203</idno><idno type="eISSN">1878-3503</idno><imprint><publisher>Royal Society of Tropical Medicine and Hygiene</publisher><date type="published" when="2007-03">2007-03</date><biblScope unit="volume">101</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="245">245</biblScope><biblScope unit="page" to="249">249</biblScope></imprint><idno type="ISSN">0035-9203</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0035-9203</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Dermatology</term><term>Elephantiasis, Filarial (psychology)</term><term>Elephantiasis, Filarial (rehabilitation)</term><term>Epidemiology</term><term>Female</term><term>Health Status Indicators</term><term>Human</term><term>Humans</term><term>Lymphatic filariasis</term><term>Lymphedema</term><term>Lymphoedema</term><term>Male</term><term>Middle Aged</term><term>Modified Dermatology Life Quality Index</term><term>Morbidity</term><term>Quality of Life</term><term>Quality of life</term><term>Severity of Illness Index</term><term>Sri Lanka</term><term>Tropical medicine</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Filariose lymphatique (psychologie)</term><term>Filariose lymphatique (rééducation et réadaptation)</term><term>Humains</term><term>Indicateurs d'état de santé</term><term>Indice de gravité médicale</term><term>Mâle</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Health Status Indicators</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Quality of Life</term><term>Severity of Illness Index</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dermatologie</term><term>Epidémiologie</term><term>Filariose lymphatique</term><term>Homme</term><term>Lymphoedème</term><term>Morbidité</term><term>Médecine tropicale</term><term>Qualité vie</term><term>Sri Lanka</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Indicateurs d'état de santé</term><term>Indice de gravité médicale</term><term>Mâle</term><term>Qualité de vie</term><term>Sri Lanka</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Qualité de la vie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">The quality of life (QoL) and correlates of the QoL of lymphoedema patients attending filariasis clinics and a hospital outpatient department were studied using a Life Quality Index (LQI) in a region endemic for Bancroftian filariasis in Sri Lanka. The index was derived by modifying a previously validated Dermatology Life Quality Index (DLQI) to focus on the oedematous limb rather than the skin. The index was scored from 0 (normal) to 30 (severely affects QoL). Lymphoedema was graded using criteria recommended by the WHO. Another semi-structured questionnaire was used to assess the patient's socioeconomic status, frequency of acute adenolymphangitis attacks (ADLA) and measures practiced for morbidity control. Ninety-one patients (62 females, 29 males; mean age 50.4 years) were studied. A single lower limb, both lower limbs or a single upper limb were affected in 78 (85.7%), 10 (11.0%) and 3 (3.3%) patients, respectively. The severity of lymphoedema ranged from stage 1 (mild) to stage 6 (severe). The mean LQI was 8.2 (SD 5.2, range 0–20). The modified DLQI scores showed a significant positive correlation with severity of lymphoedema and a negative correlation with age (R = 0.59 and R = −0.1, respectively). The frequency of ADLAs correlated with an increased modified DLQI score. Local pain, embarrassment and limitations of physical activities were the most distressing aspects of lymphoedema. Disease severity and early onset lymphoedema were found to be significantly associated with poorer QoL in filarial lymphoedema.</div></front></TEI><affiliations><list><country><li>Sri Lanka</li></country></list><tree><country name="Sri Lanka"><noRegion><name sortKey="Chandrasena, T G A N" sort="Chandrasena, T G A N" uniqKey="Chandrasena T" first="T. G. A. N." last="Chandrasena">T. G. A. N. Chandrasena</name></noRegion><name sortKey="De Silva, N R" sort="De Silva, N R" uniqKey="De Silva N" first="N. R." last="De Silva">N. R. De Silva</name><name sortKey="Muthugala, M A R V" sort="Muthugala, M A R V" uniqKey="Muthugala M" first="M. A. R. V." last="Muthugala">M. A. R. V. Muthugala</name><name sortKey="Pathmeswaran, A" sort="Pathmeswaran, A" uniqKey="Pathmeswaran A" first="A." last="Pathmeswaran">A. Pathmeswaran</name><name sortKey="Premaratna, R" sort="Premaratna, R" uniqKey="Premaratna R" first="R." last="Premaratna">R. Premaratna</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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