Modified Dermatology Life Quality Index as a measure of quality of life in patients with filarial lymphoedema.
Identifieur interne : 002477 ( Ncbi/Merge ); précédent : 002476; suivant : 002478Modified 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 ; M A R V. Muthugala ; A. Pathmeswaran ; N R De SilvaSource :
- Transactions of the Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2007.
Descripteurs français
- KwdFr :
- MESH :
- psychologie : Filariose lymphatique.
- rééducation et réadaptation : Filariose lymphatique.
- Activités de la vie quotidienne, Adulte, Adulte d'âge moyen, Femelle, Humains, Indicateurs d'état de santé, Indice de gravité médicale, Mâle, Qualité de vie, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- 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.
DOI: 10.1016/j.trstmh.2006.08.012
PubMed: 17098268
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Chandrasena</name><affiliation wicri:level="1"><nlm:affiliation>Department of Parasitology, Faculty of Medicine, University of Kelaniya, PO Box 6, Thalagolla Road, Ragama, Sri Lanka. nilmini_chandrasena@lycos.com</nlm:affiliation><country xml:lang="fr">Sri Lanka</country><wicri:regionArea>Department of Parasitology, Faculty of Medicine, University of Kelaniya, PO Box 6, Thalagolla Road, Ragama</wicri:regionArea><wicri:noRegion>Ragama</wicri:noRegion></affiliation></author><author><name sortKey="Premaratna, R" sort="Premaratna, R" uniqKey="Premaratna R" first="R" last="Premaratna">R. Premaratna</name></author><author><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></author><author><name sortKey="Pathmeswaran, A" sort="Pathmeswaran, A" uniqKey="Pathmeswaran A" first="A" last="Pathmeswaran">A. 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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><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17098268</PMID><DateCreated><Year>2007</Year><Month>01</Month><Day>09</Day></DateCreated><DateCompleted><Year>2007</Year><Month>09</Month><Day>11</Day></DateCompleted><DateRevised><Year>2007</Year><Month>01</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0035-9203</ISSN><JournalIssue CitedMedium="Print"><Volume>101</Volume><Issue>3</Issue><PubDate><Year>2007</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Transactions of the Royal Society of Tropical Medicine and Hygiene</Title><ISOAbbreviation>Trans. R. Soc. Trop. Med. Hyg.</ISOAbbreviation></Journal><ArticleTitle>Modified Dermatology Life Quality Index as a measure of quality of life in patients with filarial lymphoedema.</ArticleTitle><Pagination><MedlinePgn>245-9</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chandrasena</LastName><ForeName>T G A N</ForeName><Initials>TG</Initials><AffiliationInfo><Affiliation>Department of Parasitology, Faculty of Medicine, University of Kelaniya, PO Box 6, Thalagolla Road, Ragama, Sri Lanka. nilmini_chandrasena@lycos.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Premaratna</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Muthugala</LastName><ForeName>M A R V</ForeName><Initials>MA</Initials></Author><Author ValidYN="Y"><LastName>Pathmeswaran</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>de Silva</LastName><ForeName>N R</ForeName><Initials>NR</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D023361">Validation Studies</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2006</Year><Month>11</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Trans R Soc Trop Med Hyg</MedlineTA><NlmUniqueID>7506129</NlmUniqueID><ISSNLinking>0035-9203</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="N">Activities of Daily Living</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004605" MajorTopicYN="N">Elephantiasis, Filarial</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006305" MajorTopicYN="Y">Health Status Indicators</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2006</Year><Month>01</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2006</Year><Month>08</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2006</Year><Month>08</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>11</Month><Day>14</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>9</Month><Day>12</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>11</Month><Day>14</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17098268</ArticleId><ArticleId IdType="pii">S0035-9203(06)00301-4</ArticleId><ArticleId IdType="doi">10.1016/j.trstmh.2006.08.012</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Sri Lanka</li></country></list><tree><noCountry><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></noCountry><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></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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