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Modified Dermatology Life Quality Index as a measure of quality of life in patients with filarial lymphoedema

Identifieur interne : 000493 ( PascalFrancis/Corpus ); précédent : 000492; suivant : 000494

Modified Dermatology Life Quality Index as a measure of quality of life in patients with filarial lymphoedema

Auteurs : T. G. A. N. Chandrasena ; R. Premaratna ; M. A. R. V. Muthugala ; A. Pathmeswaran ; N. R. De Silva

Source :

RBID : Pascal:07-0095460

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A11 01  1    @1 CHANDRASENA (T. G. A. N.)
A11 02  1    @1 PREMARATNA (R.)
A11 03  1    @1 MUTHUGALA (M. A. R. V.)
A11 04  1    @1 PATHMESWARAN (A.)
A11 05  1    @1 DE SILVA (N. R.)
A14 01      @1 Department of Parasitology, Faculty of Medicine, University of Kelaniya, P.O. Box 6, Thalagolla Roa @2 Ragama @3 LKA @Z 1 aut. @Z 3 aut. @Z 5 aut.
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C01 01    ENG  @0 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.
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Format Inist (serveur)

NO : PASCAL 07-0095460 INIST
ET : Modified Dermatology Life Quality Index as a measure of quality of life in patients with filarial lymphoedema
AU : CHANDRASENA (T. G. A. N.); PREMARATNA (R.); MUTHUGALA (M. A. R. V.); PATHMESWARAN (A.); DE SILVA (N. R.)
AF : Department of Parasitology, Faculty of Medicine, University of Kelaniya, P.O. Box 6, Thalagolla Roa/Ragama/Sri Lanka (1 aut., 3 aut., 5 aut.); Department of Medicine, Faculty of Medicine, University of Kelaniya/Sri Lanka (2 aut.); Department of Community Medicine, Faculty of Medicine, University of Kelaniya/Sri Lanka (4 aut.)
DT : Publication en série; Niveau analytique
SO : Transactions of the Royal Society of Tropical Medicine and Hygiene; ISSN 0035-9203; Coden TRSTAZ; Royaume-Uni; Da. 2007; Vol. 101; No. 3; Pp. 245-249; Bibl. 1/4 p.
LA : Anglais
EA : 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.
CC : 002B12B04; 002B05E03B4D
FD : Lymphoedème; Filariose lymphatique; Dermatologie; Qualité vie; Homme; Epidémiologie; Morbidité; Sri Lanka; Médecine tropicale
FG : Nématodose; Helminthiase; Parasitose; Infection; Asie; Appareil circulatoire pathologie; Lymphatique pathologie
ED : Lymphedema; Lymphatic filariasis; Dermatology; Quality of life; Human; Epidemiology; Morbidity; Sri Lanka; Tropical medicine
EG : Nematode disease; Helminthiasis; Parasitosis; Infection; Asia; Cardiovascular disease; Lymphatic vessel disease
SD : Linfedema; Filariasis linfática; Dermatología; Calidad vida; Hombre; Epidemiología; Morbilidad; Sri Lanka; Medicina tropical
LO : INIST-3084.354000159536570060
ID : 07-0095460

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Pascal:07-0095460

Le document en format XML

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<div type="abstract" xml:lang="en">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>
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</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Lymphedema</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Linfedema</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Filariose lymphatique</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Lymphatic filariasis</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Filariasis linfática</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Dermatologie</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Dermatology</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Dermatología</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Qualité vie</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Quality of life</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Calidad vida</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Homme</s0>
<s5>12</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Human</s0>
<s5>12</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>12</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Epidémiologie</s0>
<s5>14</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Epidemiology</s0>
<s5>14</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Epidemiología</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Morbidité</s0>
<s5>15</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Morbidity</s0>
<s5>15</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Morbilidad</s0>
<s5>15</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Sri Lanka</s0>
<s2>NG</s2>
<s5>16</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Sri Lanka</s0>
<s2>NG</s2>
<s5>16</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Sri Lanka</s0>
<s2>NG</s2>
<s5>16</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Médecine tropicale</s0>
<s5>17</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Tropical medicine</s0>
<s5>17</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Medicina tropical</s0>
<s5>17</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Nématodose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Nematode disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Nematodosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Helminthiase</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Helminthiasis</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Helmintiasis</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Parasitose</s0>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Parasitosis</s0>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Parasitosis</s0>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Infection</s0>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Infection</s0>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Infección</s0>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Asie</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Appareil circulatoire pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>38</s5>
</fC07>
<fN21>
<s1>064</s1>
</fN21>
</pA>
</standard>
<server>
<NO>PASCAL 07-0095460 INIST</NO>
<ET>Modified Dermatology Life Quality Index as a measure of quality of life in patients with filarial lymphoedema</ET>
<AU>CHANDRASENA (T. G. A. N.); PREMARATNA (R.); MUTHUGALA (M. A. R. V.); PATHMESWARAN (A.); DE SILVA (N. R.)</AU>
<AF>Department of Parasitology, Faculty of Medicine, University of Kelaniya, P.O. Box 6, Thalagolla Roa/Ragama/Sri Lanka (1 aut., 3 aut., 5 aut.); Department of Medicine, Faculty of Medicine, University of Kelaniya/Sri Lanka (2 aut.); Department of Community Medicine, Faculty of Medicine, University of Kelaniya/Sri Lanka (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Transactions of the Royal Society of Tropical Medicine and Hygiene; ISSN 0035-9203; Coden TRSTAZ; Royaume-Uni; Da. 2007; Vol. 101; No. 3; Pp. 245-249; Bibl. 1/4 p.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B12B04; 002B05E03B4D</CC>
<FD>Lymphoedème; Filariose lymphatique; Dermatologie; Qualité vie; Homme; Epidémiologie; Morbidité; Sri Lanka; Médecine tropicale</FD>
<FG>Nématodose; Helminthiase; Parasitose; Infection; Asie; Appareil circulatoire pathologie; Lymphatique pathologie</FG>
<ED>Lymphedema; Lymphatic filariasis; Dermatology; Quality of life; Human; Epidemiology; Morbidity; Sri Lanka; Tropical medicine</ED>
<EG>Nematode disease; Helminthiasis; Parasitosis; Infection; Asia; Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Filariasis linfática; Dermatología; Calidad vida; Hombre; Epidemiología; Morbilidad; Sri Lanka; Medicina tropical</SD>
<LO>INIST-3084.354000159536570060</LO>
<ID>07-0095460</ID>
</server>
</inist>
</record>

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