Measuring the physical and economic impact of filarial lymphoedema in Chikwawa district, Malawi: a case-control study.
Identifieur interne : 000271 ( PubMed/Corpus ); précédent : 000270; suivant : 000272Measuring the physical and economic impact of filarial lymphoedema in Chikwawa district, Malawi: a case-control study.
Auteurs : Michelle C. Stanton ; Masato Yamauchi ; Square Z. Mkwanda ; Paul Ndhlovu ; Dorothy Emmie Matipula ; Charles Mackenzie ; Louise A. Kelly-HopeSource :
- Infectious diseases of poverty [ 2049-9957 ] ; 2017.
English descriptors
- KwdEn :
- Activities of Daily Living, Case-Control Studies, Disability Evaluation, Elephantiasis, Filarial (economics), Elephantiasis, Filarial (physiopathology), Female, Humans, Income (statistics & numerical data), Malawi, Male, Middle Aged, Mobility Limitation, Physical Examination, Population Surveillance, Quality of Life, Retrospective Studies, Severity of Illness Index, Socioeconomic Factors, Surveys and Questionnaires.
- MESH :
- economics : Elephantiasis, Filarial.
- physiopathology : Elephantiasis, Filarial.
- statistics & numerical data : Income.
- Activities of Daily Living, Case-Control Studies, Disability Evaluation, Female, Humans, Malawi, Male, Middle Aged, Mobility Limitation, Physical Examination, Population Surveillance, Quality of Life, Retrospective Studies, Severity of Illness Index, Socioeconomic Factors, Surveys and Questionnaires.
Abstract
Lymphatic filariasis (LF) is one of the primary causes of lymphoedema in sub-Saharan Africa, and has a significant impact on the quality of life (QoL) of those affected. In this paper we assess the relative impact of lymphoedema on mobility and income in Chikwawa district, Malawi.
DOI: 10.1186/s40249-017-0241-2
PubMed: 28366168
Links to Exploration step
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Mkwanda</name><affiliation><nlm:affiliation>Ministry of Health, Lilongwe, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Ndhlovu, Paul" sort="Ndhlovu, Paul" uniqKey="Ndhlovu P" first="Paul" last="Ndhlovu">Paul Ndhlovu</name><affiliation><nlm:affiliation>Chikwawa District Health Office, Chikwawa, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Matipula, Dorothy Emmie" sort="Matipula, Dorothy Emmie" uniqKey="Matipula D" first="Dorothy Emmie" last="Matipula">Dorothy Emmie Matipula</name><affiliation><nlm:affiliation>Chiradzulu District Health Office, Chiradzulu, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Mackenzie, Charles" sort="Mackenzie, Charles" uniqKey="Mackenzie C" first="Charles" last="Mackenzie">Charles Mackenzie</name><affiliation><nlm:affiliation>Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Kelly Hope, Louise A" sort="Kelly Hope, Louise A" uniqKey="Kelly Hope L" first="Louise A" last="Kelly-Hope">Louise A. Kelly-Hope</name><affiliation><nlm:affiliation>Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28366168</idno><idno type="pmid">28366168</idno><idno type="doi">10.1186/s40249-017-0241-2</idno><idno type="wicri:Area/PubMed/Corpus">000271</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000271</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Measuring the physical and economic impact of filarial lymphoedema in Chikwawa district, Malawi: a case-control study.</title><author><name sortKey="Stanton, Michelle C" sort="Stanton, Michelle C" uniqKey="Stanton M" first="Michelle C" last="Stanton">Michelle C. Stanton</name><affiliation><nlm:affiliation>Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK. michelle.stanton@lstmed.ac.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Yamauchi, Masato" sort="Yamauchi, Masato" uniqKey="Yamauchi M" first="Masato" last="Yamauchi">Masato Yamauchi</name><affiliation><nlm:affiliation>Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Mkwanda, Square Z" sort="Mkwanda, Square Z" uniqKey="Mkwanda S" first="Square Z" last="Mkwanda">Square Z. Mkwanda</name><affiliation><nlm:affiliation>Ministry of Health, Lilongwe, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Ndhlovu, Paul" sort="Ndhlovu, Paul" uniqKey="Ndhlovu P" first="Paul" last="Ndhlovu">Paul Ndhlovu</name><affiliation><nlm:affiliation>Chikwawa District Health Office, Chikwawa, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Matipula, Dorothy Emmie" sort="Matipula, Dorothy Emmie" uniqKey="Matipula D" first="Dorothy Emmie" last="Matipula">Dorothy Emmie Matipula</name><affiliation><nlm:affiliation>Chiradzulu District Health Office, Chiradzulu, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Mackenzie, Charles" sort="Mackenzie, Charles" uniqKey="Mackenzie C" first="Charles" last="Mackenzie">Charles Mackenzie</name><affiliation><nlm:affiliation>Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Kelly Hope, Louise A" sort="Kelly Hope, Louise A" uniqKey="Kelly Hope L" first="Louise A" last="Kelly-Hope">Louise A. Kelly-Hope</name><affiliation><nlm:affiliation>Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Infectious diseases of poverty</title><idno type="eISSN">2049-9957</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Case-Control Studies</term><term>Disability Evaluation</term><term>Elephantiasis, Filarial (economics)</term><term>Elephantiasis, Filarial (physiopathology)</term><term>Female</term><term>Humans</term><term>Income (statistics & numerical data)</term><term>Malawi</term><term>Male</term><term>Middle Aged</term><term>Mobility Limitation</term><term>Physical Examination</term><term>Population Surveillance</term><term>Quality of Life</term><term>Retrospective Studies</term><term>Severity of Illness Index</term><term>Socioeconomic Factors</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Income</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Case-Control Studies</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Malawi</term><term>Male</term><term>Middle Aged</term><term>Mobility Limitation</term><term>Physical Examination</term><term>Population Surveillance</term><term>Quality of Life</term><term>Retrospective Studies</term><term>Severity of Illness Index</term><term>Socioeconomic Factors</term><term>Surveys and Questionnaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphatic filariasis (LF) is one of the primary causes of lymphoedema in sub-Saharan Africa, and has a significant impact on the quality of life (QoL) of those affected. In this paper we assess the relative impact of lymphoedema on mobility and income in Chikwawa district, Malawi.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28366168</PMID><DateCreated><Year>2017</Year><Month>04</Month><Day>03</Day></DateCreated><DateCompleted><Year>2017</Year><Month>05</Month><Day>12</Day></DateCompleted><DateRevised><Year>2017</Year><Month>05</Month><Day>12</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2049-9957</ISSN><JournalIssue CitedMedium="Internet"><Volume>6</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Apr</Month><Day>03</Day></PubDate></JournalIssue><Title>Infectious diseases of poverty</Title><ISOAbbreviation>Infect Dis Poverty</ISOAbbreviation></Journal><ArticleTitle>Measuring the physical and economic impact of filarial lymphoedema in Chikwawa district, Malawi: a case-control study.</ArticleTitle><Pagination><MedlinePgn>28</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s40249-017-0241-2</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphatic filariasis (LF) is one of the primary causes of lymphoedema in sub-Saharan Africa, and has a significant impact on the quality of life (QoL) of those affected. In this paper we assess the relative impact of lymphoedema on mobility and income in Chikwawa district, Malawi.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A random sample of 31 people with lymphoedema and 31 matched controls completed a QoL questionnaire from which both an overall and a mobility-specific score were calculated. Two mobility tests were undertaken, namely the 10 m walking test [10MWT] and timed up and go [TUG] test, and a subset of 10 cases-control pairs wore GPS data loggers for 3 weeks to measure their mobility in a more natural setting. Retrospective economic data was collected from all 31 case-control pairs, and each participant undertaking the GPS activity recorded daily earnings and health expenditure throughout the observation period.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Cases had a significantly poorer overall QoL (cases = 32.2, controls = 6.0, P < 0.01) and mobility-specific (cases = 43.1, controls = 7.4, P < 0.01) scores in comparison to controls. Cases were also significantly slower (P < 0.01) at completing the timed mobility tests, e.g. mean 10MWT speed of 0.83 m/s in comparison to 1.10 m/s for controls. An inconsistent relationship was observed between mobility-specific QoL scores and the timed test results for cases (10MWT correlation = -0.06, 95% CI = (-0.41, 0.30)), indicating that their perceived disability differed from their measured disability, whereas the results were consistent for controls (10MWT correlation = -0.61, 95% CI = (-0.79, -0.34)). GPS summaries indicated that cases generally walk shorter distances at slower speeds than control, covering a smaller geographical area (median area by kernel smoothing: cases = 1.25 km(2), controls = 2.10 km(2), P = 0.16). Cases reported earning less than half that earned by controls per week (cases = $0.70, controls = $1.86, P = 0.064), with a smaller proportion of their earnings (16% vs 22%, P = 0.461) being spent on healthcare.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Those affected by lymphoedema are at a clear disadvantage to their unaffected peers, experiencing a lower QoL as confirmed by both subjective and objective mobility measures, and lower income. This study also indicates that objective measures of mobility may be a useful supplement to self-assessed QoL questionnaires when assessing the future impact of lymphoedema management interventions.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stanton</LastName><ForeName>Michelle C</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK. michelle.stanton@lstmed.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yamauchi</LastName><ForeName>Masato</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mkwanda</LastName><ForeName>Square Z</ForeName><Initials>SZ</Initials><AffiliationInfo><Affiliation>Ministry of Health, Lilongwe, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ndhlovu</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Chikwawa District Health Office, Chikwawa, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matipula</LastName><ForeName>Dorothy Emmie</ForeName><Initials>DE</Initials><AffiliationInfo><Affiliation>Chiradzulu District Health Office, Chiradzulu, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mackenzie</LastName><ForeName>Charles</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Pathobiology and Diagnostic Investigation, Michigan State University, East Lansing, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kelly-Hope</LastName><ForeName>Louise A</ForeName><Initials>LA</Initials><AffiliationInfo><Affiliation>Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>04</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Infect Dis Poverty</MedlineTA><NlmUniqueID>101606645</NlmUniqueID><ISSNLinking>2049-9957</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2006 May;11(5):712-7</RefSource><PMID Version="1">16640624</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2005 Jun;10(6):567-73</RefSource><PMID 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MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007182" MajorTopicYN="N">Income</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008295" MajorTopicYN="N">Malawi</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D051346" MajorTopicYN="N">Mobility Limitation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010808" MajorTopicYN="N">Physical Examination</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011159" MajorTopicYN="N">Population Surveillance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">GPS</Keyword><Keyword MajorTopicYN="N">Lymphatic filariasis</Keyword><Keyword MajorTopicYN="N">Lymphoedema</Keyword><Keyword MajorTopicYN="N">Malawi</Keyword><Keyword MajorTopicYN="N">Mobility</Keyword><Keyword MajorTopicYN="N">Morbidity</Keyword><Keyword MajorTopicYN="N">Quality of life</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>06</Month><Day>10</Day></PubMedPubDate><PubMedPubDate 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