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The health-related quality-of-life of chronic obstructive pulmonary disease patients and disease-related indirect burdens
- Title
- The health-related quality-of-life of chronic obstructive pulmonary disease patients and disease-related indirect burdens
- Authors
- Choi, Hye Sook; Yang, Dong-Wook; Rhee, Chin Kook; Yoon, Hyoung Kyu; Lee, Jin Hwa; Lim, Seong Yong; Kim, Yu-Il; Yoo, Kwang Ha; Hwang, Yong-Il; Lee, Sang Haak; Park, Yong Bum
- Ewha Authors
- 이진화
- SCOPUS Author ID
- 이진화
- Issue Date
- 2020
- Journal Title
- KOREAN JOURNAL OF INTERNAL MEDICINE
- ISSN
- 1226-3303
2005-6648
- Citation
- KOREAN JOURNAL OF INTERNAL MEDICINE vol. 35, no. 5, pp. 1136 - 1144
- Keywords
- Pulmonary disease; chronic obstructive; Health expenditures; Care-givers; Quality of life
- Publisher
- KOREAN ASSOC INTERNAL MEDICINE
- Indexed
- SCIE; SCOPUS; KCI
- Document Type
- Article
- Abstract
- Background/Aims: Many chronic obstructive pulmonary disease (COPD) patients have physical limitations. We investigated EuroQol five-dimensions five-level (EQ-5D-5L) of COPD patients to assess quality of life, and assessed indirect bur-den including time expenditure to visit doctor, home care rate, and caregiver related burden. Methods: We recruited 355 COPD patients according to severity of airflow limitation that severity was set at 10% mild, 40% moderate, 30% severe, and 20% very severe in two primary and 11 secondary/tertiary hospitals. Eligible patients were aged >= 40 years, who have been diagnosed with COPD for more than i year. Patients were recruited between June 2015 and October 2016. Results: The quality of life tended to decline with age, from mild to very severe impairment, as revealed by the EQ-5D-5L scores and the EQ visual analog scale. Family caregivers accompanied 22.6% of patients who visited outpatient clinics, and 25% of stage IV COPD patients. During emergency visits and hospitalization, this figure increased to > 60%. The home care rates were 28.5% for stage I patients, and 34.4, 31.8, and 52% for stage II to IV patients, respectively. The percent-age of caregivers who stopped working was 13.6%. The EQ-5D index was strongly associated with the dyspnea scale (r = -0.64, p < 0.001). The average required time to see a doctor and visit the pharmacy was 154 minutes. Conclusions: In patients with COPD, the EQ-5D index decreased and disease-related home caregiving increased with airflow limitation. We considered the care-giver-related burden when making a strategy for COPD management.
- DOI
- 10.3904/kjim.2018.398
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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