Health-related QOL of elderly patients with pulmonary M. avium complex disease in a university hospital

T. Asakura, Makoto Ishii, K. Ishii, Shoji Suzuki, H. Namkoong, S. Okamori, Hirofumi Kamata, K. Yagi, Y. Funatsu, Tomoko Betsuyaku, Naoki Hasegawa

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3 Citations (Scopus)

Abstract

Background: Little is known about the clinical characteristics and health-related quality of life (HQOL) of elderly patients with pulmonary Mycobacterium avium complex (pMAC) disease. Objectives : To evaluate HQOL using the 36-Item Short-Form Health Survey and St George's Respiratory Questionnaire (SGRQ) and to investigate the predictors of HQOL changes among elderly patients with pMAC disease. Methods : This prospective cohort registry was conducted at Keio University Hospital, Tokyo, Japan, between May 2012 and July 2015 and included 84 patients with pMAC disease aged ≥75 years who had completed the HQOL questionnaire and 48 patients with pMAC disease who had been followed up and completed the HQOL questionnaire in cross-sectional and longitudinal analyses, respectively. Results : In cross-sectional analyses, elderly patients with pMAC disease had significantly lower rolephysical, general health, vitality, social functioning, role-emotional and role/social component scores than the general Japanese elderly population. Analysis of covariance revealed that patients with cavitary lesions had significantly worse physical functioning and SGRQ scores (P < 0.05). Longitudinal analysis showed that under-treatment, short duration of disease and positive sputum smear at baseline were predictors of worse HQOL at 12 months. Conclusions : Elderly patients with pMAC disease have reduced HQOL. Further large studies on HQOL are required to refine the use of this parameter in the treatment of these patients.

Original languageEnglish
Pages (from-to)695-703
Number of pages9
JournalInternational Journal of Tuberculosis and Lung Disease
Volume22
Issue number6
DOIs
Publication statusPublished - 2018 Jun 1

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Keywords

  • 36-Item Short-Form Health Survey (SF-36)
  • Cavitary lesions
  • Non-tuberculous mycobacteria (NTM)
  • St George's Respiratory Questionnaire (SGRQ)

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

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