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Health-Related Quality of Life in Coronary Heart Disease Compared to Norms in Spanish Population

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Abstract

Aim: To interpret health-related quality of life (HRQL) values better, it is appropriate to compare them with population norms that can serve as reference standards. This study compares the quality of life of patients who have suffered an acute episode of ischemic cardiopathy with population norms, as measured by the Spanish version of the SF-36. Methods: 132 patients admitted to the Cardiology Department of a Spanish general hospital for an acute episode of ischemic cardiopathy were studied. HRQL was assessed using the SF-36 questionnaire. To compare patient with population norms, raw and adjusted data were obtained and differences with population norms were analyzed by age and sex groups at the level of the 25th percentile (25%± CI 95%). Results: Globally, differences between the patients and the general Spanish population were evident in all SF-36 dimensions except Physical Functioning, General Health and Mental Health. However, the largest differences were observed in the youngest coronary patients (<55 years old) were in all HRQL dimensions, except Vitality and Bodily Pain, the proportions of patients below the 25th percentile of the general population exceeded 25%. Conclusion: The comparison between HRQL in coronary patients and that in the general population confirms the impact of the disease especially in the youngest patients, and allows intervention to be directed towards the more vulnerable groups.

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References

  1. Mayou R, Bryant B. Quality of life in cardiovascular disease. Br Heart J 1993; 6: 460–466.

    Google Scholar 

  2. Rubenach S, Shadbolt B, McCallum J, Nakamura T. Assessing health-related quality of life following myocardial infarction.Is the SF-12 useful? J Clin Epidemiol 2002; 55: 306–309.

    Google Scholar 

  3. Thompson DR, Roebuck A. The measurement of health-related quality of life in patients with coronary heart disease. J Cardiovasc Nurs 2001; 16: 28–33.

    Google Scholar 

  4. Schlenk EA, Erlen JA, Dunbar-Jacob J, et al. Health-re-lated quality of life in chronic disorders:A comparison across studies using the MOS SF-36. Qual Life Res 1998; 7: 57–65.

    Google Scholar 

  5. McHorney CA, Ware JE, Rachel Lu JF, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36): III. Test of data quality,scaling assumptions, and reliability across diverse patient groups. Med Care 1994; 32: 40–66.

    Google Scholar 

  6. Denollet J, Vaes J, Brutsaert DL. Inadequate response to treatment in coronary heart disease: Adverse effects of type D personality and younger age on 5-year prognosis and quality of life. Circulation 2000; 102: 630–635.

    Google Scholar 

  7. Van Jaarsveld CHM, Sanderman R, Ranchor Av, Ormel J, Van Veldhusein DJ, Kempen GIJM. Gender-specific changes in quality of life following cardiovascular disease. A prospective study. J Clin Epidemiol 2002; 55: 1005–1112.

    Google Scholar 

  8. Gutiérrez T, Latour J, López V, et al. Efecto de los factores sociales sobre la calidad de vida de los supervivientes de un infarto de miocardio. Med Clin (Barc) 1994; 103: 766–769.

    Google Scholar 

  9. Alonso J, Regidor E, Barrio G, Prieto L, Rodríguez C, de la Fuente L. Valores poblacionales de referencia de la versio ´n española del Cuestionario de salud SF-36. Med Clin (Barc) 1998;111: 410–416.

    Google Scholar 

  10. Rose MS, Koshman ML, Spreng S, Sheldon R. Statistical issues encountered in the comparison of health-related quality of life in diseased patients to published general population norms: Problems and solutions. J Clin Epidemiol 1999; 52: 405–412.

    Google Scholar 

  11. Badía X, Salamero M, Alonso J, Ollé A. La medida de la salud.Guías de escalas de medición en español. Primera ed. Barcelona: PPU, SA, 1996: 72–134.

    Google Scholar 

  12. Failde I, Ramos I. Validity and reliability of the SF-36 Health Survey Questionnaire in patients with coronary artery disease. J Clin Epidemiol 2000; 53: 359–365.

    Google Scholar 

  13. Dempster M, Donnelly M. Measuring the health related quality of life of people with ischaemic heart disease. Heart 2000; 83: 641–644.

    Google Scholar 

  14. Grupo de Trabajo de la Sociedad Española de Epidemiología. La Medición de la Clase Social en Ciencias de la Salud. Barcelona: SG Editores, 1995.

    Google Scholar 

  15. Brown N, Melville M, Gray D, et al. Quality of life four years after acute myocardial infarction: Short form 36 scores compared with a normal population. Heart 1999; 81: 352–358.

    Google Scholar 

  16. Hammerlid E, Taft C. Health-related quality of life in long-term head and neck cancer survivors:A comparison with general population norms. Br J Cancer 2001; 84: 149–156.

    Google Scholar 

  17. Westin L, Carlsson R, Erhardt L, Cantor-Graae E, McNeil T. Differences in quality of life in men and women with ischemic heart disease. A prospective controlled study. Scand Cardiovasc J 1999; 33: 160–165.

    Google Scholar 

  18. Hemingway H, Nicholson A, Stafford M, Roberts R, Marmot M. The impact of socioeconomic status on health functioning as assessed by the SF-36 Questionnaire: The Whitehall II study. Am J Public Health 1997; 87: 1484–1490.

    Google Scholar 

  19. Regidor E, Barrio G, de la Fuente L, Domingo A, Rodrí guez C, Alonso J. Association between aducational level and health related quality life in Spanish adults. J Epidemiol Commun Health 1999; 53: 75–82.

    Google Scholar 

  20. Thumboo J, Fong KY, Machin D, et al. Quality of life in an urban Asian population:The impact of ethnicity and socio-economic status. Soc Sci Med 2003; 56: 1761–1772.

    Google Scholar 

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Authors and Affiliations

  1. Hospital Universitario Puerta del Mar de Cádiz, Servicio de Medicina Preventiva, Universidad de Cádiz, Cádiz, Spain (E-mail:

    María Soto Torres & Fernando López Fernández

  2. Escuela Andaluza de Salud Pública de Granada, Universidad de Cádiz, Cádiz, Spain

    Soledad Márquez Calderón

  3. Area de Medicina Preventiva, Universidad de Cádiz, Cádiz, Spain

    Ignacio Ramos Díaz

  4. Hospital Universitario Puerta del Mar de Cádiz, E.U. Ciencias de la Salud, Universidad de Cádiz, Cádiz, Spain

    Antonio Barba Chacón & Inmaculada Failde Martínez

Authors
  1. María Soto Torres
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  2. Soledad Márquez Calderón
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  3. Ignacio Ramos Díaz
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  4. Antonio Barba Chacón
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  5. Fernando López Fernández
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  6. Inmaculada Failde Martínez
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Soto Torres, M., Márquez Calderón, S., Ramos Díaz, I. et al. Health-Related Quality of Life in Coronary Heart Disease Compared to Norms in Spanish Population. Qual Life Res 13, 1401–1407 (2004). https://doi.org/10.1023/B:QURE.0000040783.94127.a3

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  • DOI: https://doi.org/10.1023/B:QURE.0000040783.94127.a3

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