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09-04-2021

Financial difficulties and patient-reported outcomes among patients with advanced heart failure

Auteurs: Chetna Malhotra, Filipinas Bundoc, Felicia Jia Ler Ang, Semra Ozdemir, Irene Teo, David Sim, Fazlur Rehman Jaufeerally, Than Aung, Eric Finkelstein

Gepubliceerd in: Quality of Life Research | Uitgave 5/2021

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Abstract

Purpose

Management of congestive heart failure (CHF) is associated with high health care costs and financial difficulties for patients. We aimed to comprehensively assess the association between financial difficulties and patients’ quality of life (QOL) (physical, emotional, social and spiritual), perceived health care quality, and perception of being a burden to the family among patients with CHF; and to assess whether perceived control over stress moderated these associations.

Methods

This was a cross-sectional study of 250 patients using the baseline data of the Singapore Cohort of Patients with Advanced Heart Failure (SCOPAH). Patients had class 3 or 4 CHF symptoms based on the New York Heart Association and were recruited between July 2017 and August 2019. We used a 3-item questionnaire to measure financial difficulties among patients. We used multivariable linear/ordered logistic regressions to test associations between financial difficulties and each dependent variable.

Results

41% of participants reported financial difficulties. A higher financial difficulties score (range: 0–6, higher score indicating greater difficulty) was associated with lower QOL (emotional, social, and spiritual) and perceived health care coordination, and a higher likelihood of patients perceiving themselves to being a burden to family (all p < 0.05)

Conclusion

Patients with financial difficulties are vulnerable to poor outcomes. Heart failure clinics should directly assess patients’ financial difficulties to help guide treatment-related discussions and to identify patients vulnerable to poor QOL.
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Metagegevens
Titel
Financial difficulties and patient-reported outcomes among patients with advanced heart failure
Auteurs
Chetna Malhotra
Filipinas Bundoc
Felicia Jia Ler Ang
Semra Ozdemir
Irene Teo
David Sim
Fazlur Rehman Jaufeerally
Than Aung
Eric Finkelstein
Publicatiedatum
09-04-2021
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 5/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02736-7