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Gepubliceerd in: Quality of Life Research 4/2013

01-05-2013

Health-related quality of life and healthcare utilization in multimorbidity: results of a cross-sectional survey

Auteurs: Calypse B. Agborsangaya, Darren Lau, Markus Lahtinen, Tim Cooke, Jeffrey A. Johnson

Gepubliceerd in: Quality of Life Research | Uitgave 4/2013

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Abstract

Purpose

We assessed the associations between multimorbidity and health-related quality of life (HRQL), and healthcare utilization, based on 16 common self-reported chronic conditions.

Methods

A cross-sectional questionnaire survey including the EQ-5D was conducted in a sample of the general population of adults (≥18 years) living in Alberta, Canada. Multiple linear and logistic regressions were used to assess the association between multiple chronic conditions and HRQL, hospitalization and emergency department (ED) use.

Results

A total of 4,946 respondents reported their HRQL, noting problems mostly with pain or discomfort (48.0 %). All chronic conditions were associated with a clinically important reduction in HRQL, the highest burden with anxiety or depression (−0.19, 95 % CI −0.21, −0.16) and chronic pain (−0.19, 95 % CI −0.21, −0.17). Multimorbidity was associated with a clinically important reduction in the EQ-5D index score (−0.12, 95 % CI −0.14, −0.11) and twice the likelihood of being hospitalized (OR = 2.2, 95 % CI 1.7, 2.9) or having an ED visit (OR = 1.8, 95 % CI 1.4, 2.2).

Conclusions

Pain or discomfort is a common problem in people living with chronic conditions, and the existence of multimorbidity in these individuals is associated with a reduction in the HRQL as well as frequent hospitalization and emergency department visits.
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Metagegevens
Titel
Health-related quality of life and healthcare utilization in multimorbidity: results of a cross-sectional survey
Auteurs
Calypse B. Agborsangaya
Darren Lau
Markus Lahtinen
Tim Cooke
Jeffrey A. Johnson
Publicatiedatum
01-05-2013
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 4/2013
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-012-0214-7

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