Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften Toetsvragen Web-tv Video Audio
Tips voor Mijn BSL
Inloggen
Top
Quality of Life Research
Gepubliceerd in:

12-10-2023

Health-related quality of life in Chinese SLE patients: evidence from 1568 SLE patients and 2610 healthy controls

Auteurs: Yu-Hua Wang, Hong-Yu Sun, Yu-Qi Liu, Xing-Yu Gong, Ying Xu, Qi-Qun Zong, Guang-Hui Yu, Wan-Qin Hu, Chun-Xia Zhai, Lin-Lin Wang, Zi-Ye Yan, Ting-Yu Zhang, Jing Cai, Mu Li, Yang-Fan Chen, Fang Wang, Yan-Feng Zou

Gepubliceerd in: Quality of Life Research | Uitgave 1/2024

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

Objective

To investigate the effects of systemic lupus erythematosus (SLE) on health-related quality of life (HRQOL), the relationship between disease activity and HRQOL, and potential factors affecting HRQOL in Chinese SLE patients.

Methods

This study recruited 1568 patients and 2610 controls to explore the effects of SLE on HRQOL. The association between disease activity and HRQOL, and the influencing factors of HRQOL were determined in 1568 patients. Then, we prospectively followed 1096 patients to explore the association between reduced disease activity and improved HRQOL, and the influencing factors of improved HRQOL. The Short-Form 36 (SF-36) and SLE disease activity index (SLEDAI) were used to evaluate HRQOL and disease activity.

Results

Chinese SLE patients had lower HRQOL than controls in all domains (P < 0.001), especially in role-physical (RP) and role-emotional (RE). Compared with SLE patients from outside China, the HRQOL of Chinese patients appeared to be higher in mental component summary (MCS) but lower in RP and RE. SLEDAI was negatively correlated with HRQOL, which was validated using the results of a follow-up study, where SLEDAI reduction was positively associated with HRQOL improvements (P < 0.05). Furthermore, personality, life nervous and experiences of adverse life events may influence HRQOL and HRQOL improvements.

Conclusion

SLE significantly affected the HRQOL of Chinese patients, especially in RP and RE. Disease activity was negatively correlated with HRQOL. We also found for the first time some factors affecting HRQOL, which can be regarded as the basis for improving the HRQOL of SLE patients.
vorige artikel Multimorbidity and health-related quality of life amongst Indigenous Australians: A longitudinal analysis
volgende artikel Oral health literacy and its association with oral health-related quality of life amongst pregnant women: a cross-sectional study
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
Tektonidou, M. G., Lewandowski, L. B., Hu, J., Dasgupta, A., & Ward, M. M. (2017). Survival in adults and children with systemic lupus erythematosus: A systematic review and Bayesian meta-analysis of studies from 1950 to 2016. Annals of the Rheumatic Diseases, 76(12), 2009–2016.PubMed
2.
Thumboo, J., & Strand, V. (2007). Health-related quality of life in patients with systemic lupus erythematosus: An update. Annals of the Academy of Medicine of Singapore, 36(2), 115–122.
3.
Strand, V., Levy, R. A., Cervera, R., Petri, M. A., Birch, H., Freimuth, W. W., Zhong, Z. J., Clarke, A. E., BLISS-52 and -76 Study Groups. (2014). Improvements in health-related quality of life with belimumab, a B-lymphocyte stimulator-specific inhibitor, in patients with autoantibody-positive systemic lupus erythematosus from the randomised controlled BLISS trials. Annals of the Rheumatic Diseases, 73(5), 838–844.PubMed
4.
Pettersson, S., Boström, C., Eriksson, K., Svenungsson, E., Gunnarsson, I., & Henriksson, E. W. (2015). Lifestyle habits and fatigue among people with systemic lupus erythematosus and matched population controls. Lupus, 24(9), 955–965.PubMed
5.
Zheng, Y., Ye, D. Q., Pan, H. F., Li, W. X., Li, L. H., Li, J., Li, X. P., & Xu, J. H. (2009). Influence of social support on health-related quality of life in patients with systemic lupus erythematosus. Clinical Rheumatology, 28(3), 265–269.PubMed
6.
Liu, N. Y., & Chen, M. Z. (2011). Relationship between psychological health and quality of life in patients with systemic lupus erythematosus. National Medical Frontiers of China, 6(07), 77–78. (In Chinese).
7.
Mok, C. C., Ho, L. Y., Cheung, M. Y., Yu, K. L., & To, C. H. (2009). Effect of disease activity and damage on quality of life in patients with systemic lupus erythematosus: A 2-year prospective study. Scandinavian Journal of Rheumatology, 38(2), 121–127.PubMed
8.
Wang, H., Yuan, F. F., Dai, Z. W., Dong, Y. Y., Wang, Z. H., Wang, B., & Ye, D. Q. (2019). Canonical correlation analysis of the quality of life with negative emotion in SLE patients. Chinese Journal of Health Statistics, 36(06), 802–805. (In Chinese).
9.
Shu, Q., Liu, J., Liu, H. X., & Li, X. F. (2004). Quality of life of 151 patients with systemic lupus erythematosus. Chinese Journal of Rheumatology, 8(07), 420–423. (In Chinese).
10.
Jiang, Y., Wei, W., & Zhao, Y. (2010). Analysis on health-related quality of life in patients with systemic lupus erythematosus. Tianjin Journal of Nursing, 18(01), 1–2. (In Chinese).
11.
Li, Y. L., Wang, P., Chen, W. W., & Jiang, C. Y. (2006). Evaluation of life quality of patients with systemic lupus erythematosus and study of intervention of traditional Chinese medicine. Journal of Capital University of Medical Science, 27(06), 735–737. (In Chinese).
12.
Yao, L. Y., Xiao, S. Y., Liang, W., Li, J. S., & Yang, T. T. (2005). Study on the mental health status and quality of life in patients with SLE. Journal of Chinese Physician, 7(07), 955–956. (In Chinese).
13.
Chen, H., & Xie, H. F. (2005). Investigation and analysis of quality of life in patients with SLE. Chinese Journal of Dermatology, 38(05), 309–310. (In Chinese).
14.
Men, Q. M. (2005). Health evaluation of the patients with systemic lupus erythematosus and nursing strategy. Journal of Nursing Science, 20(09), 24–25. (In Chinese).
15.
Wang, X. S., & Wang, G. (2001). The median test was applied in the skewed distribution data. China Public Health, 17(05), 81–82. (In Chinese).
16.
Onishi, A., Tsuji, H., Takase, Y., Nakakubo, Y., Iwasaki, T., Kozuki, T., Yoshida, T., Shirakashi, M., Onizawa, H., Hiwa, R., Kitagori, K., Akizuki, S., Nakashima, R., Yoshifuji, H., Tanaka, M., & Morinobu, A. (2023). Comparisons of SLE-DAS and SLEDAI-2K and classification of disease activity based on the SLE-DAS with reference to patient-reported outcomes. Rheumatology (Oxford). https://​doi.​org/​10.​1093/​rheumatology/​kead132CrossRefPubMed
17.
Jolly, M., Annapureddy, N., Arnaud, L., & Devilliers, H. (2019). Changes in quality of life in relation to disease activity in systemic lupus erythematosus: Post-hoc analysis of the BLISS-52 Trial. Lupus, 28(14), 1628–1639.PubMed
18.
Pereira, M. G., Duarte, S., Ferraz, A., Santos, M., & Fontes, L. (2020). Quality of life in patients with systemic lupus erythematosus: The mediator role of psychological morbidity and disease activity. Psychology, Health & Medicine, 25(10), 1247–1257.
19.
Nantes, S. G., Strand, V., Su, J., & Touma, Z. (2018). Comparison of the sensitivity to change of the 36-item short form health survey and the lupus quality of life measure using various definitions of minimum clinically important differences in patients with active systemic lupus erythematosus. Arthritis Care & Research (Hoboken), 70(1), 125–133.
20.
Chaiamnuay, S., Lomaratana, V., Sumransurp, S., Phukongchai, S., Narongroeknawin, P., & Asavatanabodee, P. (2010). Health-related quality of life and disease severity of SLE patients in Phramongkutklao Hospital. Journal of the Medical Association of Thailand, 93(Suppl 6), S125–S130.PubMed
21.
Urowitz, M., Gladman, D. D., Ibañez, D., Sanchez-Guerrero, J., Bae, S. C., Gordon, C., Fortin, P. R., Clarke, A., Bernatsky, S., Hanly, J. G., Wallace, D. J., Isenberg, D., Rahman, A., Merrill, J., Ginzler, E., Alarcón, G. S., Fessler, B., Khamashta, M., Steinsson, K.,…, Stoll, T. (2014). Changes in quality of life in the first 5 years of disease in a multicenter cohort of patients with systemic lupus erythematosus. Arthritis Care & Research (Hoboken), 66(9), 1374–1379.
22.
Ibañez, D., Gladman, D. D., Touma, Z., Nikpour, M., & Urowitz, M. B. (2011). Optimal frequency of visits for patients with systemic lupus erythematosus to measure disease activity over time. Journal of Rheumatology, 38(1), 60–63.PubMed
23.
Thumboo, J., Feng, P. H., Boey, M. L., Soh, C. H., Thio, S., & Fong, K. Y. (2000). Validation of the Chinese SF-36 for quality of life assessment in patients with systemic lupus erythematosus. Lupus, 9(9), 708–712.PubMed
24.
Koh, E. T., Leong, K. P., Tsou, I. Y., Lim, V. H., Pong, L. Y., Chong, S. Y., Seow, A., Tan Tock Seng Hospital Rheumatoid Arthritis (TTSH RA) Study Group. (2006). The reliability, validity and sensitivity to change of the Chinese version of SF-36 in oriental patients with rheumatoid arthritis. Rheumatology (Oxford), 45(8), 1023–8.PubMed
25.
Zou, Y. F., Xu, J. H., Pan, F. M., Tao, J. H., Xu, S. Q., Xiao, H., Liu, S., Cai, J., Lian, L., Chen, P. L., Wang, D. G., Liu, S. X., Liang, C. M., Ye, Q. L., Tian, G., Wu, M., Gu, Y. Y., Pan, H. F., Su, H., & Ye, D. Q. (2015). Glucocorticoid receptor genetic polymorphisms is associated with improvement of health-related quality of life in Chinese population with systemic lupus erythematosus. Clinical Rheumatology, 34(9), 1537–1544.PubMed
26.
Chen, K. F. (2009). Study on TCM constitution factors of health-related quality of life of general population in 9 provinces and cities. Beijing University of Chinese Medicine. (In Chinese).
27.
Li, N. X., Liu, C. J., Li, J., & Ren, X. H. (2001). The norms of SF-36 scale scores in urban and rural residents of Sichuan Province. Journal of West China University of Medical Sciences, 32(01), 43–47. (In Chinese).PubMed
28.
Wang, H. M., Li, L., & Shen, Y. (2001). The Chinese version of SF-36 scale was used to study the quality of life of urban residents in Hangzhou. Chinese Journal of Preventive Medicine, 35(06), 69–71. (In Chinese).
29.
Pettersson, S., Lövgren, M., Eriksson, L. E., Moberg, C., Svenungsson, E., Gunnarsson, I., & Welin, H. E. (2012). An exploration of patient-reported symptoms in systemic lupus erythematosus and the relationship to health-related quality of life. Scandinavian Journal of Rheumatology, 41(5), 383–390.PubMed
30.
Chaigne, B., Finckh, A., Alpizar-Rodriguez, D., Courvoisier, D., Ribi, C., Chizzolini, C., Swiss Clinical Quality Management Program For Rheumatoid Arthritis, Swiss Systemic Lupus Erythematosus Cohort Study Group. (2017). Differential impact of systemic lupus erythematosus and rheumatoid arthritis on health-related quality of life. Quality of Life Research, 26(7), 1767–1775.PubMed
31.
Takase, Y., Iwasaki, T., Doi, H., Tsuji, H., Hashimoto, M., Ueno, K., Inaba, R., Kozuki, T., Taniguchi, M., Tabuchi, Y., Watanabe, R., Kitagori, K., Akizuki, S., Murakami, K., Nakashima, R., Yoshifuji, H., Itaya, T., Yamamoto, W., Uozumi, R., …, Morinobu, A. (2021). Correlation between irreversible organ damage and the quality of life of patients with systemic lupus erythematosus: The Kyoto Lupus Cohort survey. Lupus, 30(10), 1577–1585.PubMed
32.
Moon, S. J., Kang, K. Y., Kwok, S. K., Ju, J. H., Hong, Y. S., Park, S. H., Jeon, C. H., Choi, S. T., Song, J. S., & Min, J. K. (2018). Differences in quality of life determinants according to the presence of fibromyalgia in middle-aged female patients with systemic lupus erythematosus: A multicenter, cross-sectional, single-ethnicity cohort. International Journal of Rheumatic Diseases, 21(6), 1173–1184.PubMed
33.
Fortin, P. R., Abrahamowicz, M., Neville, C., du Berger, R., Fraenkel, L., Clarke, A. E., & Danoff, D. (1998). Impact of disease activity and cumulative damage on the health of lupus patients. Lupus, 7(2), 101–107.PubMed
34.
Benitha, R., & Tikly, M. (2007). Functional disability and health-related quality of life in South Africans with rheumatoid arthritis and systemic lupus erythematosus. Clinical Rheumatology, 26(1), 24–29.PubMed
35.
Pons-Estel, G. J., Ugarte-Gil, M. F., & Alarcón, G. S. (2017). Epidemiology of systemic lupus erythematosus. Expert Review of Clinical Immunology, 13(8), 799–814.PubMed
36.
Bruce, I. N., Gladman, D. D., & Urowitz, M. B. (2000). Factors associated with refractory renal disease in patients with systemic lupus erythematosus: The role of patient nonadherence. Arthritis Care & Research, 13(6), 406–408.
37.
Dong, J., Xiao, T., Xu, Q., Liang, F., Gu, S., Wang, F., & Huang, J. H. (2022). Anxious personality traits: Perspectives from basic emotions and neurotransmitters. Brain Sciences, 12(9), 1141.PubMedPubMedCentral
38.
Cardona, N. D., Southward, M. W., Furbish, K., Comeau, A., & Sauer-Zavala, S. (2021). Nomothetic and idiographic patterns of responses to emotions in borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, 12(4), 354–364.
39.
Knight, E. L., Majd, M., Graham-Engeland, J. E., Smyth, J. M., Sliwinski, M. J., & Engeland, C. G. (2022). Depressive symptoms and other negative psychological states relate to ex vivo inflammatory responses differently for men and women: Cross-sectional and longitudinal evidence. Physiology & Behavior, 244, 113656.
40.
Natalucci, F., Ceccarelli, F., Cipriano, E., Perricone, C., Olivieri, G., Pirone, C., Mettola, G., Truglia, S., Spinelli, F. R., Alessandri, C., & Conti, F. (2021). Joint involvement influences quality of life in systemic lupus erythematosus patients. Lupus, 30(3), 478–483.PubMed
41.
Silverberg, J. I., Gelfand, J. M., Margolis, D. J., Boguniewicz, M., Fonacier, L., Grayson, M. H., Simpson, E. L., Ong, P. Y., & Chiesa Fuxench, Z. C. (2018). Patient burden and quality of life in atopic dermatitis in US adults: A population-based cross-sectional study. Annals of Allergy, Asthma, & Immunology, 121(3), 340–347.
42.
Shakeri, H., Arman, F., Hossieni, M., Omrani, H. R., Vahdani, A., & Shakeri, J. (2015). Depression, anxiety and disease-related variables and quality of life among individuals with systemic lupus erythematosus living in Kermanshah Province, Iran. Iranian Red Crescent Medical Journal, 17(12), e31047.PubMedPubMedCentral
43.
Bush, R. A., Beaumont, J. L., Liotta, E. M., Maas, M. B., & Naidech, A. M. (2018). Fever burden and health-related quality of life after intracerebral hemorrhage. Neurocritical Care, 29(2), 189–194.PubMed
44.
Manzano, B. R., da Silva Santos, P. S., Bariquelo, M. H., Merlini, N. R. G., Honório, H. M., & Rubira, C. M. F. (2021). A case-control study of oral diseases and quality of life in individuals with rheumatoid arthritis and systemic lupus erythematosus. Clinical Oral Investigations, 25(4), 2081–2092.PubMed
45.
Paralikas, T., Maria, M., Dimitrios, T., Christina, B., Nikolaos, C., Antigoni, F., Georgios, T., & Stiliani, K. (2021). Physical and mental health level of the elderly living in Central Greece. Materia Socio-Medica, 33(1), 16–20.PubMedPubMedCentral
46.
Hanly, J. G., O’Keeffe, A. G., Su, L., Urowitz, M. B., Romero-Diaz, J., Gordon, C., Bae, S. C., Bernatsky, S., Clarke, A. E., Wallace, D. J., Merrill, J. T., Isenberg, D. A., Rahman, A., Ginzler, E. M., Fortin, P., Gladman, D. D., Sanchez-Guerrero, J., Petri, M., Bruce, I. N., …, Farewell, V. (2016). The frequency and outcome of lupus nephritis: Results from an international inception cohort study. Rheumatology (Oxford), 55(2), 252–262.PubMed
47.
Jayawickreme, E., & Infurna, F. J. (2021). Toward a more credible understanding of post-traumatic growth. Journal of Personality, 89(1), 5–8.PubMed
Metagegevens
Titel
Health-related quality of life in Chinese SLE patients: evidence from 1568 SLE patients and 2610 healthy controls
Auteurs
Yu-Hua Wang
Hong-Yu Sun
Yu-Qi Liu
Xing-Yu Gong
Ying Xu
Qi-Qun Zong
Guang-Hui Yu
Wan-Qin Hu
Chun-Xia Zhai
Lin-Lin Wang
Zi-Ye Yan
Ting-Yu Zhang
Jing Cai
Mu Li
Yang-Fan Chen
Fang Wang
Yan-Feng Zou
Publicatiedatum
12-10-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03516-9

Andere artikelen Uitgave 1/2024

Content validity of the EQ-5D-5L with skin irritation and self-confidence bolt-ons in patients with atopic dermatitis: a qualitative think-aloud study

  • Open Access

Prognostic factors for deterioration of quality of life one year after admission to ICU for severe SARS-COV2 infection

Eliciting a value set for the Swedish Capability-Adjusted Life Years instrument (CALY-SWE)

  • Open Access

Patient adherence to patient-reported outcome measure (PROM) completion in clinical care: current understanding and future recommendations

  • Open Access

Correction: Sociodemographic factors and use of pain medication are associated with health-related quality of life: results from an adult community mental health service in Norway

  • Open Access
  • Correction

The psychosocial experiences of adults diagnosed with coeliac disease: a qualitative evidence synthesis

  • Open Access
  • Review