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Quality of Life Research
Gepubliceerd in: Quality of Life Research 12/2020

11-07-2020

Impact of comorbid conditions on disease-specific quality of life in older men and women with atrial fibrillation

Auteurs: Hawa O. Abu, Jane S. Saczynski, John Ware, Jordy Mehawej, Tenes Paul, Hamza Awad, Benita A. Bamgbade, Isabelle C. Pierre-Louis, Mayra Tisminetzky, Catarina I. Kiefe, Robert J. Goldberg, David D. McManus

Gepubliceerd in: Quality of Life Research | Uitgave 12/2020

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Abstract

Background

Older persons with atrial fibrillation (AF) experience significant impairment in quality of life (QoL), which may be partly attributable to their comorbid diseases. A greater understanding of the impact of comorbidities on QoL could optimize patient-centered care among older persons with AF.

Objective

To assess impairment in disease-specific QoL due to comorbid conditions in older adults with AF.

Methods

Patients aged ≥ 65 years diagnosed with AF were recruited from five medical centers in Massachusetts and Georgia between 2015 and 2018. At 1 year of follow-up, the Quality of Life Disease Impact Scale—for Multiple Chronic Conditions was used to provide standardized assessment of patient self-reported impairment in QoL attributable to 34 comorbid conditions grouped in 10 clusters.

Results

The mean age of study participants (n = 1097) was 75 years and 48% were women. Overall, cardiometabolic, musculoskeletal, and pulmonary conditions were the most prevalent comorbidity clusters. A high proportion of participants (82%) reported that musculoskeletal conditions exerted the greatest impact on their QoL. Men were more likely than women to report that osteoarthritis and stroke severely impacted their QoL. Patients aged < 75 years were more likely to report that obesity, hip/knee joint problems, and fibromyalgia extremely impacted their QoL than older participants.

Conclusions

Among older persons with AF, while cardiometabolic diseases were highly prevalent, musculoskeletal conditions exerted the greatest impact on patients’ disease-specific QoL. Understanding the extent of impairment in QoL due to underlying comorbidities provides an opportunity to develop interventions targeted at diseases that may cause significant impairment in QoL.
vorige artikel Patient-reported outcome measures (PROMs): can they be used to guide patient-centered care and optimize outcomes in total knee replacement?
volgende artikel Peripheral neuropathy and depressive symptoms: examining the association in a primary health care setting among persons with and without diabetes mellitus
Literatuur
1.
January, C. T., Wann, L. S., Alpert, J. S., Calkins, H., Cigarroa, J. E., Cleveland, J. C., Jr., et al. (2014). 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation. Journal of the American College of Cardiology, 64(21), 2246–2280.
2.
Andersson, T., Magnuson, A., Bryngelsson, I.-L., Frøbert, O., Henriksson, K. M., Edvardsson, N., et al. (2013). All-cause mortality in 272, 186 patients hospitalized with incident atrial fibrillation 1995–2008: A Swedish nationwide long-term case-control study. European Heart Journal, 34, 1061–1067.PubMedPubMedCentral
3.
Chamberlain, A. M., Alonso, A., Gersh, B. J., Manemann, S. M., Killian, J. M., Weston, S. A., et al. (2016). Multimorbidity and the risk of hospitalization and death in atrial fibrillation: A population-based study. American Heart Journal, 185, 74–84.PubMedPubMedCentral
4.
Cepeda-Valery, B., Cheong, A. P., Lee, A., & Yan, B. P. (2011). Measuring health related quality of life in coronary heart disease: the importance of feeling well. International Journal of Cardiology, 149, 4–9.PubMed
5.
Kato, N., Kinugawa, K., Seki, S., et al. (2011). Quality of life as an independent predictor for cardiac events and death in patients with heart failure. Circulation Journal, 75, 1661–1669.PubMed
6.
January, C. T., Wann, L. S., Alpert, J. S., Calkins, H., Cigarroa, J. E., Cleveland, J. C., Jr., et al. (2014). 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: executive summary: A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the Heart Rhythm Society. Circulation, 130, 2071–2104.PubMed
7.
Naser, N., Dilic, M., Durak, A., et al. (2017). The impact of risk factors and comorbidities on the incidence of atrial fibrillation. Mater Sociomed., 29(4), 231–236.PubMedPubMedCentral
8.
LaMori, J. C., Mody, S. H., Gross, H. J., et al. (2013). Burden of comorbidities among patients with atrial fibrillation. Therapeutic Advances in Cardiovascular Disease., 7, 53–62.PubMed
9.
Ariansena, I., Gjesdala, K., Abdelnoorb, M., Edvardsenc, E., Engerd, S., & Tveitd, A. (2008). Quality of life, exercise capacity and comorbidity in old patients with permanent atrial fibrillation. Journal of Atrial Fibrillation., 1(4), 136.PubMedPubMedCentral
10.
Randolph, T. C., Simon, D. N., Thomas, L., et al. (2016). Patient factors associated with quality of life in atrial fibrillation. American Heart Journal, 182, 135–143.PubMedPubMedCentral
11.
Tan, H. C., Koh, K. W. L., Wu, V. X., Lim, T. W., & Wang, W. (2018). Health-related quality of life, psychological distress, and symptom burden in an Asian population of outpatients with atrial fibrillation. Heart and Lung, 47(4), 322–328.PubMed
12.
Ware, J. E., Jr., Gandek, B., Guyer, R., & Deng, N. (2016). Standardizing disease-specific quality of life measures across multiple chronic conditions: Development and initial evaluation of the QOL Disease Impact Scale (QDIS®). Health Qual Life Outcomes, 14, 84.PubMedPubMedCentral
13.
Marino, F. R., Lessard, D. M., Saczynski, J. S., et al. (2019). Gait speed and mood, cognition, and quality of life in older adults with atrial fibrillation. Journal of the American Heart Association, 8(22), e013212.PubMedPubMedCentral
14.
15.
Deng, N., Anatchkova, M. D., Waring, M. E., Han, K. T., & Ware, J. E., Jr. (2015). Testing item response theory invariance of the standardized Quality-of-life Disease Impact Scale (QDIS(®) in acute coronary syndrome patients: Differential functioning of items and test. Quality of Life Research, 24(8), 1809–1822.PubMed
16.
Ware, J. E., Gandek, B., & Allison, J. (2016). The validity of disease-specific quality of life attributions among adults with multiple chronic conditions. International Journal of Statistics in Medical Research, 5(1), 17–40.PubMedPubMedCentral
17.
Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science and Medicine, 32(6), 705–714.PubMed
18.
Nasreddine, Z. S., Phillips, N. A., Bedirian, V., et al. (2005). The Montreal cognitive assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695–699.PubMed
19.
Saczynski, J. S., Inouye, S. K., Guess, J., et al. (2015). The montreal cognitive assessment: Creating a crosswalk with the mini-mental state examination. Journal of the American Geriatrics Society, 63(11), 2370–2374.PubMedPubMedCentral
20.
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Lowe, B. (2006). A brief measure of assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166, 1092–1097.
21.
Mlinac, M. E., & Feng, M. C. (2016). Assessment of activities of daily living, self-care, and independence. Archives of Clinical Neuropsychology., 31(6), 506–516.PubMed
22.
Lane, D. A., & Lip, G. Y. (2012). Use of the CHA(2)DS(2)-VASc and HAS-BLED scores to aid decision making for thromboprophylaxis in nonvalvular atrial fibrillation. Circulation, 126(7), 860–865.PubMed
23.
Charlson, M. E., Pompei, P., Ales, K. L., et al. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of Chronic Diseases, 40(5), 373–383.PubMed
24.
Mashat, A. A., Subki, A. H., Bakhaider, M. A., et al. (2019). Atrial fibrillation: Risk factors and comorbidities in a tertiary center in Jeddah. Saudi Arabia International Journal of General Medicine, 12, 71–77.PubMed
25.
Marcum, Z. A., & Gellad, W. F. (2012). Medication adherence to multidrug regimens. Clinics in Geriatric Medicine, 28(2), 287–300.PubMedPubMedCentral
26.
Adam, D. D., Anne, S. H., Richard, C. B., Scott, D. B., Guenter, B., Werner, H., et al. (2016). Hospitalizations in patients with atrial fibrillation: An analysis from ROCKET AF. EP Europace, 18(8), 1135–1142.
27.
Adriaanse, M. C., Drewes, H. W., van der Heide, I., Struijs, J. N., & Baan, C. A. (2016). The impact of comorbid chronic conditions on quality of life in type 2 diabetes patients. Quality of Life Research, 25(1), 175–182.PubMed
28.
Pati, S., Pati, S., Akker, M. V. D., Schellevis, F. F. G., Jena, S., & Burgers, J. S. (2020). Impact of comorbidity on health-related quality of life among type 2 diabetic patients in primary care. Prim Health Care Res Dev., 21, e9.PubMedPubMedCentral
29.
Bosomworth, N. J. (2015). Atrial fibrillation and physical activity: Should we exercise caution? Canadian Family Physician, 61(12), 1061–1070.PubMedPubMedCentral
30.
Kent, A. P., Brueckmann, M., Fraessdorf, M., Connolly, S. J., Yusuf, S., Eikelboom, J. W., et al. (2018). Concomitant oral anticoagulant and nonsteroidal anti-inflammatory drug therapy in patients with atrial fibrillation. American College of Cardiology, 72(3), 255–267.
31.
Srikanth, V. K., Fryer, B., Math, J. L., Zhai, G., Winzenberg, T. M., Hosmer, D., et al. (2005). A meta-analysis of sex differences prevalence, incidence, and severity of osteoarthritis. Osteoarthritis and Cartilage, 13, 769–781.PubMed
32.
Blagojevic, M., Jinks, C., Jeffery, A., & Jordan, K. P. (2010). Risk factors for onset of osteoarthritis of the knee in elderly adults: A systematic review and meta-analysis. Osteoarthritis and Cartilage, 18, 24–33.PubMed
33.
Rosemann, T., Laux, G., & Szecsenyi, J. (2007). Osteoarthritis: Quality of life, comorbidities, medication and health service utilization assessed in a large sample of primary care patients. Journal of Orthopaedic Surgery and Research, 2, 12.PubMedPubMedCentral
34.
Hopman, W. M., & Verner, J. (2003). Quality of life during and after inpatient stroke rehabilitation. Stroke, 34, 801–805.PubMed
35.
Serda, E. M., Bozkurt, M., Karakoç, M., et al. (2015). Determining quality of life and associated factors in patients with stroke. Turkish Journal of Physical Medicine and Rehabilitation, 61, 148–154.
36.
Kranciukaite, D., Rastenyte, D., Jureniene, K., & Sopagiene, D. (2007). Quality of life in stroke survivors. Medicina (Kaunas), 43, 736–745.
37.
de Haan, R. J., Limburg, M., Van der Meulen, J. H., Jacobs, H. M., & Aaronson, N. K. (1995). Quality of life after stroke. Impact of stroke type and lesion location. Stroke, 26(3), 402–408.PubMed
38.
Ackerman, I. N., & Osborne, R. H. (2012). Obesity and increased burden of hip and knee joint disease in Australia: Results from a national survey. BMC Musculoskeletal Disorders, 13, 254.PubMedPubMedCentral
39.
Hargens, T. A., Kaleth, A. S., Edwards, E. S., & Butner, K. L. (2013). Association between sleep disorders, obesity, and exercise: A review. Nature and Science of Sleep., 5, 27–35.PubMedPubMedCentral
40.
Staudinger, U. M. (2000). Many reasons speak against it, yet many people feel good: The paradox of subjective well-being. Psychologische Rundschau, 51, 185–197.
41.
Buono, M. D., Urciuou, O., & de Leo, D. (1998). Quality of life and longevity: A study of centenarians. Age and Ageing, 27, 207–216.
42.
Baltes, P. B., & Mayer, K. U. (Eds.). (1999). The Berlin aging study: Aging from 70 to 100. New York: Cambridge University Press.
43.
Sprangers, M. A. G., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: A theoretical model. Social Science and Medicine, 48, 1507–1515.PubMed
44.
Corser, W., Sikorskii, A., Olomu, A., Stommel, M., Proden, C., & Holmes-Rovner, M. (2008). Concordance between comorbidity data from patient self-report interviews and medical record documentation. BMC Health Services Research, 8, 85.PubMedPubMedCentral
45.
Olomu, A. B., Corser, W. D., Stommel, M., Xie, Y., & HolmesRovner, M. (2012). Do self-report and medical record comorbidity data predict longitudinal functional capacity and quality of life health outcomes similarly? BMC Health Services Research, 12, 398.PubMedPubMedCentral
Metagegevens
Titel
Impact of comorbid conditions on disease-specific quality of life in older men and women with atrial fibrillation
Auteurs
Hawa O. Abu
Jane S. Saczynski
John Ware
Jordy Mehawej
Tenes Paul
Hamza Awad
Benita A. Bamgbade
Isabelle C. Pierre-Louis
Mayra Tisminetzky
Catarina I. Kiefe
Robert J. Goldberg
David D. McManus
Publicatiedatum
11-07-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 12/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02578-3

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