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The health-related quality-of-life of chronic obstructive pulmonary disease patients and disease-related indirect burdens
Many chronic obstructive pulmonary disease (COPD) patients have physical limitations. We investigated EuroQol five-dimensions five-level (EQ-5D-5L) of COPD patients to assess quality of life, and assessed indirect burden including time expenditure to visit doctor, home care rate, and caregiver relat...
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Published in: | The Korean journal of internal medicine 2020, 35(5), , pp.1136-1144 |
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container_title | The Korean journal of internal medicine |
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creator | Choi, Hye Sook Yang, Dong-Wook Rhee, Chin Kook Yoon, Hyoung Kyu Lee, Jin Hwa Lim, Seong Yong Kim, Yu-Il Yoo, Kwang Ha Hwang, Yong-Il Lee, Sang Haak Park, Yong Bum |
description | Many chronic obstructive pulmonary disease (COPD) patients have physical limitations. We investigated EuroQol five-dimensions five-level (EQ-5D-5L) of COPD patients to assess quality of life, and assessed indirect burden including time expenditure to visit doctor, home care rate, and caregiver related burden.
We recruited 355 COPD patients according to severity of airflow limitation that severity was set at 10% mild, 40% moderate, 30% severe, and 20% very severe in two primary and 11 secondary/tertiary hospitals. Eligible patients were aged ≥ 40 years, who have been diagnosed with COPD for more than 1 year. Patients were recruited between June 2015 and October 2016.
The quality of life tended to decline with age, from mild to very severe impairment, as revealed by the EQ-5D-5L scores and the EQ visual analog scale. Family caregivers accompanied 22.6% of patients who visited outpatient clinics, and 25% of stage IV COPD patients. During emergency visits and hospitalization, this figure increased to > 60%. The home care rates were 28.5% for stage I patients, and 34.4, 31.8, and 52% for stage II to IV patients, respectively. The percentage of caregivers who stopped working was 13.6%. The EQ-5D index was strongly associated with the dyspnea scale (r = -0.64, p < 0.001). The average required time to see a doctor and visit the pharmacy was 154 minutes.
In patients with COPD, the EQ-5D index decreased and disease-related home caregiving increased with airflow limitation. We considered the caregiver- related burden when making a strategy for COPD management. |
doi_str_mv | 10.3904/kjim.2018.398 |
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We recruited 355 COPD patients according to severity of airflow limitation that severity was set at 10% mild, 40% moderate, 30% severe, and 20% very severe in two primary and 11 secondary/tertiary hospitals. Eligible patients were aged ≥ 40 years, who have been diagnosed with COPD for more than 1 year. Patients were recruited between June 2015 and October 2016.
The quality of life tended to decline with age, from mild to very severe impairment, as revealed by the EQ-5D-5L scores and the EQ visual analog scale. Family caregivers accompanied 22.6% of patients who visited outpatient clinics, and 25% of stage IV COPD patients. During emergency visits and hospitalization, this figure increased to > 60%. The home care rates were 28.5% for stage I patients, and 34.4, 31.8, and 52% for stage II to IV patients, respectively. The percentage of caregivers who stopped working was 13.6%. The EQ-5D index was strongly associated with the dyspnea scale (r = -0.64, p < 0.001). The average required time to see a doctor and visit the pharmacy was 154 minutes.
In patients with COPD, the EQ-5D index decreased and disease-related home caregiving increased with airflow limitation. We considered the caregiver- related burden when making a strategy for COPD management.</description><identifier>ISSN: 1226-3303</identifier><identifier>EISSN: 2005-6648</identifier><identifier>DOI: 10.3904/kjim.2018.398</identifier><identifier>PMID: 32066224</identifier><language>eng</language><publisher>Korea (South): The Korean Association of Internal Medicine</publisher><subject>caregivers ; health expenditures ; Original ; pulmonary disease, chronic obstructive ; quality of life ; 내과학</subject><ispartof>The Korean Journal of Internal Medicine, 2020, 35(5), , pp.1136-1144</ispartof><rights>Copyright © 2020 The Korean Association of Internal Medicine 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c487t-c4937a464495e98f892615c997df1d682360a74557c3ed1067f274a2829640833</citedby><cites>FETCH-LOGICAL-c487t-c4937a464495e98f892615c997df1d682360a74557c3ed1067f274a2829640833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487298/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487298/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32066224$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002616173$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Choi, Hye Sook</creatorcontrib><creatorcontrib>Yang, Dong-Wook</creatorcontrib><creatorcontrib>Rhee, Chin Kook</creatorcontrib><creatorcontrib>Yoon, Hyoung Kyu</creatorcontrib><creatorcontrib>Lee, Jin Hwa</creatorcontrib><creatorcontrib>Lim, Seong Yong</creatorcontrib><creatorcontrib>Kim, Yu-Il</creatorcontrib><creatorcontrib>Yoo, Kwang Ha</creatorcontrib><creatorcontrib>Hwang, Yong-Il</creatorcontrib><creatorcontrib>Lee, Sang Haak</creatorcontrib><creatorcontrib>Park, Yong Bum</creatorcontrib><title>The health-related quality-of-life of chronic obstructive pulmonary disease patients and disease-related indirect burdens</title><title>The Korean journal of internal medicine</title><addtitle>Korean J Intern Med</addtitle><description>Many chronic obstructive pulmonary disease (COPD) patients have physical limitations. We investigated EuroQol five-dimensions five-level (EQ-5D-5L) of COPD patients to assess quality of life, and assessed indirect burden including time expenditure to visit doctor, home care rate, and caregiver related burden.
We recruited 355 COPD patients according to severity of airflow limitation that severity was set at 10% mild, 40% moderate, 30% severe, and 20% very severe in two primary and 11 secondary/tertiary hospitals. Eligible patients were aged ≥ 40 years, who have been diagnosed with COPD for more than 1 year. Patients were recruited between June 2015 and October 2016.
The quality of life tended to decline with age, from mild to very severe impairment, as revealed by the EQ-5D-5L scores and the EQ visual analog scale. Family caregivers accompanied 22.6% of patients who visited outpatient clinics, and 25% of stage IV COPD patients. During emergency visits and hospitalization, this figure increased to > 60%. The home care rates were 28.5% for stage I patients, and 34.4, 31.8, and 52% for stage II to IV patients, respectively. The percentage of caregivers who stopped working was 13.6%. The EQ-5D index was strongly associated with the dyspnea scale (r = -0.64, p < 0.001). The average required time to see a doctor and visit the pharmacy was 154 minutes.
In patients with COPD, the EQ-5D index decreased and disease-related home caregiving increased with airflow limitation. We considered the caregiver- related burden when making a strategy for COPD management.</description><subject>caregivers</subject><subject>health expenditures</subject><subject>Original</subject><subject>pulmonary disease, chronic obstructive</subject><subject>quality of life</subject><subject>내과학</subject><issn>1226-3303</issn><issn>2005-6648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkktvGyEUhVHVqnHSLrutZtkuJmV4s6kURW1qKVKlyl0jzEAGGw8OMJH878vYidVsuOJy-LgHHQA-dfAaS0i-bTd-d41gJ-pWvAELBCFtGSPiLVh0CLEWY4gvwGXOGwgZhwK_BxcYQcYQIgtwWA22GawOZWiTDbrYvnmcdPDl0EbXBu9sE11jhhRHb5q4ziVNpvgn2-ynsIujToem99nqXDu6eDuW3Oixf2meqX7sfbKmNOsp9XbMH8A7p0O2H5_rFfj788fq9ld7__tueXtz3xoieKmrxFwTRoikVgonJGIdNVLy3nU9EwgzqDmhlBts-65adIgTjQSSjFS3-Ap8PXHH5NTWeBW1P9aHqLZJ3fxZLZWklGDOqnZ50vZRb9Q--V21d7xwbMT0oHQq3gSrJBRUE24dh5JwI9Zaks51nBsHDRW0sr6fWPtpvbO9qR-TdHgFfX0y-qHO9KR49Y2kqIAvz4AUHyebi9r5bGwIerRxygphWn1z1M1ztyepSTHnZN35mQ6qOSZqjomaY1K3M_rz_7Od1S-5wP8A6xq54w</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Choi, Hye Sook</creator><creator>Yang, Dong-Wook</creator><creator>Rhee, Chin Kook</creator><creator>Yoon, Hyoung Kyu</creator><creator>Lee, Jin Hwa</creator><creator>Lim, Seong Yong</creator><creator>Kim, Yu-Il</creator><creator>Yoo, Kwang Ha</creator><creator>Hwang, Yong-Il</creator><creator>Lee, Sang Haak</creator><creator>Park, Yong Bum</creator><general>The Korean Association of Internal Medicine</general><general>대한내과학회</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><scope>ACYCR</scope></search><sort><creationdate>20200901</creationdate><title>The health-related quality-of-life of chronic obstructive pulmonary disease patients and disease-related indirect burdens</title><author>Choi, Hye Sook ; Yang, Dong-Wook ; Rhee, Chin Kook ; Yoon, Hyoung Kyu ; Lee, Jin Hwa ; Lim, Seong Yong ; Kim, Yu-Il ; Yoo, Kwang Ha ; Hwang, Yong-Il ; Lee, Sang Haak ; Park, Yong Bum</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c487t-c4937a464495e98f892615c997df1d682360a74557c3ed1067f274a2829640833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>caregivers</topic><topic>health expenditures</topic><topic>Original</topic><topic>pulmonary disease, chronic obstructive</topic><topic>quality of life</topic><topic>내과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Choi, Hye Sook</creatorcontrib><creatorcontrib>Yang, Dong-Wook</creatorcontrib><creatorcontrib>Rhee, Chin Kook</creatorcontrib><creatorcontrib>Yoon, Hyoung Kyu</creatorcontrib><creatorcontrib>Lee, Jin Hwa</creatorcontrib><creatorcontrib>Lim, Seong Yong</creatorcontrib><creatorcontrib>Kim, Yu-Il</creatorcontrib><creatorcontrib>Yoo, Kwang Ha</creatorcontrib><creatorcontrib>Hwang, Yong-Il</creatorcontrib><creatorcontrib>Lee, Sang Haak</creatorcontrib><creatorcontrib>Park, Yong Bum</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><collection>Korean Citation Index</collection><jtitle>The Korean journal of internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Choi, Hye Sook</au><au>Yang, Dong-Wook</au><au>Rhee, Chin Kook</au><au>Yoon, Hyoung Kyu</au><au>Lee, Jin Hwa</au><au>Lim, Seong Yong</au><au>Kim, Yu-Il</au><au>Yoo, Kwang Ha</au><au>Hwang, Yong-Il</au><au>Lee, Sang Haak</au><au>Park, Yong Bum</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The health-related quality-of-life of chronic obstructive pulmonary disease patients and disease-related indirect burdens</atitle><jtitle>The Korean journal of internal medicine</jtitle><addtitle>Korean J Intern Med</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>35</volume><issue>5</issue><spage>1136</spage><epage>1144</epage><pages>1136-1144</pages><issn>1226-3303</issn><eissn>2005-6648</eissn><abstract>Many chronic obstructive pulmonary disease (COPD) patients have physical limitations. We investigated EuroQol five-dimensions five-level (EQ-5D-5L) of COPD patients to assess quality of life, and assessed indirect burden including time expenditure to visit doctor, home care rate, and caregiver related burden.
We recruited 355 COPD patients according to severity of airflow limitation that severity was set at 10% mild, 40% moderate, 30% severe, and 20% very severe in two primary and 11 secondary/tertiary hospitals. Eligible patients were aged ≥ 40 years, who have been diagnosed with COPD for more than 1 year. Patients were recruited between June 2015 and October 2016.
The quality of life tended to decline with age, from mild to very severe impairment, as revealed by the EQ-5D-5L scores and the EQ visual analog scale. Family caregivers accompanied 22.6% of patients who visited outpatient clinics, and 25% of stage IV COPD patients. During emergency visits and hospitalization, this figure increased to > 60%. The home care rates were 28.5% for stage I patients, and 34.4, 31.8, and 52% for stage II to IV patients, respectively. The percentage of caregivers who stopped working was 13.6%. The EQ-5D index was strongly associated with the dyspnea scale (r = -0.64, p < 0.001). The average required time to see a doctor and visit the pharmacy was 154 minutes.
In patients with COPD, the EQ-5D index decreased and disease-related home caregiving increased with airflow limitation. We considered the caregiver- related burden when making a strategy for COPD management.</abstract><cop>Korea (South)</cop><pub>The Korean Association of Internal Medicine</pub><pmid>32066224</pmid><doi>10.3904/kjim.2018.398</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | caregivers health expenditures Original pulmonary disease, chronic obstructive quality of life 내과학 |
title | The health-related quality-of-life of chronic obstructive pulmonary disease patients and disease-related indirect burdens |
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