Tuberculosis impacts multiple aspects in quality of life in a Romanian cohort of drug‐susceptible and drug resistant patients: A patient‐reported outcome measures study

Background Tuberculosis (TB), and especially its drug resistant forms, is responsible for not only significant mortality, but also considerable morbidity, still under‐quantified. This study used four Patient‐Reported Outcome Measures (PROMS) to assess the status of persons affected by drug‐susceptib...

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Published in:Tropical medicine & international health 2024-07, Vol.29 (7), p.584-593
Main Authors: Margineanu, Ioana, Butnaru, Teodora, Lam, Marjolein, Baiceanu, Dragos, Dragomir, Raluca, Arbore, Adriana Sorete, Mahler, Beatrice, Munteanu, Ioana, Mihaltan, Florin, Akkerman, Onno, Alffenaar, Jan‐Willem, Stienstra, Ymkje
Format: Article
Language:English
Subjects:
Adult
Aged
Antitubercular Agents - therapeutic use
clinical management
Clinical outcomes
Cross-Sectional Studies
Drug development
Drug resistance
Epidemiology
Female
Hearing loss
Humans
Male
Middle Aged
Morbidity
Patient Reported Outcome Measures
Patients
public health
Quality of Life
Rehabilitation
Romania
Statistical analysis
Statistical tests
Tuberculosis
Tuberculosis - drug therapy
Tuberculosis, Multidrug-Resistant - drug therapy
Young Adult
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Summary:Background Tuberculosis (TB), and especially its drug resistant forms, is responsible for not only significant mortality, but also considerable morbidity, still under‐quantified. This study used four Patient‐Reported Outcome Measures (PROMS) to assess the status of persons affected by drug‐susceptible and drug‐resistant TB during their TB treatment or after treatment completion, in Romania, the highest TB burden country in the EU. Methods People affected by TB in two different regions in Romania were included during and after treatment, following a cross‐sectional design. PROMs used were SF‐36, EQ‐5D‐5L, WPAI and the app‐based audiometry screening tool ‘uHear.’ Descriptive statistics and relevant statistical tests were used to compare groups between themselves and with the general Romanian population. Results Both patients with drug‐susceptible and drug‐resistant TB experience, with drug‐resistant patients experiencing statistically significantly more pain and hearing loss. PROMs show some improvement in the after‐treatment group; however, compared with the general Romanian population for which data were available, all groups scored lower on all outcome measures. Conclusion PROMs offer the possibility of obtaining a more comprehensive view of patients' status, by involving them directly in the medical process and could guide a rehabilitation strategy.
ISSN:1360-2276
1365-3156
1365-3156
DOI:10.1111/tmi.13996