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Title: | Quality of life of adults with congenital heart disease in 15 Countries |
Other Titles: | Evaluating country-specific characteristics |
Authors: | Apers, Silke Kovacs, Adrienne H. Luyckx, Koen Thomet, Corina Budts, Werner Enomoto, Junko Sluman, Maayke A. Wang, Jou-Kou Jackson, Jamie L. Khairy, Paul Cook, Stephen C. Chidambarathanu, Shanthi Alday, Luis Eriksen, Katrine Dellborg, Mikael Berghammer, Malin Mattsson, Eva Mackie, Andrew S. Menahem, Samuel Caruana, Maryanne Veldtman, Gruschen Soufi, Alexandra Romfh, Anitra W. White, Kamila Callus, Edward Kutty, Shelby Fieuws, Steffen Moons, Philip |
Authors: | APPROACH-IS consortium ISACHD |
Keywords: | Congenital heart disease -- Patients Quality of life -- Health aspects International health Health surveys Patient Reported Outcome Measures |
Issue Date: | 2016 |
Publisher: | Elsevier Inc. |
Citation: | Apers, S., Kovacs, A. H., Luyckx, K., Thomet, C., Budts, W., Enomoto, J.,...APPROACH-IS consortium and ISACHD. (2016). Quality of life of adults with congenital heart disease in 15 countries: evaluating country-specific characteristics. Journal of the American College of Cardiology, 67(19), 2237-2245. |
Abstract: | Background: Measuring quality of life (QOL) is fundamental to understanding the impact of disease and treatment on patients’ lives. Objectives: This study aimed to explore QOL in an international sample of adults with congenital heart disease (CHD), the association between patient characteristics and QOL, and international variation in QOL and its relationship to country-specific characteristics. Objectives: This study aimed to explore QOL in an international sample of adults with congenital heart disease (CHD), the association between patient characteristics and QOL, and international variation in QOL and its relationship to country-specific characteristics. Methods: We enrolled 4,028 adults with CHD from 15 countries. QOL was assessed using a linear analog scale (LAS) (0 to 100) and the Satisfaction with Life Scale (SWLS) (5 to 35). Patient characteristics included sex, age, marital status, educational level, employment status, CHD complexity, and patient-reported New York Heart Association (NYHA) functional class. Country-specific characteristics included general happiness and 6 cultural dimensions. Linear mixed models were applied. Results: Median QOL was 80 on the LAS and 27 on the SWLS. Older age, lack of employment, no marriage history, and worse NYHA functional class were associated with lower QOL (p < 0.001). Patients from Australia had the highest QOL (LAS: 82) and patients from Japan the lowest (LAS: 72). Happiness scores and cultural dimensions were not associated with variation in QOL after adjustment for patient characteristics and explained only an additional 0.1% of the variance above and beyond patient characteristics (p = 0.56). Conclusions: This large-scale, international study found that overall QOL in adults with CHD was generally good. Variation in QOL was related to patient characteristics but not country-specific characteristics. Hence, patients at risk for poorer QOL can be identified using uniform criteria. General principles for designing interventions to improve QOL can be developed. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/121820 |
ISSN: | 15583597 |
Appears in Collections: | Scholarly Works - FacM&SMed |
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File | Description | Size | Format | |
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Quality_of_life_of_adults_with_congenital_heart_disease_in_15_Countries(2016).pdf | 725.49 kB | Adobe PDF | View/Open |
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