Quality of life in German GP-Patients with COPD: a longitudinal study

Publikation: Beitrag in FachzeitschriftMeeting AbstractForschungPeer-Review

Autoren

  • Carolina Judith Klett-Tammen
  • Heidrun Lingner
  • Alexander Kuhlmann
  • Torben Schmidt
  • Johanna Lutter
  • Johann-Matthias Graf von der Schulenburg
  • Michael Kreuter
  • Tobias Welte

Externe Organisationen

  • Medizinische Hochschule Hannover (MHH)
  • Helmholtz Zentrum München - Deutsches Forschungszentrum für Gesundheit und Umwelt
  • Ruprecht-Karls-Universität Heidelberg
Forschungs-netzwerk anzeigen

Details

OriginalspracheEnglisch
AufsatznummerPA704
FachzeitschriftEuropean Respiratory Journal
Jahrgang54
Ausgabenummersuppl 63
PublikationsstatusVeröffentlicht - 28 Sept. 2019
VeranstaltungEuropean-Respiratory-Society (ERS) International Congress - Madrid, Spanien
Dauer: 28 Sept. 20192 Okt. 2019

Abstract

Health related quality of life (HrQL) is one of the most important outcomes in health services research but corresponding real life data of COPD-patients are scarce.

Identify changes in and with HrQL associated specific factors in COPD-patients.

Longitudinal study using four questionnaires (t0-t3) in adult patients in GP-practices. Additionally to the St. George’s Respiratory Questionnaire (SGRQC) the questionnaire included lifestyle factors like smoking behavior. A higher score equals a lower quality of life. Linear regression with the SGRQC-Score as outcome was performed, considering the panel-structure of the data. To integrate time-changeable and fix factors random effects approach was used.

Out of 216 participants, mean age 69.3 years, 109 (50.5%) were male. Mean SGRQC-Score was 40.7, 41.0, 36.1 and 38.1 at T0-T3; 130 (59.4%) participants smoked currently, 53 (25%) had at least one exacerbation in the last 3 months before being questioned. Employment-status was negatively associated with the SGRQC-Score with a coefficient of -12.5 (p=0.001). Moreover being born abroad was positively associated with the score (coeff: 17.8, p=0.001) as were: a physician responsible for the COPD-treatment who is neither a GP nor a pulmonologist (coeff: 36.5, p=0.009), being a smoker (coeff: 8.4, p=0.003) and having suffered at least one exacerbation in the last 3 months (coeff: 8.8, p
Our results highlight the importance of the continuous close attendance of a GP or pulmonologist for the positive development of HrQL in patients with COPD with other specialists-care leading to an important decrease of HrQL. The impact of exacerbations in HrQL was lower as expected.

Zitieren

Quality of life in German GP-Patients with COPD: a longitudinal study. / Klett-Tammen, Carolina Judith; Lingner, Heidrun; Kuhlmann, Alexander et al.
in: European Respiratory Journal, Jahrgang 54, Nr. suppl 63, PA704, 28.09.2019.

Publikation: Beitrag in FachzeitschriftMeeting AbstractForschungPeer-Review

Klett-Tammen, CJ, Lingner, H, Kuhlmann, A, Schmidt, T, Lutter, J, Graf von der Schulenburg, J-M, Kreuter, M & Welte, T 2019, 'Quality of life in German GP-Patients with COPD: a longitudinal study', European Respiratory Journal, Jg. 54, Nr. suppl 63, PA704. https://doi.org/10.1183/13993003.congress-2019.PA704
Klett-Tammen, C. J., Lingner, H., Kuhlmann, A., Schmidt, T., Lutter, J., Graf von der Schulenburg, J.-M., Kreuter, M., & Welte, T. (2019). Quality of life in German GP-Patients with COPD: a longitudinal study. European Respiratory Journal, 54(suppl 63), Artikel PA704. https://doi.org/10.1183/13993003.congress-2019.PA704
Klett-Tammen CJ, Lingner H, Kuhlmann A, Schmidt T, Lutter J, Graf von der Schulenburg JM et al. Quality of life in German GP-Patients with COPD: a longitudinal study. European Respiratory Journal. 2019 Sep 28;54(suppl 63):PA704. doi: 10.1183/13993003.congress-2019.PA704
Klett-Tammen, Carolina Judith ; Lingner, Heidrun ; Kuhlmann, Alexander et al. / Quality of life in German GP-Patients with COPD : a longitudinal study. in: European Respiratory Journal. 2019 ; Jahrgang 54, Nr. suppl 63.
Download
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abstract = "Health related quality of life (HrQL) is one of the most important outcomes in health services research but corresponding real life data of COPD-patients are scarce.Identify changes in and with HrQL associated specific factors in COPD-patients.Longitudinal study using four questionnaires (t0-t3) in adult patients in GP-practices. Additionally to the St. George{\textquoteright}s Respiratory Questionnaire (SGRQC) the questionnaire included lifestyle factors like smoking behavior. A higher score equals a lower quality of life. Linear regression with the SGRQC-Score as outcome was performed, considering the panel-structure of the data. To integrate time-changeable and fix factors random effects approach was used.Out of 216 participants, mean age 69.3 years, 109 (50.5%) were male. Mean SGRQC-Score was 40.7, 41.0, 36.1 and 38.1 at T0-T3; 130 (59.4%) participants smoked currently, 53 (25%) had at least one exacerbation in the last 3 months before being questioned. Employment-status was negatively associated with the SGRQC-Score with a coefficient of -12.5 (p=0.001). Moreover being born abroad was positively associated with the score (coeff: 17.8, p=0.001) as were: a physician responsible for the COPD-treatment who is neither a GP nor a pulmonologist (coeff: 36.5, p=0.009), being a smoker (coeff: 8.4, p=0.003) and having suffered at least one exacerbation in the last 3 months (coeff: 8.8, pOur results highlight the importance of the continuous close attendance of a GP or pulmonologist for the positive development of HrQL in patients with COPD with other specialists-care leading to an important decrease of HrQL. The impact of exacerbations in HrQL was lower as expected.",
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T1 - Quality of life in German GP-Patients with COPD

T2 - European-Respiratory-Society (ERS) International Congress

AU - Klett-Tammen, Carolina Judith

AU - Lingner, Heidrun

AU - Kuhlmann, Alexander

AU - Schmidt, Torben

AU - Lutter, Johanna

AU - Graf von der Schulenburg, Johann-Matthias

AU - Kreuter, Michael

AU - Welte, Tobias

PY - 2019/9/28

Y1 - 2019/9/28

N2 - Health related quality of life (HrQL) is one of the most important outcomes in health services research but corresponding real life data of COPD-patients are scarce.Identify changes in and with HrQL associated specific factors in COPD-patients.Longitudinal study using four questionnaires (t0-t3) in adult patients in GP-practices. Additionally to the St. George’s Respiratory Questionnaire (SGRQC) the questionnaire included lifestyle factors like smoking behavior. A higher score equals a lower quality of life. Linear regression with the SGRQC-Score as outcome was performed, considering the panel-structure of the data. To integrate time-changeable and fix factors random effects approach was used.Out of 216 participants, mean age 69.3 years, 109 (50.5%) were male. Mean SGRQC-Score was 40.7, 41.0, 36.1 and 38.1 at T0-T3; 130 (59.4%) participants smoked currently, 53 (25%) had at least one exacerbation in the last 3 months before being questioned. Employment-status was negatively associated with the SGRQC-Score with a coefficient of -12.5 (p=0.001). Moreover being born abroad was positively associated with the score (coeff: 17.8, p=0.001) as were: a physician responsible for the COPD-treatment who is neither a GP nor a pulmonologist (coeff: 36.5, p=0.009), being a smoker (coeff: 8.4, p=0.003) and having suffered at least one exacerbation in the last 3 months (coeff: 8.8, pOur results highlight the importance of the continuous close attendance of a GP or pulmonologist for the positive development of HrQL in patients with COPD with other specialists-care leading to an important decrease of HrQL. The impact of exacerbations in HrQL was lower as expected.

AB - Health related quality of life (HrQL) is one of the most important outcomes in health services research but corresponding real life data of COPD-patients are scarce.Identify changes in and with HrQL associated specific factors in COPD-patients.Longitudinal study using four questionnaires (t0-t3) in adult patients in GP-practices. Additionally to the St. George’s Respiratory Questionnaire (SGRQC) the questionnaire included lifestyle factors like smoking behavior. A higher score equals a lower quality of life. Linear regression with the SGRQC-Score as outcome was performed, considering the panel-structure of the data. To integrate time-changeable and fix factors random effects approach was used.Out of 216 participants, mean age 69.3 years, 109 (50.5%) were male. Mean SGRQC-Score was 40.7, 41.0, 36.1 and 38.1 at T0-T3; 130 (59.4%) participants smoked currently, 53 (25%) had at least one exacerbation in the last 3 months before being questioned. Employment-status was negatively associated with the SGRQC-Score with a coefficient of -12.5 (p=0.001). Moreover being born abroad was positively associated with the score (coeff: 17.8, p=0.001) as were: a physician responsible for the COPD-treatment who is neither a GP nor a pulmonologist (coeff: 36.5, p=0.009), being a smoker (coeff: 8.4, p=0.003) and having suffered at least one exacerbation in the last 3 months (coeff: 8.8, pOur results highlight the importance of the continuous close attendance of a GP or pulmonologist for the positive development of HrQL in patients with COPD with other specialists-care leading to an important decrease of HrQL. The impact of exacerbations in HrQL was lower as expected.

KW - Chronic diseases

KW - Adults

KW - Primary care

U2 - 10.1183/13993003.congress-2019.PA704

DO - 10.1183/13993003.congress-2019.PA704

M3 - Meeting Abstract

VL - 54

JO - European Respiratory Journal

JF - European Respiratory Journal

SN - 0903-1936

IS - suppl 63

M1 - PA704

Y2 - 28 September 2019 through 2 October 2019

ER -