Details
| Original language | English |
|---|---|
| Article number | PA704 |
| Journal | European Respiratory Journal |
| Volume | 54 |
| Issue number | suppl 63 |
| Publication status | Published - 28 Sept 2019 |
| Event | European-Respiratory-Society (ERS) International Congress - Madrid, Spain Duration: 28 Sept 2019 → 2 Oct 2019 |
Abstract
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.
Keywords
- Chronic diseases, Adults, Primary care
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In: European Respiratory Journal, Vol. 54, No. suppl 63, PA704, 28.09.2019.
Research output: Contribution to journal › Meeting Abstract › Research › peer review
}
TY - JOUR
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 -