Association between health-related quality of life and consultation for respiratory symptoms: results from the DIMCA programme
| Autor: | H.T.M. Folgering, G. van den Boom, P.R.S. Tirimanna, C. van Weel, C.P. van Schayck, MP Rutten-van Mölken |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Multivariate analysis Health Status Population Effecten van longrevalidatie bij patienten met ernstig COPD en hypoxie tijdens inspanning Health Promotion Quality of life Forced Expiratory Volume Surveys and Questionnaires Internal medicine Kosteneffectiviteit van vroege opsporing en behandeling van CARA in de huisartspraktijk medicine Humans Lung Diseases Obstructive Respiratory system education Referral and Consultation Lung function Aged education.field_of_study COPD business.industry Respiratory disease Middle Aged Patient Acceptance of Health Care Respiration Disorders medicine.disease Asthma respiratory tract diseases Bronchial hyperresponsiveness Multivariate Analysis Quality of Life Physical therapy Effects of pulmonary rehabilitation in patients with severe COPD and hypoxia during exercise Female Cost-effectiveneus of early detection and treatment of CNSLD in general practice Family Practice business |
| Zdroj: | European Respiratory Journal, 11, 67-72 European Respiratory Journal, 11, pp. 67-72 |
| ISSN: | 0903-1936 |
| Popis: | In general practice, diagnosis of chronic obstructive pulmonary disease (COPD) is hampered by underpresentation. A substantial proportion of subjects experiencing respiratory complaints do not consult their general practitioner (GP). In this study, the relationship between disease-specific quality of life and presentation of respiratory symptoms to a GP is investigated. A random sample from the general population (undiagnosed subjects) was screened for symptoms and objective signs of COPD (n=1,155). The lung function of subjects with symptoms of COPD was monitored for 6 months. During this period, 48 new COPD patients with a persistently reduced lung function (forced expiratory volume in one second (FEV1) less than or equal to the predicted value minus 2 SD) were detected. A disease-specific quality-of-life questionnaire (chronic respiratory questionnaire (CRQ)) was administered and clinical and GP consultation data were collected. Multivariate analysis showed that quality-of-life impairments due to dyspnoea and fatigue and variability in lung function (bronchial hyperresponsiveness, reversibility and peak expiratory flow rate variability) were related to medical consultation. Only 31% of the newly detected patients reported that they had ever visited their GP for respiratory complaints. A similarly low percentage was found in the rest of the sample (26%). It is concluded that the mere presence of respiratory symptoms or a (gradually) reduced lung function is insufficient reason for patients to seek medical help. Subjects are more likely to consult their general practitioner once their quality of everyday life is affected or they experience variability in lung function. |
| Databáze: | OpenAIRE |
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