Predictors of quality of life among adolescents and young adults with a bleeding disorder

Autor: John M. McLaughlin, James E. Munn, Terry L. Anderson, Angela Lambing, Bartholomew Tortella, Michelle L. Witkop
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Health and Quality of Life Outcomes, Vol 15, Iss 1, Pp 1-9 (2017)
Druh dokumentu: article
ISSN: 1477-7525
DOI: 10.1186/s12955-017-0643-7
Popis: Abstract Background Health-related quality of life (HRQoL) in adolescents and young adults with bleeding disorders is under-researched. We aimed to describe factors related to HRQoL in adolescents and young adults with hemophilia A or B or von Willebrand disease. Methods A convenience sample of volunteers aged 13 to 25 years with hemophilia or von Willebrand disease completed a cross-sectional survey that assessed Physical (PCS) and Mental (MCS) Component Summary scores on the SF-36 questionnaire. Quantile regression models were used to assess factors associated with HRQoL. Results Of 108 respondents, 79, 7, and 14% had hemophilia A, hemophilia B, and von Willebrand disease, respectively. Most had severe disease (71%), had never developed an inhibitor (65%), and were treated prophylactically (68%). Half of patients were aged 13 to 17 years and most were white (80%) and non-Hispanic (89%). Chronic pain was reported as moderate to severe by 31% of respondents. Median PCS and MCS were 81.3 and 75.5, respectively. Quantile regression showed that the median PCS for women (61% with von Willebrand disease) was 13.1 (95% CI: 2.4, 23.8; p = 0.02) points lower than men. Ever developing an inhibitor (vs never) was associated with a 13.1-point (95% CI: 4.7, 21.5; p
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