Global systematic review and meta-analysis of health-related quality of life in Behcet's patients.

Behcet’s disease HRQOL Health-related quality of life Old Silk Route disease

Journal

Caspian journal of internal medicine
ISSN: 2008-6164
Titre abrégé: Caspian J Intern Med
Pays: Iran
ID NLM: 101523876

Informations de publication

Date de publication:
2022
Historique:
received: 12 06 2021
revised: 22 11 2021
accepted: 08 12 2021
entrez: 17 8 2022
pubmed: 18 8 2022
medline: 18 8 2022
Statut: ppublish

Résumé

Behcet's disease (BD) is a chronic fatal illness with a relapsing remitting nature and significant organ-threatening morbidity and mortality. The aim of this research was to examine studies which were conducted on investigation of prevalence of quality of life among patients with Behcet's disease. A total of 13 articles were extracted from four main databases including PubMed, EMBASE, Scopus, and Web of Science from the onset of 2000 to January 2021. All studies published in English with the purpose of examining quality of life (QOL) among patients with BD or investigating its main determinants were included. Totally, 1137 BD patients participated in 13 studies. Based on random effect analysis, the total score of physical health-related QOL was 46.7 (95% CI=41.26 to 52.13) and the total score of mental health-related QOL was 49.01 (95% CI=43.83 to 54.18) representing a moderate level of QOL among BD patients. Furthermore, weighted effect size analyses showed a significant correlation between QOL and variables such as patients' age, gender, disease duration and depression (pvalue: 0.00). As the symptoms of BD worsen over time, patients confront with more severe body pain, mobility restrictions, and difficulties in chewing, eating, speaking and swallowing which negatively affect social interactions of patients and reduce their QOL. Furthermore, depression was proved to act as a deteriorating factor for Health-Related Quality of Life (HRQOL) among BD patients. Thus, patients need to be psychologically supported by a specialized team and be informed during the course of treatment to gain useful information about the disease, treatment approaches and coping strategies.

Sections du résumé

Background UNASSIGNED
Behcet's disease (BD) is a chronic fatal illness with a relapsing remitting nature and significant organ-threatening morbidity and mortality. The aim of this research was to examine studies which were conducted on investigation of prevalence of quality of life among patients with Behcet's disease.
Methods UNASSIGNED
A total of 13 articles were extracted from four main databases including PubMed, EMBASE, Scopus, and Web of Science from the onset of 2000 to January 2021. All studies published in English with the purpose of examining quality of life (QOL) among patients with BD or investigating its main determinants were included.
Results UNASSIGNED
Totally, 1137 BD patients participated in 13 studies. Based on random effect analysis, the total score of physical health-related QOL was 46.7 (95% CI=41.26 to 52.13) and the total score of mental health-related QOL was 49.01 (95% CI=43.83 to 54.18) representing a moderate level of QOL among BD patients. Furthermore, weighted effect size analyses showed a significant correlation between QOL and variables such as patients' age, gender, disease duration and depression (pvalue: 0.00).
Conclusion UNASSIGNED
As the symptoms of BD worsen over time, patients confront with more severe body pain, mobility restrictions, and difficulties in chewing, eating, speaking and swallowing which negatively affect social interactions of patients and reduce their QOL. Furthermore, depression was proved to act as a deteriorating factor for Health-Related Quality of Life (HRQOL) among BD patients. Thus, patients need to be psychologically supported by a specialized team and be informed during the course of treatment to gain useful information about the disease, treatment approaches and coping strategies.

Identifiants

pubmed: 35974926
doi: 10.22088/cjim.13.3.447
pmc: PMC9348218
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

447-457

Déclaration de conflit d'intérêts

The authors declare that they have no competing interests

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Auteurs

Maryam Masoumi (M)

Clinical Research and Development Center, Qom University of Medical Sciences, Qom, Iran.

Alireza Sharifi (A)

Clinical Research and Development Center, Qom University of Medical Sciences, Qom, Iran.

Sepideh Rezaei (S)

School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Sima Rafiei (S)

Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.

Hossein Hosseinifard (H)

Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Saghar Khani (S)

School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Maryam Doustmehraban (M)

Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.

Mona Rajabi (M)

Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.

Zahra Beiramy Chomalou (Z)

Student Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

Parisa Soori (P)

Student Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

Akbar Javan Biparva (A)

Student Research Committee, School of Health Management and Medical Informatics, Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran.

Afsaneh Dehnad (A)

School of Health Management and Information Sciences, Center for Educational Research in Medical Sciences (CERMS), Iran University of Medical Sciences, Tehran, Iran.

Fatemeh Pashazadeh Kan (F)

Student Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

Ahmad Ghashghaee (A)

Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.

Classifications MeSH