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Article: The impact of chronic diseases on the health-related quality of life (HRQOL) of Chinese patients in primary care

TitleThe impact of chronic diseases on the health-related quality of life (HRQOL) of Chinese patients in primary care
Authors
KeywordsChinese
Chronic diseases
COOP/WONCA charts
Primary care
Quality of life
Issue Date2000
PublisherOxford University Press. The Journal's web site is located at http://fampra.oxfordjournals.org/
Citation
Family Practice, 2000, v. 17 n. 2, p. 159-166 How to Cite?
AbstractBackground. Ageing of the population results in an increasing number of people living with chronic diseases that can adversely affect their quality of life. Information on the impact of chronic diseases on quality of life can make health services more patient-centred. Objectives. The aim of this study was to determine the impact of eight chronic diseases on the health-related quality of life (HRQOL) of Chinese patients. Methods. A cross-sectional case-control study was carried out on 760 adult Chinese patients of a family medicine clinic in Hong Kong. Each subject answered the COOP/WONCA charts and a standard questionnaire on demographic and morbidity data. The likelihood of sub-optimal COOP/WONCA scores of each disease group was compared with that of patients without any of the surveyed diseases. The independent effects of each disease on the COOP/WONCA scores were analysed by multivariate logistic regression, controlling for demographic variables and comorbidity. Results. Depression increased the risks for sub-optimal scores in all but one COOP/WONCA chart with odds ratios (OR) ranging from 2.1818 to 3.8645. Hypertension increased the risk of a sub-optimal physical fitness score (OR 1.7263). Increased risk of limitations in daily activities was associated with stroke (OR = 1.8771), osteoarthritis of the knee (OR = 1.5867), diseases of joints other than the knees (OR 2.0187) and asthma/COPD (OR 2.1679). Osteoarthritis of the knees also increased the risk of sub-optimal overall health (OR = 1.7927). Conclusions. Depression was the most disabling disease, and osteoarthritis of the knee had more impact on the HRQOL than many other chronic diseases. The lack of adverse effects of diabetes mellitus and heart disease on the HRQOL of Chinese patients deserves further studies.
Persistent Identifierhttp://hdl.handle.net/10722/48623
ISSN
2015 Impact Factor: 2.022
2015 SCImago Journal Rankings: 1.048
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, CLKen_HK
dc.contributor.authorLauder, IJen_HK
dc.date.accessioned2008-05-22T04:19:20Z-
dc.date.available2008-05-22T04:19:20Z-
dc.date.issued2000en_HK
dc.identifier.citationFamily Practice, 2000, v. 17 n. 2, p. 159-166en_HK
dc.identifier.issn0263-2136en_HK
dc.identifier.urihttp://hdl.handle.net/10722/48623-
dc.description.abstractBackground. Ageing of the population results in an increasing number of people living with chronic diseases that can adversely affect their quality of life. Information on the impact of chronic diseases on quality of life can make health services more patient-centred. Objectives. The aim of this study was to determine the impact of eight chronic diseases on the health-related quality of life (HRQOL) of Chinese patients. Methods. A cross-sectional case-control study was carried out on 760 adult Chinese patients of a family medicine clinic in Hong Kong. Each subject answered the COOP/WONCA charts and a standard questionnaire on demographic and morbidity data. The likelihood of sub-optimal COOP/WONCA scores of each disease group was compared with that of patients without any of the surveyed diseases. The independent effects of each disease on the COOP/WONCA scores were analysed by multivariate logistic regression, controlling for demographic variables and comorbidity. Results. Depression increased the risks for sub-optimal scores in all but one COOP/WONCA chart with odds ratios (OR) ranging from 2.1818 to 3.8645. Hypertension increased the risk of a sub-optimal physical fitness score (OR 1.7263). Increased risk of limitations in daily activities was associated with stroke (OR = 1.8771), osteoarthritis of the knee (OR = 1.5867), diseases of joints other than the knees (OR 2.0187) and asthma/COPD (OR 2.1679). Osteoarthritis of the knees also increased the risk of sub-optimal overall health (OR = 1.7927). Conclusions. Depression was the most disabling disease, and osteoarthritis of the knee had more impact on the HRQOL than many other chronic diseases. The lack of adverse effects of diabetes mellitus and heart disease on the HRQOL of Chinese patients deserves further studies.en_HK
dc.format.extent77811 bytes-
dc.format.extent241905 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypeapplication/pdf-
dc.languageengen_HK
dc.publisherOxford University Press. The Journal's web site is located at http://fampra.oxfordjournals.org/en_HK
dc.relation.ispartofFamily Practiceen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectChineseen_HK
dc.subjectChronic diseasesen_HK
dc.subjectCOOP/WONCA chartsen_HK
dc.subjectPrimary careen_HK
dc.subjectQuality of lifeen_HK
dc.titleThe impact of chronic diseases on the health-related quality of life (HRQOL) of Chinese patients in primary careen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0263-2136&volume=17&issue=2&spage=159&epage=166&date=2000&atitle=The+impact+of+chronic+diseases+on+the+health-related+quality+of+life+(HRQOL)+of+Chinese+patients+in+primary+careen_HK
dc.identifier.emailLam, CLK:clklam@hku.hken_HK
dc.identifier.authorityLam, CLK=rp00350en_HK
dc.description.naturelink_to_OA_fulltexten_HK
dc.identifier.pmid10758080-
dc.identifier.scopuseid_2-s2.0-0034036114en_HK
dc.identifier.hkuros49846-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034036114&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume17en_HK
dc.identifier.issue2en_HK
dc.identifier.spage159en_HK
dc.identifier.epage166en_HK
dc.identifier.isiWOS:000086534600012-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLam, CLK=24755913900en_HK
dc.identifier.scopusauthoridLauder, IJ=35564928000en_HK

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