Validation of the AF-QoL, a disease-specific quality of life questionnaire for patients with atrial fibrillation

被引:62
作者
Arribas, Fernando [2 ]
Miguel Ormaetxe, Jose [3 ]
Peinado, Rafael [4 ]
Perulero, Nuria [1 ]
Ramirez, Patricia [5 ]
Badia, Xavier [1 ]
机构
[1] IMS Hlth, Hlth Econ & Outcomes Res, Barcelona 08034, Spain
[2] Hosp Univ Doce Octubre, Serv Cardiol, Unidad Arritmias, Madrid, Spain
[3] Hosp Basurto, Serv Cardiol, Unidad Arritmias, Bilbao, Spain
[4] Hosp Univ La Paz, Serv Cardiol, Unidad Arritmias, Madrid, Spain
[5] MEDA Pharma, Madrid, Spain
来源
EUROPACE | 2010年 / 12卷 / 03期
关键词
Atrial fibrillation; Health-related quality of life; Questionnaires; Validation; SINUS RHYTHM; TRIAL; ABLATION; IMPAIRMENT; MANAGEMENT; SYMPTOMS;
D O I
10.1093/europace/eup421
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims To assess the performance of AF-QoL, a quality of life questionnaire for patients with atrial fibrillation (AF). Methods and results Observational, prospective, multicentre study in 29 Spanish centres. Three patients' groups were identified at baseline visit: AF patients receiving a new therapeutic intervention according to physician criteria ( intervention group); AF clinically stable patients according to physician evaluation (clinically stable group); and patients in a stable condition for more than 1 year after a myocardial infarction (control group). All patients were >= 18 years. Follow-up visit was at 1 month (clinically stable group) and 3 +/- 1 months ( intervention group). Sociodemographic and clinical information was gathered. AF-QoL, SF-36, and patient self-perception of general health status were administered. A total of 417 patients was included. Mean (SD) age was 61.2 (12.4), 31.4% women. AF-QoL mean overall score in AF patients (43.6) was lower ( worse health-related quality of life, HRQoL) than in the control group (51.7) ( P < 0.05). At baseline, patients with higher frequency of symptoms (P, 0.05) and worse NYHA functional class (P < 0.01) reported lower AF-QoL scores. AF- QoL and SF-36 correlated in all of their domains (r = 0.14-0.8, P < 0.01). AF- QoL showed good internal consistency (0.92) and test-retest reliability (0.86). Conclusion AF-QoL is a valid and reliable HRQoL measure. Further investigation is recommended before using it in clinical practice.
引用
收藏
页码:364 / 370
页数:7
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