terça-feira, 29 de julho de 2008

Qualidade de vida no portador de doença coronariana

Patient-Reported Health Status in Coronary Heart Disease in the United States
Age, Sex, Racial, and Ethnic Differences
Circulation. 2008;118:491-497
Jipan Xie, MD, PhD; Eric Q. Wu, PhD; Zhi-Jie Zheng, MD, PhD; Patrick W. Sullivan, PhD; Lin Zhan, MS; Darwin R. Labarthe, MD, MPH, PhD
E-mail jipan.xie@gmail.com
Background— Coronary heart disease (CHD) affects 15.8 million Americans. However, data on the national impact of CHD on health-related quality of life, particularly among people of different age, sex, racial, and ethnic groups, are limited.
Methods and Results— Using data from the 2000 and 2002 Medical Expenditure Panel Survey, we examined various measures of patient-reported health status, including health-related quality of life, in the CHD and non-CHD populations and differences in the measures among demographic subgroups. These measures included short-form generic measures (Short Form 12; Mental Component Summary-12 and Physical Component Summary-12) and EuroQol Group measures (EQ-5D index and EQ visual analog scale). Ordinary least-squares regressions were used to adjust for sociodemographic characteristics, risk factors, comorbidities, and proxy report. The adjusted difference between the CHD and non-CHD populations was –1.2 for Mental Component Summary-12 (2.4% of the score in the non-CHD population), –4.6 for Physical Component Summary-12 (9.2%), –0.04 for EQ-5D (4.6%), and –7.3 for EQ visual analog scale (9.0%) (all P<0.05).>

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