Relationship between Multimorbidity and Health-Related Quality of Life of Patients in Primary Care
Previous studies about the association of multimorbidity and the health-related quality of life (HRQOL) in primary-care patients are limited because of their reliance on simple counts of diseases from a limited list of diseases and their failure to assess the severity of disease. We evaluated the as...
Gespeichert in:
| Veröffentlicht in: | Quality of life research 2006-02, Vol.15 (1), p.83-91 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 91 |
|---|---|
| container_issue | 1 |
| container_start_page | 83 |
| container_title | Quality of life research |
| container_volume | 15 |
| creator | Fortin, Martin Bravo, Gina Hudon, Catherine Lapointe, Lise Almirall, José Dubois, Marie-France Vanasse, Alain |
| description | Previous studies about the association of multimorbidity and the health-related quality of life (HRQOL) in primary-care patients are limited because of their reliance on simple counts of diseases from a limited list of diseases and their failure to assess the severity of disease. We evaluated the association while taking into account the severity of the medical conditions based on the Cumulative Illness Rating Scale (CIRS) score, and controlling for potential confounders (age, sex, household income, education, self-perception of economic status, number of people living in the same dwelling, and perceived social support). We randomly selected 238 patients to construct quintiles of increasing multimorbidity (CIRS). Patients completed the 36-item Medical Outcomes study questionnaire (SF-36) to evaluate their HRQOL. Applying bivariate and multivariate linear regression analyses, we used the CIRS as either a continuous or a categorical (quintiles) variable. Use of the CIRS revealed a stronger association of HRQOL with multimorbidity than using a simple count of chronic conditions. Physical more than mental health deteriorated with increasing multimorbidity. Perceived social support and self-perception of economic status were significantly related to all scales of the SF-36 (p < 0.05). Increased multimorbidity adversely affected HRQOL in primary-care adult patients, even when confounding variables were controlled for. |
| doi_str_mv | 10.1007/s11136-005-8661-z |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_70670439</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>27641066</jstor_id><sourcerecordid>27641066</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-e187a26bf7d502494299488a67d1c1732a6fc267ad05b0d22dda3d6c352f91213</originalsourceid><addsrcrecordid>eNpdkMFu1DAQhi1ERbeFB-AAsoTUm8uMndjxEa1oi7SIguBsObGjepVNFtsRap8eh6xAQnOYw3zzj_0R8hrhGgHU-4SIQjKAmjVSInt6RjZYK8G4rPRzsgEtOdOiEufkIqU9ADQa-AtyjrJCBCE2pP3mB5vDNKaHcKStz7-8H-nnecjhMMU2uJAfqR0dvfN2yA_sD-4d_TrbYRlNPd2F3i_9vuT4MScaRnofw8HGR7q10b8kZ70dkn916pfkx83H79s7tvty-2n7Yce6CuvMPDbKctn2ytXAK11xraumsVI57FAJbmXfcamsg7oFx7lzVjjZiZr3GjmKS3K15h7j9HP2KZtDSJ0fBjv6aU5GgVRQCV3Ad_-B-2mOY3mbQVFKSqGWOFypLk4pRd-b4_opg2AW_WbVb4p-s-g3T2Xn7Sl5bg_e_ds4-S7AmxXYpzzFv3OuCgDl7m9VCIkr</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1313166371</pqid></control><display><type>article</type><title>Relationship between Multimorbidity and Health-Related Quality of Life of Patients in Primary Care</title><source>MEDLINE</source><source>JSTOR Archive Collection A-Z Listing</source><source>SpringerLink Journals - AutoHoldings</source><creator>Fortin, Martin ; Bravo, Gina ; Hudon, Catherine ; Lapointe, Lise ; Almirall, José ; Dubois, Marie-France ; Vanasse, Alain</creator><creatorcontrib>Fortin, Martin ; Bravo, Gina ; Hudon, Catherine ; Lapointe, Lise ; Almirall, José ; Dubois, Marie-France ; Vanasse, Alain</creatorcontrib><description>Previous studies about the association of multimorbidity and the health-related quality of life (HRQOL) in primary-care patients are limited because of their reliance on simple counts of diseases from a limited list of diseases and their failure to assess the severity of disease. We evaluated the association while taking into account the severity of the medical conditions based on the Cumulative Illness Rating Scale (CIRS) score, and controlling for potential confounders (age, sex, household income, education, self-perception of economic status, number of people living in the same dwelling, and perceived social support). We randomly selected 238 patients to construct quintiles of increasing multimorbidity (CIRS). Patients completed the 36-item Medical Outcomes study questionnaire (SF-36) to evaluate their HRQOL. Applying bivariate and multivariate linear regression analyses, we used the CIRS as either a continuous or a categorical (quintiles) variable. Use of the CIRS revealed a stronger association of HRQOL with multimorbidity than using a simple count of chronic conditions. Physical more than mental health deteriorated with increasing multimorbidity. Perceived social support and self-perception of economic status were significantly related to all scales of the SF-36 (p < 0.05). Increased multimorbidity adversely affected HRQOL in primary-care adult patients, even when confounding variables were controlled for.</description><identifier>ISSN: 0962-9343</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-005-8661-z</identifier><identifier>PMID: 16411033</identifier><language>eng</language><publisher>Netherlands: Springer</publisher><subject>Adult ; Aged ; Chronic Disease ; Chronic diseases ; Comorbidity ; Diseases ; Family Practice ; Female ; Humans ; Male ; Medical conditions ; Mental Health ; Middle Aged ; Multivariate Analysis ; Outcome Assessment (Health Care) ; Perceptions ; Primary health care ; Primary Health Care - utilization ; Psychometrics ; Quality of life ; Quality of Life - psychology ; Quebec ; Questionnaires ; Rating scales ; Self image ; Self perception ; Sickness Impact Profile ; Social support ; Socioeconomic Factors ; Studies ; Surveys and Questionnaires</subject><ispartof>Quality of life research, 2006-02, Vol.15 (1), p.83-91</ispartof><rights>Copyright 2006 Springer</rights><rights>Springer 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-e187a26bf7d502494299488a67d1c1732a6fc267ad05b0d22dda3d6c352f91213</citedby><cites>FETCH-LOGICAL-c415t-e187a26bf7d502494299488a67d1c1732a6fc267ad05b0d22dda3d6c352f91213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/27641066$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/27641066$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16411033$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fortin, Martin</creatorcontrib><creatorcontrib>Bravo, Gina</creatorcontrib><creatorcontrib>Hudon, Catherine</creatorcontrib><creatorcontrib>Lapointe, Lise</creatorcontrib><creatorcontrib>Almirall, José</creatorcontrib><creatorcontrib>Dubois, Marie-France</creatorcontrib><creatorcontrib>Vanasse, Alain</creatorcontrib><title>Relationship between Multimorbidity and Health-Related Quality of Life of Patients in Primary Care</title><title>Quality of life research</title><addtitle>Qual Life Res</addtitle><description>Previous studies about the association of multimorbidity and the health-related quality of life (HRQOL) in primary-care patients are limited because of their reliance on simple counts of diseases from a limited list of diseases and their failure to assess the severity of disease. We evaluated the association while taking into account the severity of the medical conditions based on the Cumulative Illness Rating Scale (CIRS) score, and controlling for potential confounders (age, sex, household income, education, self-perception of economic status, number of people living in the same dwelling, and perceived social support). We randomly selected 238 patients to construct quintiles of increasing multimorbidity (CIRS). Patients completed the 36-item Medical Outcomes study questionnaire (SF-36) to evaluate their HRQOL. Applying bivariate and multivariate linear regression analyses, we used the CIRS as either a continuous or a categorical (quintiles) variable. Use of the CIRS revealed a stronger association of HRQOL with multimorbidity than using a simple count of chronic conditions. Physical more than mental health deteriorated with increasing multimorbidity. Perceived social support and self-perception of economic status were significantly related to all scales of the SF-36 (p < 0.05). Increased multimorbidity adversely affected HRQOL in primary-care adult patients, even when confounding variables were controlled for.</description><subject>Adult</subject><subject>Aged</subject><subject>Chronic Disease</subject><subject>Chronic diseases</subject><subject>Comorbidity</subject><subject>Diseases</subject><subject>Family Practice</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical conditions</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Outcome Assessment (Health Care)</subject><subject>Perceptions</subject><subject>Primary health care</subject><subject>Primary Health Care - utilization</subject><subject>Psychometrics</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Quebec</subject><subject>Questionnaires</subject><subject>Rating scales</subject><subject>Self image</subject><subject>Self perception</subject><subject>Sickness Impact Profile</subject><subject>Social support</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><issn>0962-9343</issn><issn>1573-2649</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkMFu1DAQhi1ERbeFB-AAsoTUm8uMndjxEa1oi7SIguBsObGjepVNFtsRap8eh6xAQnOYw3zzj_0R8hrhGgHU-4SIQjKAmjVSInt6RjZYK8G4rPRzsgEtOdOiEufkIqU9ADQa-AtyjrJCBCE2pP3mB5vDNKaHcKStz7-8H-nnecjhMMU2uJAfqR0dvfN2yA_sD-4d_TrbYRlNPd2F3i_9vuT4MScaRnofw8HGR7q10b8kZ70dkn916pfkx83H79s7tvty-2n7Yce6CuvMPDbKctn2ytXAK11xraumsVI57FAJbmXfcamsg7oFx7lzVjjZiZr3GjmKS3K15h7j9HP2KZtDSJ0fBjv6aU5GgVRQCV3Ad_-B-2mOY3mbQVFKSqGWOFypLk4pRd-b4_opg2AW_WbVb4p-s-g3T2Xn7Sl5bg_e_ds4-S7AmxXYpzzFv3OuCgDl7m9VCIkr</recordid><startdate>20060201</startdate><enddate>20060201</enddate><creator>Fortin, Martin</creator><creator>Bravo, Gina</creator><creator>Hudon, Catherine</creator><creator>Lapointe, Lise</creator><creator>Almirall, José</creator><creator>Dubois, Marie-France</creator><creator>Vanasse, Alain</creator><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20060201</creationdate><title>Relationship between Multimorbidity and Health-Related Quality of Life of Patients in Primary Care</title><author>Fortin, Martin ; Bravo, Gina ; Hudon, Catherine ; Lapointe, Lise ; Almirall, José ; Dubois, Marie-France ; Vanasse, Alain</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-e187a26bf7d502494299488a67d1c1732a6fc267ad05b0d22dda3d6c352f91213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Chronic Disease</topic><topic>Chronic diseases</topic><topic>Comorbidity</topic><topic>Diseases</topic><topic>Family Practice</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical conditions</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Outcome Assessment (Health Care)</topic><topic>Perceptions</topic><topic>Primary health care</topic><topic>Primary Health Care - utilization</topic><topic>Psychometrics</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Quebec</topic><topic>Questionnaires</topic><topic>Rating scales</topic><topic>Self image</topic><topic>Self perception</topic><topic>Sickness Impact Profile</topic><topic>Social support</topic><topic>Socioeconomic Factors</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fortin, Martin</creatorcontrib><creatorcontrib>Bravo, Gina</creatorcontrib><creatorcontrib>Hudon, Catherine</creatorcontrib><creatorcontrib>Lapointe, Lise</creatorcontrib><creatorcontrib>Almirall, José</creatorcontrib><creatorcontrib>Dubois, Marie-France</creatorcontrib><creatorcontrib>Vanasse, Alain</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Access via ABI/INFORM (ProQuest)</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Quality of life research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fortin, Martin</au><au>Bravo, Gina</au><au>Hudon, Catherine</au><au>Lapointe, Lise</au><au>Almirall, José</au><au>Dubois, Marie-France</au><au>Vanasse, Alain</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between Multimorbidity and Health-Related Quality of Life of Patients in Primary Care</atitle><jtitle>Quality of life research</jtitle><addtitle>Qual Life Res</addtitle><date>2006-02-01</date><risdate>2006</risdate><volume>15</volume><issue>1</issue><spage>83</spage><epage>91</epage><pages>83-91</pages><issn>0962-9343</issn><eissn>1573-2649</eissn><abstract>Previous studies about the association of multimorbidity and the health-related quality of life (HRQOL) in primary-care patients are limited because of their reliance on simple counts of diseases from a limited list of diseases and their failure to assess the severity of disease. We evaluated the association while taking into account the severity of the medical conditions based on the Cumulative Illness Rating Scale (CIRS) score, and controlling for potential confounders (age, sex, household income, education, self-perception of economic status, number of people living in the same dwelling, and perceived social support). We randomly selected 238 patients to construct quintiles of increasing multimorbidity (CIRS). Patients completed the 36-item Medical Outcomes study questionnaire (SF-36) to evaluate their HRQOL. Applying bivariate and multivariate linear regression analyses, we used the CIRS as either a continuous or a categorical (quintiles) variable. Use of the CIRS revealed a stronger association of HRQOL with multimorbidity than using a simple count of chronic conditions. Physical more than mental health deteriorated with increasing multimorbidity. Perceived social support and self-perception of economic status were significantly related to all scales of the SF-36 (p < 0.05). Increased multimorbidity adversely affected HRQOL in primary-care adult patients, even when confounding variables were controlled for.</abstract><cop>Netherlands</cop><pub>Springer</pub><pmid>16411033</pmid><doi>10.1007/s11136-005-8661-z</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0962-9343 |
| ispartof | Quality of life research, 2006-02, Vol.15 (1), p.83-91 |
| issn | 0962-9343 1573-2649 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70670439 |
| source | MEDLINE; JSTOR Archive Collection A-Z Listing; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Chronic Disease Chronic diseases Comorbidity Diseases Family Practice Female Humans Male Medical conditions Mental Health Middle Aged Multivariate Analysis Outcome Assessment (Health Care) Perceptions Primary health care Primary Health Care - utilization Psychometrics Quality of life Quality of Life - psychology Quebec Questionnaires Rating scales Self image Self perception Sickness Impact Profile Social support Socioeconomic Factors Studies Surveys and Questionnaires |
| title | Relationship between Multimorbidity and Health-Related Quality of Life of Patients in Primary Care |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T04%3A12%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Relationship%20between%20Multimorbidity%20and%20Health-Related%20Quality%20of%20Life%20of%20Patients%20in%20Primary%20Care&rft.jtitle=Quality%20of%20life%20research&rft.au=Fortin,%20Martin&rft.date=2006-02-01&rft.volume=15&rft.issue=1&rft.spage=83&rft.epage=91&rft.pages=83-91&rft.issn=0962-9343&rft.eissn=1573-2649&rft_id=info:doi/10.1007/s11136-005-8661-z&rft_dat=%3Cjstor_proqu%3E27641066%3C/jstor_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1313166371&rft_id=info:pmid/16411033&rft_jstor_id=27641066&rfr_iscdi=true |