We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Quality of life of patients with recurrent respiratory papillomatosis.
- Authors
San Giorgi, Michel R. M.; Aaltonen, Leena‐Maija; Rihkanen, Heikki; Tjon Pian Gi, Robin E. A.; Laan, Bernard F. A. M.; Hoekstra‐Weebers, Josette E. H. M.; Dikkers, Frederik G.
- Abstract
<bold>Objectives/hypothesis: </bold>Recurrent respiratory papillomatosis (RRP) is a disease with a high disease burden. Few studies have assessed quality of life (QoL) of RRP patients. This study compares QoL of these patients with controls. Associations between QoL and sociodemographic and illness-related factors are examined, as is uptake of psychosocial care and speech therapy.<bold>Study Design: </bold>Prospective cross-sectional questionnaire research.<bold>Methods: </bold>Ninety-one RRP patients (response = 67%) from two university hospitals in the Netherlands and Finland completed the following patient reported outcome measures: (HADS), 15-dimensional health-related quality-of-life scale (15D), Voice Handicap Index (VHI) and the RAND 36-item health-related quality-of-life survey instrument (RAND-36) assessing health-related QoL and voice handicap, and they provided sociodemographic, illness-related, and allied healthcare use. Descriptive analyses, χ2 tests, t tests, analysis of variance tests, and Pearson correlations were computed to describe the study population and to examine differences between groups.<bold>Results: </bold>RRP patients had significantly higher mean scores on depression, health-related QoL (15D) and on voice problems (VHI), and significantly lower mean scores on anxiety than controls. Dutch patients had more pain and a decreased general health perception (RAND-36) than controls. Dutch patients and older patients were more depressed, women were more anxious, older patients had lower health-related QoL, and smoking was significantly associated with voice handicap. Patients who had received psychosocial care had significantly higher HADS-depression mean scores than patients who did not receive psychosocial care.<bold>Conclusions: </bold>Having RRP has significant effect on voice-related QoL and depression, but has no negative effect on anxiety and health-related QoL. Risk factors for decreased functioning are different than previously hypothesized by many authors. Prevention should be aimed at these risk factors.<bold>Level Of Evidence: </bold>4. Laryngoscope, 127:1826-1831, 2017.
- Subjects
QUALITY of life; SOCIODEMOGRAPHIC factors; CROSS-sectional method; HEALTH outcome assessment; ANXIETY; PAPILLOMAVIRUS disease diagnosis; RESPIRATORY infection treatment; COMPARATIVE studies; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; PAPILLOMAVIRUS diseases; RESEARCH; RESPIRATORY infections; SELF-evaluation; EVALUATION research; DISEASE complications; DIAGNOSIS; THERAPEUTICS
- Publication
Laryngoscope, 2017, Vol 127, Issue 8, p1826
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.26413