Quality of life in cystic fibrosis patients

Authors

  • Marta Cristina Duarte Departamento Materno Infantil, Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora
  • José Antonio Chehuen Neto Departamento de Cirurgia, Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora https://orcid.org/0000-0001-9640-0444
  • Maura Furtado Barbosa Felipe Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora
  • Carolina Martins Moreira Elias Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora
  • Alice Maria Campos Dias Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora
  • Pedro de Freitas Batista Mendes Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora
  • Renato Erothildes Ferreira Programa de Pós-Graduação em Saúde, Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora

DOI:

https://doi.org/10.34019/1982-8047.2021.v47.35344

Keywords:

Cystic Fibrosis, Quality of Life, Psychosocial Impact

Abstract

Introduction: Cystic Fibrosis (CF) is a rare, hereditary, multisystemic, and potentially lethal disease.Currently,with the advancement of medicine and the emergence of new therapies, CF patients are allowed to reach 40 years of age in developed countries.Objective: To assess the quality of life (QoL) ofpatients with CF to optimize their multidisciplinary care, based on criteria that impact their well-being. Material and Methods: Cross-sectional, prospective, quantitative, and exploratory study. Forty-seven interviews were collected from patients and their parents or legal guardians at a university referral center for CF in Minas Gerais, Brazil. The evaluation method was the Cystic Fibrosis Questionnaire (CFQ), associated with the analysis of the Shwachman-KulczyckiScore (SKS). Results: Our data showed that most of the CFQ domains were satisfactory (mean>50) and the SKS had good/excellent values ​​(score>71 points) in all groups. The group of patients older than 14 years had a worse QoL.Moreover, there was a divergence between the response of the 6 to 11 and 12 to 13-year group in comparison with the response of their legal guardians (p < 0.05). Conclusion: We found satisfactory means in all groups for the weight, digestive, and respiratory domains. However, the social role, vitality, emotional, and social domains had lower and decreasing means according to advancing age, then it would beparamount a multidisciplinary approach focused on these domains that most impact theirQoL. A limitation of research on rare diseases is the small sample, therefore not being possible to generalize the results. However, the analysis is still significant and relevant, demonstrating areas of impact that need to be improved.

Downloads

Download data is not yet available.

Author Biography

José Antonio Chehuen Neto, Departamento de Cirurgia, Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora

Graduado em Medicina pela Universidade Federal de Juiz de Fora (1982),possui Mestrado em Técnica Operatória e Cirurgia Experimental pela Universidade Federal de São Paulo (Unifesp -1990) e Doutorado em Técnica Operatória e Cirurgia Experimental pela Universidade Federal de São Paulo (Unifesp -1994). Atualmente é Professor Associado 2 da Universidade Federal de Juiz de Fora em Técnica Cirúrgica e Metodologia Científica, médico da Prefeitura Municipal de Juiz de Fora, médico staff em Cirurgia de Cabeça e Pescoço do Hospital Albert Sabin e do Hospital Monte Sinai. Pós-graduado Sensu Lato em Cirurgia Geral (Hospital Miguel Couto RJ ) e Cirurgia de Cabeça e Pescoço ( Hospital Heliópolis -SP). Como docente e profissional, atua principalmente nos seguintes temas: educação médica, cirurgia, gestão, estratégia educacionaAtua l e metodologia científica.

References

Cohen M, Ribeiro M, Ribeiro A, Ribeiro J, Morcillo A. Avaliação da qualidade de vida de pacientes com fibrose cística por meio do CysticFibrosisQuestionnaire. Jornal Brasileiro de Pneumologia. 2011;37(2):184-92.

Ribeiro J, Ribeiro M, Ribeiro A. Controvérsias na fibrose cística: do pediatra ao especialista. Jornal de Pediatria. 2002;78.

Santana N, Chaves C, Gonçalves C, Gomes Junior S. Factors associated to quality of life in children and adolescents with cystic fibrosis. Revista Paulista de Pediatria. 2020;38.

Moraes-Filho J. Tratado das enfermidades gastrintestinais e pancreáticas. São Paulo: Roca; 2008.

Cutting G. Cystic fibrosis genetics: from molecular understanding to clinical application. Nature Reviews Genetics. 2014;16(1):45-56.

Lopes-Pacheco M. CFTR Modulators: The changing face of cystic fibrosis in the era of precision medicine. Frontiers in Pharmacology. 2020;10.

National Guideline Alliance (UK). Cystic Fibrosis: diagnosis and management. [cited year mounth day]. London: National Institute for Health and Care Excellence; 2017. Available from: https://www.ncbi.nlm.nih.gov/books/NBK464183/

Athanazio R, Silva Filho L, Vergara A, Ribeiro A, Riedi C, Procianoy E et al. Brazilian guidelines for the diagnosis and treatment of cystic fibrosis. Jornal Brasileiro de Pneumologia. 2017; 43(3):219-45.

Doull, I. CysticFibrosis 2019:year in review. Jornal Pre-proofs. Mini-symposium: Royal Society of Medicine Cystic Fibrosis Symposium 2019. 2020.

Amaral M, Rego S. Doenças raras na agenda da inovação em saúde: avanços e desafios na fibrose cística. Cadernos de Saúde Pública. 2020;36(12).

Cronly J, Duff A, Riekert K, Fitzgerald A, Perry I, Lehane E et al. health-related quality of life in adolescents and adults with Cystic Fibrosis: Physical and Mental Health Predictors. Respiratory Care. 2018;64(4):406-15.

Flume P, Suthoff E, Kosinski M, Marigowda G, Quittner A. Measuring recovery in health-related quality of life during and after pulmonary exacerbations in patients with cystic fibrosis. JournalofCysticFibrosis. 2019;18(5):737-42.

Rozov T, Cunha MT, Nascimento O, Quittner AL, Jardim JR. Linguistic validation of cystic fibrosis quality of life questionnaires. J Pediatr. 2006;82(2):151-6.

Quittner A L, Modi A C, Watrous M, Davis M A.Cystic fibrosis questionnaire revised (CFQ-R): user’s manual. Washington:DCCystic Fibrosis Foundation; 2003.

Sawicki G, Sellers D, Robinson W. Associations between illness perceptions and health-related quality of life in adults with cystic fibrosis. Journal of Psychosomatic Research. 2011;70(2):161-7.

Ribeiro MoçoV, Lopes A, Santos Vigário P, Almeida V, Menezes S, Guimarães F. Pulmonary function, functional capacity and quality of life in adults with cystic fibrosis. Revista Portuguesa de Pneumologia. 2015;21(4):198-202.

Van Horck M, Winkens B, Wesseling G, Winter-de Groot K, Vreede I, Jöbsis Q et al. Factors associated with changes in health-related quality of life in children with cystic fibrosis during 1-year follow-up. European Journal of Pediatrics. 2017;176(8):1047-54.

Abbott J, Hart A, Havermans T, Matossian A, Goldbeck L, Barreto C et al. Measuring health-related quality of life in clinical trials in cystic fibrosis. Journal of Cystic Fibrosis. 2011;10:S82-S85.

Ewence A, Jones A. Cystic fibrosis. Medicine. 2020;48(5):344-8.

Gjengedal E, Rustøen T, Wahl A, Hanestad B. Growing up and living with Cystic Fibrosis. Advances in Nursing Science. 2003;26(2):149-59.

Cronly J, Duff A, Riekert K, Horgan A, Lehane E, Perry I et al. Positive mental health and wellbeing in adults with cystic fibrosis: a cross sectional study. Journal of Psychosomatic Research. 2019;116:125-30.

Pizzignacco P, Maués T, Lima G, Aparecida R. O processo de socialização de crianças e adolescentes com fibrose cística: subsídios para o cuidado de enfermagem. Revista Latino-Americana de Enfermagem. 2006;14(4).

Oliveira C, Sole A, Girón R, Quintana-Gallego E, Mondejar P, Baranda F et al. Depression and anxiety symptoms in Spanish adult patients with cystic fibrosis: associations with health-related quality of life. General Hospital Psychiatry. 2016;40:39-46.

Borawska-Kowalczyk U, Sands D. Determinants of health-related quality of life in polish patients with CF:adolescents' and parents' perspectives. DevPeriod Med. 2015;19(1):127-36.

Furtado M, Lima R. O cotidiano da família com filhos portadores de fibrose cística: subsídios para a enfermagem pediátrica. Revista Latino-Americana de Enfermagem. 2003;11(1):66-73.

Tluczek A, Becker T, Grieve A, Laxova A, Rock M, Gershan W et al. Health-related quality of life in children and adolescents with Cystic Fibrosis. Journal of Developmental & Behavioral Pediatrics. 2013;34(4):252-61.

Upton P, Lawford J, Eiser C. Parent–child agreement across child health-related quality of life instruments: a review of the literature. Quality of Life Research. 2008;17(6):895-913.

Gancz D, Cunha M, Leone C, Rodrigues J, Adde F. Quality of life amongst adolescents and young adults with cystic fibrosis: correlations with clinical outcomes. Clinics. 2018;73.

Published

2022-02-10

How to Cite

1.
Duarte MC, Chehuen Neto JA, Furtado Barbosa Felipe M, Martins Moreira Elias C, Campos Dias AM, de Freitas Batista Mendes P, Erothildes Ferreira R. Quality of life in cystic fibrosis patients. HU Rev [Internet]. 2022Feb.10 [cited 2024Nov.22];47:1-8. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/35344

Issue

Section

Artigos Originais

Most read articles by the same author(s)

<< < 1 2 3 > >>