Health-related quality of life in patients with Chagas disease: a review of the evidence

Chagas disease (ChD), a neglected tropical disease caused by infection with the parasite Trypanosoma cruzi (T. cruzi), remains a serious public health issue in Latin America and is an emerging disease in several non-endemic countries, where knowledge of the condition and experience with its clinical...

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Main Authors: Giovane Rodrigo Sousa, Henrique Silveira Costa, Aline Cristina Souza, Maria Carmo Pereira Nunes, Márcia Maria Oliveira Lima, Manoel Otávio da Costa Rocha
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2015-04-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822015000200121&lng=en&tlng=en
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author Giovane Rodrigo Sousa
Henrique Silveira Costa
Aline Cristina Souza
Maria Carmo Pereira Nunes
Márcia Maria Oliveira Lima
Manoel Otávio da Costa Rocha
author_facet Giovane Rodrigo Sousa
Henrique Silveira Costa
Aline Cristina Souza
Maria Carmo Pereira Nunes
Márcia Maria Oliveira Lima
Manoel Otávio da Costa Rocha
author_sort Giovane Rodrigo Sousa
collection DOAJ
description Chagas disease (ChD), a neglected tropical disease caused by infection with the parasite Trypanosoma cruzi (T. cruzi), remains a serious public health issue in Latin America and is an emerging disease in several non-endemic countries, where knowledge of the condition and experience with its clinical management are limited. Regionally, the disease is the major cause of disability secondary to tropical diseases in young adults. Health-related quality of life (HRQoL) impairment is common in patients with ChD, especially in those with Chagas dilated cardiomyopathy, the most severe manifestation of the disease, which frequently leads to heart failure. The aim of this review was to conduct a literature search for studies that have evaluated the determining factors of HRQoL in ChD patients. We included cross-sectional, case-control, cohort, and experimental studies, as well as clinical trials that evaluated the HRQoL in ChD patients aged 18 to 60 years and are presenting an explicit description of statistical analysis. Using a combination of keywords based on Descriptors in Health Sciences (DeCS) and Medical Subject Headings (MeSH) for searches in PubMed and the Scientific Electronic Library Online (SciELO), 148 studies were found. After exclusions, 12 studies were selected for analysis. Three main findings were extracted from these studies: 1) cardiac involvement is associated with a worse HRQoL in ChD patients; 2) HRQoL is associated with the patients' functional capacity; and 3) simple and inexpensive therapeutic measures are effective for improving HRQoL in ChD patients. Hence, ChD patients' functional capacity, the effectiveness of non-surgical conservative treatment, and cardiac involvement are important determining factors for the HRQoL in ChD patients.
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spelling doaj.art-06d6aa5a0c2a410ab8183a946c666c8d2022-12-22T00:55:24ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492015-04-0148212112810.1590/0037-8682-0244-2014S0037-86822015000200121Health-related quality of life in patients with Chagas disease: a review of the evidenceGiovane Rodrigo SousaHenrique Silveira CostaAline Cristina SouzaMaria Carmo Pereira NunesMárcia Maria Oliveira LimaManoel Otávio da Costa RochaChagas disease (ChD), a neglected tropical disease caused by infection with the parasite Trypanosoma cruzi (T. cruzi), remains a serious public health issue in Latin America and is an emerging disease in several non-endemic countries, where knowledge of the condition and experience with its clinical management are limited. Regionally, the disease is the major cause of disability secondary to tropical diseases in young adults. Health-related quality of life (HRQoL) impairment is common in patients with ChD, especially in those with Chagas dilated cardiomyopathy, the most severe manifestation of the disease, which frequently leads to heart failure. The aim of this review was to conduct a literature search for studies that have evaluated the determining factors of HRQoL in ChD patients. We included cross-sectional, case-control, cohort, and experimental studies, as well as clinical trials that evaluated the HRQoL in ChD patients aged 18 to 60 years and are presenting an explicit description of statistical analysis. Using a combination of keywords based on Descriptors in Health Sciences (DeCS) and Medical Subject Headings (MeSH) for searches in PubMed and the Scientific Electronic Library Online (SciELO), 148 studies were found. After exclusions, 12 studies were selected for analysis. Three main findings were extracted from these studies: 1) cardiac involvement is associated with a worse HRQoL in ChD patients; 2) HRQoL is associated with the patients' functional capacity; and 3) simple and inexpensive therapeutic measures are effective for improving HRQoL in ChD patients. Hence, ChD patients' functional capacity, the effectiveness of non-surgical conservative treatment, and cardiac involvement are important determining factors for the HRQoL in ChD patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822015000200121&lng=en&tlng=enChagas diseaseQuality of lifeHealth-related quality of lifeCardiomyopathyDetermining factors
spellingShingle Giovane Rodrigo Sousa
Henrique Silveira Costa
Aline Cristina Souza
Maria Carmo Pereira Nunes
Márcia Maria Oliveira Lima
Manoel Otávio da Costa Rocha
Health-related quality of life in patients with Chagas disease: a review of the evidence
Revista da Sociedade Brasileira de Medicina Tropical
Chagas disease
Quality of life
Health-related quality of life
Cardiomyopathy
Determining factors
title Health-related quality of life in patients with Chagas disease: a review of the evidence
title_full Health-related quality of life in patients with Chagas disease: a review of the evidence
title_fullStr Health-related quality of life in patients with Chagas disease: a review of the evidence
title_full_unstemmed Health-related quality of life in patients with Chagas disease: a review of the evidence
title_short Health-related quality of life in patients with Chagas disease: a review of the evidence
title_sort health related quality of life in patients with chagas disease a review of the evidence
topic Chagas disease
Quality of life
Health-related quality of life
Cardiomyopathy
Determining factors
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822015000200121&lng=en&tlng=en
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