Quality of life of patients with different forms of hemophilia on the example of Nizhny Novgorod region

It is important for public health to monitor and improve the health indicators of the population using the system of patient's quality of life (HRQoL) assessment regardless of the nosology of the disease. The use of HRQoL assessment provides health authorities with a tool for additional analysi...

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Main Authors: D. S. Fokina, O. V. Zhukova, S. A. Volkova, A. L. Khokhlov
Format: Article
Language:Russian
Published: Izdatelstvo OKI 2024-02-01
Series:Качественная клиническая практика
Subjects:
Online Access:https://www.clinvest.ru/jour/article/view/689
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author D. S. Fokina
O. V. Zhukova
S. A. Volkova
A. L. Khokhlov
author_facet D. S. Fokina
O. V. Zhukova
S. A. Volkova
A. L. Khokhlov
author_sort D. S. Fokina
collection DOAJ
description It is important for public health to monitor and improve the health indicators of the population using the system of patient's quality of life (HRQoL) assessment regardless of the nosology of the disease. The use of HRQoL assessment provides health authorities with a tool for additional analysis of the performance of health services and for making decisions about funding priorities. The definition of HRQoL is one of the decisive factors in the calculation of QALYs because it measures the effectiveness of medical treatment in terms of how much it prolongs and/or improves patients' lives. The aim of the study is to determine the QALYs of hemophilia patients in Nizhny Novgorod region by means of electronic questionnaire using the SF-36 questionnaire. Methods. A validated SF-36 short form questionnaire was used in the study, which was distributed to adult patients with hemophilia A, B and Willebrand's disease of Nizhny Novgorod region together with a short form of informed voluntary consent. Twenty-eight people participated in the questionnaire. Calculation of general and final indicators of the HRQoL was carried out according to the instructions for processing data obtained with the SF-36 questionnaire. Results. The lowest score among all respondents was for GH "General Health Status" with a mean value of 61.00, and the highest score was for PF "Physical Functioning" with a mean value of 81.43. The study revealed that the majority of the surveyed patients were receiving Emicizumab (42.86 %). After comparing the ranges of values of the final indicators of physical (PH) and mental (MN') health in patients with different forms of hemophilia, the highest values of HRQoL indicators are observed in patients with hemophilia B, and the highest range of extreme values — in patients with hemophilia A. Conclusion. Patients with different forms of hemophilia are determined to have satisfactory values of HRQoL indicators, as all the results obtained in the course of the questionnaire are above the average value of the indicators. Mean HRQoL scores in patients receiving emicizumab are at a similar level compared to patients receiving other LPs, and fluctuations in HRQoL scores in these patients are less marked than in the other patients with hemophilia A.
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spelling doaj.art-4eab541c721c40fbb77cf1917b9ac9462024-03-14T18:09:10ZrusIzdatelstvo OKIКачественная клиническая практика2588-05192618-84732024-02-0104586710.37489/2588-0519-2023-4-58-67646Quality of life of patients with different forms of hemophilia on the example of Nizhny Novgorod regionD. S. Fokina0O. V. Zhukova1S. A. Volkova2A. L. Khokhlov3ФГБОУ ВО «Приволжский исследовательский медицинский университет» Минздрава РоссииФГБОУ ВО «Приволжский исследовательский медицинский университет» Минздрава РоссииФГБОУ ВО «Приволжский исследовательский медицинский университет» Минздрава РоссииФГБОУ ВО «Ярославский государственный медицинский университет» Минздрава РоссииIt is important for public health to monitor and improve the health indicators of the population using the system of patient's quality of life (HRQoL) assessment regardless of the nosology of the disease. The use of HRQoL assessment provides health authorities with a tool for additional analysis of the performance of health services and for making decisions about funding priorities. The definition of HRQoL is one of the decisive factors in the calculation of QALYs because it measures the effectiveness of medical treatment in terms of how much it prolongs and/or improves patients' lives. The aim of the study is to determine the QALYs of hemophilia patients in Nizhny Novgorod region by means of electronic questionnaire using the SF-36 questionnaire. Methods. A validated SF-36 short form questionnaire was used in the study, which was distributed to adult patients with hemophilia A, B and Willebrand's disease of Nizhny Novgorod region together with a short form of informed voluntary consent. Twenty-eight people participated in the questionnaire. Calculation of general and final indicators of the HRQoL was carried out according to the instructions for processing data obtained with the SF-36 questionnaire. Results. The lowest score among all respondents was for GH "General Health Status" with a mean value of 61.00, and the highest score was for PF "Physical Functioning" with a mean value of 81.43. The study revealed that the majority of the surveyed patients were receiving Emicizumab (42.86 %). After comparing the ranges of values of the final indicators of physical (PH) and mental (MN') health in patients with different forms of hemophilia, the highest values of HRQoL indicators are observed in patients with hemophilia B, and the highest range of extreme values — in patients with hemophilia A. Conclusion. Patients with different forms of hemophilia are determined to have satisfactory values of HRQoL indicators, as all the results obtained in the course of the questionnaire are above the average value of the indicators. Mean HRQoL scores in patients receiving emicizumab are at a similar level compared to patients receiving other LPs, and fluctuations in HRQoL scores in these patients are less marked than in the other patients with hemophilia A.https://www.clinvest.ru/jour/article/view/689гемофилияболезнь виллебрандаорфанные заболеваниякачество жизниоценка технологий здравоохраненияанкета sf-36
spellingShingle D. S. Fokina
O. V. Zhukova
S. A. Volkova
A. L. Khokhlov
Quality of life of patients with different forms of hemophilia on the example of Nizhny Novgorod region
Качественная клиническая практика
гемофилия
болезнь виллебранда
орфанные заболевания
качество жизни
оценка технологий здравоохранения
анкета sf-36
title Quality of life of patients with different forms of hemophilia on the example of Nizhny Novgorod region
title_full Quality of life of patients with different forms of hemophilia on the example of Nizhny Novgorod region
title_fullStr Quality of life of patients with different forms of hemophilia on the example of Nizhny Novgorod region
title_full_unstemmed Quality of life of patients with different forms of hemophilia on the example of Nizhny Novgorod region
title_short Quality of life of patients with different forms of hemophilia on the example of Nizhny Novgorod region
title_sort quality of life of patients with different forms of hemophilia on the example of nizhny novgorod region
topic гемофилия
болезнь виллебранда
орфанные заболевания
качество жизни
оценка технологий здравоохранения
анкета sf-36
url https://www.clinvest.ru/jour/article/view/689
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AT ovzhukova qualityoflifeofpatientswithdifferentformsofhemophiliaontheexampleofnizhnynovgorodregion
AT savolkova qualityoflifeofpatientswithdifferentformsofhemophiliaontheexampleofnizhnynovgorodregion
AT alkhokhlov qualityoflifeofpatientswithdifferentformsofhemophiliaontheexampleofnizhnynovgorodregion