Clinical evaluation of pulmonary hypertension using patient-reported outcomes: a cross-sectional study

Abstract Background Patients with pulmonary hypertension (PH) have progressive and disabling symptoms, as well as a burden of treatments and a difficult clinical evaluation that make health-related quality of life a particularly relevant endpoint in this disease. The objective of the study was to ev...

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Main Authors: Miguel Ángel Amor-García, Sara Ibáñez-García, Xandra García-González, Teresa Mombiela, Cristina Villanueva-Bueno, Ana Herranz-Alonso, María Sanjurjo-Sáez
Format: Article
Language:English
Published: BMC 2021-02-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12890-021-01416-7
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author Miguel Ángel Amor-García
Sara Ibáñez-García
Xandra García-González
Teresa Mombiela
Cristina Villanueva-Bueno
Ana Herranz-Alonso
María Sanjurjo-Sáez
author_facet Miguel Ángel Amor-García
Sara Ibáñez-García
Xandra García-González
Teresa Mombiela
Cristina Villanueva-Bueno
Ana Herranz-Alonso
María Sanjurjo-Sáez
author_sort Miguel Ángel Amor-García
collection DOAJ
description Abstract Background Patients with pulmonary hypertension (PH) have progressive and disabling symptoms, as well as a burden of treatments and a difficult clinical evaluation that make health-related quality of life a particularly relevant endpoint in this disease. The objective of the study was to evaluate patient-reported outcomes of patients receiving specific treatment for PH in a tertiary hospital using a specific questionnaire (Cambridge Pulmonary Hypertension Outcome Review-CAMPHOR) in the pharmacy consultation. Methods A cross-sectional, observational, descriptive study was conducted. It included all patients receiving specific treatment for PH in a tertiary hospital in Madrid, Spain. The inclusion period comprised between August to December 2019. CAMPHOR questionnaires containing three domains: symptoms, activities and quality of life were completed by the patients at the pharmacy consultation. Demographic and clinical variables, including WHO Functional Class (WHO FC), PH-specific tests and hemodynamic parameters, were recorded. Non-parametric analyses to assess relations between variables and CAMPHOR domains were performed. Results Thirty-six patients consented to participate in the study and completed the questionnaire. Median scores for symptoms, activities, and quality of life domains were 5.5 (2.5–10), 8.0 (4.5–10.5) and 3.5 (1–7.5), respectively. Statistically significant differences were found in the three domains when comparing by WHO FC, in the activities domain for 6-m walking test and in the quality of life domain for patients who had emergency visits or hospitalizations in the last year. Conclusions The CAMPHOR questionnaire could be useful as a complementary test to achieve an integrated evaluation of PH patients, who could complete it easily during their routine pharmacy visits.
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spelling doaj.art-b8bf07f7ea6d44489603f2d4079c03112022-12-21T23:17:23ZengBMCBMC Pulmonary Medicine1471-24662021-02-012111910.1186/s12890-021-01416-7Clinical evaluation of pulmonary hypertension using patient-reported outcomes: a cross-sectional studyMiguel Ángel Amor-García0Sara Ibáñez-García1Xandra García-González2Teresa Mombiela3Cristina Villanueva-Bueno4Ana Herranz-Alonso5María Sanjurjo-Sáez6Pharmacy Service, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio MarañónPharmacy Service, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio MarañónPharmacy Service, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio MarañónDepartment of Cardiology, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio MarañónPharmacy Service, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio MarañónPharmacy Service, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio MarañónPharmacy Service, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio MarañónAbstract Background Patients with pulmonary hypertension (PH) have progressive and disabling symptoms, as well as a burden of treatments and a difficult clinical evaluation that make health-related quality of life a particularly relevant endpoint in this disease. The objective of the study was to evaluate patient-reported outcomes of patients receiving specific treatment for PH in a tertiary hospital using a specific questionnaire (Cambridge Pulmonary Hypertension Outcome Review-CAMPHOR) in the pharmacy consultation. Methods A cross-sectional, observational, descriptive study was conducted. It included all patients receiving specific treatment for PH in a tertiary hospital in Madrid, Spain. The inclusion period comprised between August to December 2019. CAMPHOR questionnaires containing three domains: symptoms, activities and quality of life were completed by the patients at the pharmacy consultation. Demographic and clinical variables, including WHO Functional Class (WHO FC), PH-specific tests and hemodynamic parameters, were recorded. Non-parametric analyses to assess relations between variables and CAMPHOR domains were performed. Results Thirty-six patients consented to participate in the study and completed the questionnaire. Median scores for symptoms, activities, and quality of life domains were 5.5 (2.5–10), 8.0 (4.5–10.5) and 3.5 (1–7.5), respectively. Statistically significant differences were found in the three domains when comparing by WHO FC, in the activities domain for 6-m walking test and in the quality of life domain for patients who had emergency visits or hospitalizations in the last year. Conclusions The CAMPHOR questionnaire could be useful as a complementary test to achieve an integrated evaluation of PH patients, who could complete it easily during their routine pharmacy visits.https://doi.org/10.1186/s12890-021-01416-7Pulmonary hypertensionQuality of lifeHealth-related quality of lifeCAMPHORPharmacy services
spellingShingle Miguel Ángel Amor-García
Sara Ibáñez-García
Xandra García-González
Teresa Mombiela
Cristina Villanueva-Bueno
Ana Herranz-Alonso
María Sanjurjo-Sáez
Clinical evaluation of pulmonary hypertension using patient-reported outcomes: a cross-sectional study
BMC Pulmonary Medicine
Pulmonary hypertension
Quality of life
Health-related quality of life
CAMPHOR
Pharmacy services
title Clinical evaluation of pulmonary hypertension using patient-reported outcomes: a cross-sectional study
title_full Clinical evaluation of pulmonary hypertension using patient-reported outcomes: a cross-sectional study
title_fullStr Clinical evaluation of pulmonary hypertension using patient-reported outcomes: a cross-sectional study
title_full_unstemmed Clinical evaluation of pulmonary hypertension using patient-reported outcomes: a cross-sectional study
title_short Clinical evaluation of pulmonary hypertension using patient-reported outcomes: a cross-sectional study
title_sort clinical evaluation of pulmonary hypertension using patient reported outcomes a cross sectional study
topic Pulmonary hypertension
Quality of life
Health-related quality of life
CAMPHOR
Pharmacy services
url https://doi.org/10.1186/s12890-021-01416-7
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