Determinantes da qualidade de vida na doença de Paget óssea View Full Text


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Article Info

DATE

2017-11

AUTHORS

Gláucio Ricardo Werner de Castro, Silvania Ana Fernandes de Castro, Ivanio Alves Pereira, Adriana Fontes Zimmermann, Maria Amazile Toscano, Fabricio Souza Neves, Maria Aparecida Scottini, Juliane Paupitz, Julia Salvan da Rosa, Ziliani Buss, Tânia Silvia Fröde

ABSTRACT

Resumo Objetivo Avaliar os parâmetros associados à qualidade de vida em pacientes com doença de Paget óssea (DPO). Métodos Avaliaram‐se pacientes com DPO com os questionários SF‐36 e WHOQOL‐bref. Excluíram‐se pacientes com outras doenças que pudessem causar comprometimento significativo da qualidade de vida. Buscou‐se por correlações entre os resultados e idade, tempo de diagnóstico, tipo de envolvimento, dor relacionada com a DPO, limitação às atividades diárias, deformidades, fosfatase alcalina específica do osso, extensão do envolvimento e tratamento. Resultados Incluíram‐se 50 pacientes. Os resultados da pontuação total do SF‐36 e seus domínios, saúde física e saúde mental, se correlacionaram significativamente com a dor óssea e deformidades. O estado civil se correlacionou significativamente com a pontuação total do SF‐36 e com seu domínio saúde mental. Os níveis de BAP e a extensão da doença se correlacionaram significativamente com o domínio saúde física do SF‐36. Depois da análise multivariada, os únicos parâmetros que permaneceram significativamente associados à pontuação total do SF‐36 e aos seus domínios saúde mental e saúde física foram a dor e o estado civil. A pontuação total do WHOQOL‐bref esteve significativamente associada à dor, ao comprometimento físico e a deformidades. O escore do Domínio 1 (físico) do WHOQOL‐bref esteve significativamente associado ao estado civil, dor e deformidades, enquanto o Domínio 2 (psicológico) esteve associado ao estado civil, comprometimento físico e tipo de envolvimento. Depois da análise multivariada, a presença de dor, deformidades e estado civil esteve significativamente associada à pontuação total do WHOQOL‐bref e à pontuação do seu Domínio 1. Os resultados do WHOQOL‐bref 2 foram significativamente preditos pela dor e pelo estado civil. Conclusão O principal fator associado aos escores do SF‐36 foi a dor óssea, enquanto a dor óssea e as deformidades estiveram associadas ao WHOQOL‐bref. Abstract Objective To evaluate the parameters associated with quality of life in patients with Paget's disease of bone (PDB). Methods Patients with PDB were evaluated with SF‐36 and WHOQOL‐bref questionnaires. Patients with other diseases that could cause significant impairment of their quality of life were excluded. We searched for correlations between the results and: age, time from diagnosis, type of involvement, pain related to PDB, limitation to daily activities, deformities, bone specific alkaline phosphatase, the extent of involvement and treatment. Results Fifty patients were included. Results of the SF‐36 total score and its domains, physical and mental health, were significantly correlated with bone pain and deformities. Marital status was significantly correlated with the SF‐36 total score and Mental Health domain. BAP levels and disease extension were significantly correlated to SF‐36 Physical Health Domain. After multivariate analysis, the only parameters that remained significantly associated with the SF‐36 total score and to its Mental Health and Physical Health domains were pain and marital status. The whoqol‐bref total score was significantly associated with pain, physical impairment and deformities. WHOQOL‐bref Domain 1 (physical) score was significantly associated with marital status, pain and deformities, while Domain 2 (psychological) score was associated with marital status, physical impairment and kind of involvement. After multivariate analysis, the presence of pain, deformities, and marital status were significantly associated with results of the WHOQOL‐bref total score and its Domain 1. WHOQOL‐bref domain 2 results were significantly predicted by pain and marital status. Conclusion The main disease‐related factor associated with SF‐36 results in PDB patients was bone pain, while bone pain and deformities were associated with WHOQOL‐bref. More... »

PAGES

566-573

Identifiers

URI

http://scigraph.springernature.com/pub.10.1016/j.rbr.2017.04.005

DOI

http://dx.doi.org/10.1016/j.rbr.2017.04.005

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https://app.dimensions.ai/details/publication/pub.1085860421


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20 schema:description Resumo Objetivo Avaliar os parâmetros associados à qualidade de vida em pacientes com doença de Paget óssea (DPO). Métodos Avaliaram‐se pacientes com DPO com os questionários SF‐36 e WHOQOL‐bref. Excluíram‐se pacientes com outras doenças que pudessem causar comprometimento significativo da qualidade de vida. Buscou‐se por correlações entre os resultados e idade, tempo de diagnóstico, tipo de envolvimento, dor relacionada com a DPO, limitação às atividades diárias, deformidades, fosfatase alcalina específica do osso, extensão do envolvimento e tratamento. Resultados Incluíram‐se 50 pacientes. Os resultados da pontuação total do SF‐36 e seus domínios, saúde física e saúde mental, se correlacionaram significativamente com a dor óssea e deformidades. O estado civil se correlacionou significativamente com a pontuação total do SF‐36 e com seu domínio saúde mental. Os níveis de BAP e a extensão da doença se correlacionaram significativamente com o domínio saúde física do SF‐36. Depois da análise multivariada, os únicos parâmetros que permaneceram significativamente associados à pontuação total do SF‐36 e aos seus domínios saúde mental e saúde física foram a dor e o estado civil. A pontuação total do WHOQOL‐bref esteve significativamente associada à dor, ao comprometimento físico e a deformidades. O escore do Domínio 1 (físico) do WHOQOL‐bref esteve significativamente associado ao estado civil, dor e deformidades, enquanto o Domínio 2 (psicológico) esteve associado ao estado civil, comprometimento físico e tipo de envolvimento. Depois da análise multivariada, a presença de dor, deformidades e estado civil esteve significativamente associada à pontuação total do WHOQOL‐bref e à pontuação do seu Domínio 1. Os resultados do WHOQOL‐bref 2 foram significativamente preditos pela dor e pelo estado civil. Conclusão O principal fator associado aos escores do SF‐36 foi a dor óssea, enquanto a dor óssea e as deformidades estiveram associadas ao WHOQOL‐bref. Abstract Objective To evaluate the parameters associated with quality of life in patients with Paget's disease of bone (PDB). Methods Patients with PDB were evaluated with SF‐36 and WHOQOL‐bref questionnaires. Patients with other diseases that could cause significant impairment of their quality of life were excluded. We searched for correlations between the results and: age, time from diagnosis, type of involvement, pain related to PDB, limitation to daily activities, deformities, bone specific alkaline phosphatase, the extent of involvement and treatment. Results Fifty patients were included. Results of the SF‐36 total score and its domains, physical and mental health, were significantly correlated with bone pain and deformities. Marital status was significantly correlated with the SF‐36 total score and Mental Health domain. BAP levels and disease extension were significantly correlated to SF‐36 Physical Health Domain. After multivariate analysis, the only parameters that remained significantly associated with the SF‐36 total score and to its Mental Health and Physical Health domains were pain and marital status. The whoqol‐bref total score was significantly associated with pain, physical impairment and deformities. WHOQOL‐bref Domain 1 (physical) score was significantly associated with marital status, pain and deformities, while Domain 2 (psychological) score was associated with marital status, physical impairment and kind of involvement. After multivariate analysis, the presence of pain, deformities, and marital status were significantly associated with results of the WHOQOL‐bref total score and its Domain 1. WHOQOL‐bref domain 2 results were significantly predicted by pain and marital status. Conclusion The main disease‐related factor associated with SF‐36 results in PDB patients was bone pain, while bone pain and deformities were associated with WHOQOL‐bref.
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