Negative impact of chronic obstructive pulmonary disease on the health-related quality of life of patients. Results of the EPIDEPOC study
2006

Impact of COPD on Quality of Life

Sample size: 10711 publication 10 minutes Evidence: moderate

Author Information

Author(s): Pilar Carrasco Garrido, Javier de Miguel Díez, Javier Rejas Gutiérrez, Antonio Martín Centeno, Elena Gobartt Vázquez, Ángel Gil de Miguel, Marta García Carballo, Rodrigo Jiménez García

Primary Institution: Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain

Hypothesis

What factors affect the health-related quality of life in patients with stable COPD?

Conclusion

Patients with stable COPD show a reduction in their health-related quality of life, even in mild stages of the disease.

Supporting Evidence

  • Patients with COPD had a mean PCS-12 score of 36.0, indicating reduced physical quality of life.
  • The mean MCS-12 score was 48.3, showing a reduction in mental quality of life compared to the reference population.
  • Factors affecting HRQoL included sex, FEV1 levels, use of oxygen therapy, and number of emergency visits.

Takeaway

People with COPD have a harder time feeling good, even if their disease isn't very severe. Things like their age and how much they can breathe affect how they feel.

Methodology

This was a multicenter, observational study that included patients over 40 diagnosed with COPD, assessing their health-related quality of life using the SF-12 questionnaire.

Potential Biases

Potential bias due to the exclusion of patients with neurological or psychiatric conditions and those with recent acute exacerbations.

Limitations

The study used a generic questionnaire for HRQoL, which may be less sensitive than specific tools, and results may not be generalizable to all COPD patients as all were from primary care.

Participant Demographics

75.6% men, mean age 67.1 years, with a mean BMI of 27.6 kg/m2.

Statistical Information

P-Value

0.019 for PCS-12, 0.049 for MCS-12

Confidence Interval

95% CI for various scores reported in the study.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1477-7525-4-31

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