دورية أكاديمية
Exploring the Relationship between Disease Awareness and Outcomes in Patients with Chronic Obstructive Pulmonary Disease
العنوان: | Exploring the Relationship between Disease Awareness and Outcomes in Patients with Chronic Obstructive Pulmonary Disease |
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المؤلفون: | Baiardini I., Contoli M., Corsico A. G., Scognamillo C., Ferri F., Scichilone N., Rogliani P., Di Marco F., Santus P., Braido F. |
المساهمون: | Baiardini I., Contoli M., Corsico A.G., Scognamillo C., Ferri F., Scichilone N., Rogliani P., Di Marco F., Santus P., Braido F. |
بيانات النشر: | S. Karger AG |
سنة النشر: | 2021 |
المجموعة: | IRIS Università degli Studi di Palermo |
مصطلحات موضوعية: | Adherence, Awareness, Chronic obstructive pulmonary disease, Patient-reported outcomes, Settore MED/10 - Malattie Dell'Apparato Respiratorio |
الوصف: | Background: Disease awareness is a challenge in the management of chronic obstructive pulmonary disease (COPD). Objectives: The aim of this analysis was to explore the association between COPD optimal and suboptimal awareness, clinical parameters, and the following patient-reported outcomes: modified Medical Research Council (mMRC), Treatment Satisfaction Questionnaire (TSQM-9), COPD Assessment Test (CAT), Morisky Medication-Taking Adherence Scale (MMAS-4), and Brief Illness Perception Questionnaire (B-IPQ). Methods: This post hoc analysis of the SAT study included all enrolled patients for whom awareness (Disease Awareness in COPD Questionnaire-DACQ) was assessed at baseline and 12 months. DACQ scores ≥80 were considered an indicator of an optimal awareness. Results: 367 patients (25.8% women, median age 72 years) were included in the analysis. At enrollment, 74 patients (20.2%) had a DACQ score ≥80. Patients with suboptimal awareness, compared to those in which awareness was optimal, had higher median scores for CAT (p = 0.0001) and mMRC (p = 0.0031), a lower median TSQM-9 global score (p < 0.0001), and higher median B-IPQ score (p < 0.0001). The proportion of patients who had exacerbations during the previous year was higher in patients with suboptimal COPD awareness than in those with DACQ score ≥80 (42.8 vs. 21.4%, p = 0.0009). During the 12-month observation period, illness perception, adherence, and treatment satisfaction were found to be independent factors significantly associated with level of disease awareness. Conclusion: The results of our post hoc analysis suggest that patients' awareness of their COPD disease is related to both clinical outcomes and how they perceive and manage their condition. |
نوع الوثيقة: | article in journal/newspaper |
اللغة: | English |
العلاقة: | info:eu-repo/semantics/altIdentifier/wos/WOS:000640322700002; volume:100; issue:4; firstpage:291; lastpage:297; numberofpages:7; journal:RESPIRATION; http://hdl.handle.net/10447/548006Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85102929687 |
DOI: | 10.1159/000513953 |
الإتاحة: | https://doi.org/10.1159/000513953Test http://hdl.handle.net/10447/548006Test |
حقوق: | info:eu-repo/semantics/openAccess |
رقم الانضمام: | edsbas.55C27063 |
قاعدة البيانات: | BASE |
DOI: | 10.1159/000513953 |
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