LIFE QUALITY OF PERSONS WITH ARTERIAL HYPERTENSION IN RUSSIA — IS THERE RELATION TO TREATMENT? (BY DATA FROM POPULATIONAL STUDY ESSE-RF)
Aim. To evaluate LQ in AH patients, to analyze the relation of LQ and treatment status, and to study associated with LQ factors, by the data of esse-Rf study. Material and methods. The materials for analysis were representative selections of inhabitants (n=21894) of 13 regions of Rf, included to...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
«FIRMA «SILICEA» LLC
2016-09-01
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| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/840 |
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| Summary: | Aim. To evaluate LQ in AH patients, to analyze the relation of LQ and treatment status, and to study associated with LQ factors, by the data of esse-Rf study. Material and methods. The materials for analysis were representative selections of inhabitants (n=21894) of 13 regions of Rf, included to esse-Rf study in 2012-2013 y. Response was 80%. We used standard epidemiological methods and criteria. The participants were selected to 4 groups: 1) non-AH, 2) AH not taking AHD and having normal BP, 3) AH taking drugs with non-controlled hypertension (non-effective treatment), 4) AH not taking AHD. LQ was assessed with international eUROQOL-5D and visual analogue scale eQ-VAs. Integral LQ assessment was done with LW shaw et al. methodics. Into analysis the following were included: sex, age, education and wealth levels, systolic and diastolic pressure, AH treatment status, comorbidities, region of participation.Results. In general, women with AH have worse LQ than men (p<0,0005). In analysis of eQ-5D components we found, that prevalence of prominent disorders was not higher than 3% for every single, but moderate disorders reached 5-41% in those with AH for different parameters. eQ-VAs were significantly lower among those having AH comparing to non-AH — 66,4% vs. 70,1%, p<0,0005. Highest values (p<0,0005) were found in those with AH not taking AHD, but AHD values in the group of those effectively managed and non-effectively managed were comparable. Total index of life quality by eQ-5D among men is higher than women (p<0,005), but it decreases with age. Among both genders — in AH and “AH not taking drugs” groups — LQ by eQ-5D was comparable and significantly higher than in groups “treated effectively” and “treated non-effectively”.Conclusion. Prevalence of AH in Rf remains high. LQ in AH persons is lower than in non-AH (mostly for those taking AHD). This witnesses on the necessity for more attention to AH in real clinical practice, including dispensary observation and involvement to educational programs. The populational data obtained in the study, of LQ in AH persons can be applied for QALY calculation in modelling of economical efficacy of various diagnostic and management procedures in relation to Russian patients with AH. |
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| ISSN: | 1560-4071 2618-7620 |