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Health-related quality of life assessed by LupusQoL questionnaire and SF-36 in Turkish patients with systemic lupus erythematosus

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Abstract

The LupusQoL is a disease-specific health-related quality of life (HRQoL) measure for patients with lupus. We conducted this study to compare the efficiency of LupusQoL-TR (validated Turkish version of the LupusQoL questionnaire) with the 36-item Short-Form Health Survey (SF-36), a generic quality of life (QoL) scale, in Turkish patients with lupus. Both questionnaires were conducted at a single visit to the clinic. Disease activity was measured with the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI). Associations between the LupusQoL-TR and SF-36 domains were examined while also examining age, disease duration, and disease activity for each questionnaire. Descriptive statistics, Spearman’s correlation coefficients, and Students t test were performed to analyze the data. A total of 113 consecutive patients with lupus (F/M 108:5, mean age 40.6 ± 11.9 years, mean disease duration 8.5 ± 7.0 years) were included, and 69 % of these were active. The median SLEDAI score was 2 (0–24), the mean global LupusQoL-TR score was 60.9 ± 23.3, and the mean SF-36 score was 41.2 ± 9.0. There was a significant correlation between LupusQoL-TR and SF-36 mean scores (r = 0.83; p < 0.001). QoL assessed by LupusQoL-TR and SF-36 did not correlate with disease activity (r = −0.11; p = 0.244 and r = −0.03; p = 0.721, respectively). LupusQoL-TR and SF-36 questionnaires were beneficial instruments in evaluating HRQoL in Turkish lupus patients. However, LupusQoL-TR and SF-36 were not associated with SLEDAI scores, which suggested that QoL might be affected by other factors besides disease activity, especially in clinically inactive or mildly active patients.

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References

  1. Gladman D, Urowitz M, Fortin P, Isenberg D, Goldsmith C, Gordon C, Petri M (1996) Systemic Lupus International Collaborating Clinics conference on assessment of lupus flare and quality of life measures in SLE. Systemic Lupus International Collaborating Clinics Group. J Rheumatol 23(11):1953–5

    CAS  PubMed  Google Scholar 

  2. Strand V, Gladman D, Isenberg D, Petri M, Smolen J, Tugwell P (2000) Endpoints: consensus recommendations from OMERACT IV. Outcome Measures in RheumatologyOutcome Measures in Rheumatology. Lupus 9(5):322–7, Review

    Article  CAS  PubMed  Google Scholar 

  3. Ware JE, Kosinski M, Keller SD (1994) SF-36 physical and mental health summary scales: a user’s manual. The Health Institute, New England Medical Center, Boston

    Google Scholar 

  4. Jolly M (2005) How does quality of life of patients with systemic lupus erythematosus compare with that of other common chronic illnesses? J Rheumatol 32(9):1706–8

    PubMed  Google Scholar 

  5. Gladman DD, Urowitz MB, Ong A, Gough J, MacKinnon A (1996) A comparison of five health status instruments in patients with systemic lupus erythematosus (SLE). Lupus 5(3):190–5

    Article  CAS  PubMed  Google Scholar 

  6. Kuriya B, Gladman DD, Ibañez D, Urowitz MB (2008) Quality of life over time in patients with systemic lupus erythematosus. Arthritis Rheum 59(2):181–5. doi:10.1002/art.23339

    Article  PubMed  Google Scholar 

  7. Panopalis P, Petri M, Manzi S, Isenberg DA, Gordon C, Senécal JL, Penrod JR, Joseph L, St Pierre Y, Pineau C, Fortin PR, Sutcliffe N, Goulet JR, Choquette D, Grodzicky T, Esdaile JM, Clarke AE, Tri-Nation Study Group (2007) The systemic lupus erythematosus Tri-Nation study: cumulative indirect costs. Arthritis Rheum 57(1):64–70

    Article  PubMed  Google Scholar 

  8. McElhone K, Abbott J, Shelmerdine J, Bruce IN, Ahmad Y, Gordon C, Peers K, Isenberg D, Ferenkeh-Koroma A, Griffiths B, Akil M, Maddison P, Teh LS (2007) Development and validation of a disease-specific health-related quality of life measure, the LupusQol, for adults with systemic lupus erythematosus. Arthritis Rheum 57(6):972–9

    Article  PubMed  Google Scholar 

  9. Curry SL, Levine SB, Corty E, Jones PK, Kurit DM (1994) The impact of systemic lupus erythematosus on women's sexual functioning. J Rheumatol 12:2254–60.10

    Google Scholar 

  10. Grootscholten C, Ligtenberg G, Derksen RH, Schreurs KM, de Glas-Vos JW, Hagen EC, van den Wall Bake AW, Huizinga TW, van den Hoogen FH, Bijl M, van Houwelingen JC, Snoek FJ, Berden JH (2003) Health-related quality of life in patients with systemic lupus erythematosus: development and validation of a lupus specific symptom checklist. Qual Life Res 12(6):635–44

    Article  CAS  PubMed  Google Scholar 

  11. Leong KP, Kong KO, Thong BY, Koh ET, Lian TY, Teh CL, Cheng YK, Chng HH, Badsha H, Law WG, Lau TC, Chew LC, Ho HJ, Pong LY, Hoi LS, Sangeetha N, Chan SP, Howe HS (2005) Development and preliminary validation of a systemic lupus erythematosus specific quality-of-life instrument (SLEQOL). Rheumatology (Oxford) 44(10):1267–76

    Article  CAS  Google Scholar 

  12. Doward LC, McKenna SP, Whalley D, Tennant A, Griffiths B, Emery P, Veale DJ (2009) The development of the L-QoL: a quality-of-life instrument specific to systemic lupus erythematosus. Ann Rheum Dis 68(2):196–200

    Article  CAS  PubMed  Google Scholar 

  13. Touma Z, Gladman DD, Ibañez D, Urowitz MB (2011) Is there an advantage over SF-36 with a quality of life measure that is specific to systemic lupus erythematosus? J Rheumatol 38(9):1898–905

    Article  PubMed  Google Scholar 

  14. García-Carrasco M, Mendoza-Pinto C, Cardiel MH, Méndez-Martínez S, García-Villaseñor A, Jiménez-Hernández C, Alonso-García NE, Briones-Rojas R, Ramos-Álvarez G, López-Colombo A (2012) Health related quality of life in Mexican women with systemic lupus erythematosus: a descriptive study using SF-36 and LupusQoL©. Lupus 21(11):1219–24. doi:10.1177/0961203312456749

    Article  PubMed  Google Scholar 

  15. McElhone K, Castelino M, Abbott J, Bruce IN, Ahmad Y, Shelmerdine J, Peers K, Isenberg D, Ferenkeh-Koroma A, Griffiths B, Akil M, Maddison P, Gordon C, Teh LS (2010) The LupusQoL and associations with demographics and clinical measurements in patients with systemic lupus erythematosus. J Rheumatol 37(11):2273–9

    Article  PubMed  Google Scholar 

  16. Devilliers H, Amoura Z, Besancenot JF, Bonnotte B, Pasquali JL, Wahl D, Maurier F, Kaminsky P, Pennaforte JL, Magy-Bertrand N, Arnaud L, Binquet C, Guillemin F, Bonithon-Kopp C. Responsiveness of the 36-item Short Form Health Survey and the Lupus Quality of Life questionnaire in SLE. Rheumatology (Oxford). 2014 Oct 30. pii: keu410. [Epub ahead of print]

  17. Kaya A, Goker B, Cura ES, Tezcan ME, Tufan A, Mercan R, Bitik B, Haznedaroglu S, Ozturk MA, Mikolaitis-Preuss RA, Block JA, Jolly M. Turkish lupusPRO: cross-cultural validation study for lupus.

  18. Pamuk ON, Onat AM, Donmez S, Mengüs C, Kisacik B (2014) Validity and reliability of the Lupus QoL index in Turkish systemic lupus erythematosus patients. Lupus 33(8):1079–84. doi:10.1007/s10067-013-2345-9. Epub 2013 Aug 11.18

    Google Scholar 

  19. Hochberg MC (1997) Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 40(9):1725

    Article  CAS  PubMed  Google Scholar 

  20. Bombardier C, Gladman DD, Urowitz MB, Caron D, Chang CH (1992) Derivation of the SLEDAI. A disease activity index for lupus patients. The Committee on Prognosis Studies in SLE. Arthritis Rheum 35(6):630–40

    Article  CAS  PubMed  Google Scholar 

  21. McHorney CA, Ware JE Jr, Lu JF, Sherbourne CD (1994) The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 32(1):40–66

    Article  CAS  PubMed  Google Scholar 

  22. Schmeding A, Schneider M (2013) Fatigue, health-related quality of life and other patient-reported outcomes in systemic lupus erythematosus. Best Pract Res Clin Rheumatol 27(3):363–75. doi:10.1016/j.berh.2013.07.009, Review

    Article  CAS  PubMed  Google Scholar 

  23. Gordon C, Isenberg D, Lerstrøm K, Norton Y, Nikaï E, Pushparajah DS, Schneider M (2013) The substantial burden of systemic lupus erythematosus on the productivity and careers of patients: a European patient-driven online survey. Rheumatology (Oxford) 52(12):2292–301. doi:10.1093/rheumatology/ket300

    Article  Google Scholar 

  24. Doria A, Rinaldi S, Ermani M, Salaffi F, Iaccarino L, Ghirardello A, Zampieri S, Della Libera S, Perini G, Todesco S (2004) Health-related quality of life in Italian patients with systemic lupus erythematosus. II. Role of clinical, immunological and psychological determinants. Rheumatology (Oxford) 43(12):1580–6

    Article  CAS  Google Scholar 

  25. Alarcón GS, McGwin G Jr, Uribe A, Friedman AW, Roseman JM, Fessler BJ, Bastian HM, Baethge BA, Vilá LM, Reveille JD (2004) Systemic lupus erythematosus in a multiethnic lupus cohort (LUMINA). XVII. Predictors of self-reported health-related quality of life early in the disease course. Arthritis Rheum 51(3):465–74

    Article  PubMed  Google Scholar 

  26. Thumboo J, Fong KY, Chan SP, Leong KH, Feng PH, Thio ST, Boey ML (2000) A prospective study of factors affecting quality of life in systemic lupus erythematosus. J Rheumatol 27(6):1414–20

    CAS  PubMed  Google Scholar 

  27. Fortin PR, Abrahamowicz M, Neville C, du Berger R, Fraenkel L, Clarke AE, Danoff D (1998) Impact of disease activity and cumulative damage on the health of lupus patients. Lupus 7(2):101–7

    Article  CAS  PubMed  Google Scholar 

  28. Strand V, Aranow C, Cardiel MH, Alarcón-Segovia D, Furie R, Sherrer Y, Tumlin J, Wallace DJ, Crawford B (2003) LJP 394 Investigator Consortium. Improvement in health-related quality of life in systemic lupus erythematosus patients enrolled in a randomized clinical trial comparing LJP 394 treatment with placebo. Lupus 12(9):677–86

    Article  CAS  PubMed  Google Scholar 

  29. Strand V, Crawford B (2005) Improvement in health-related quality of life in patients with SLE following sustained reductions in anti-dsDNA antibodies. Expert Rev Pharmacoeco Outcomes Res 5(3):317–26. doi:10.1586/14737167.5.3.317

    Article  Google Scholar 

  30. Shen B, Feng G, Tang W, Huang X, Yan H, He Y, Chen W, Da Z, Liu H, Gu Z (2014) The quality of life in Chinese patients with systemic lupus erythematosus is associated with disease activity and psychiatric disorders: a path analysis. Clin Exp Rheumatol 32(1):101–7

    PubMed  Google Scholar 

  31. Gladman DD, Urowitz MB, Gough J, MacKinnon A (1997) Fibromyalgia is a major contributor to quality of life in lupus. J Rheumatol 24(11):2145–8

    CAS  PubMed  Google Scholar 

  32. Jolly M, Pickard AS, Wilke C, Mikolaitis RA, Teh LS, McElhone K, Fogg L, Block J (2010) Lupus-specific health outcome measure for US patients: the LupusQoL-US version. Ann Rheum Dis 69(1):29–33. doi:10.1136/ard.2008.094763. Epub

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

The authors would like to thank Mary Gawlicki and Lee-Suan Teh for supplying the validated Turkish version of the LupusQoL-TR and permitting us to use this copyrighted questionnaire. We also would like to thank David Chapman for the language editing of the article.

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Correspondence to Sibel Yilmaz-Oner.

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Yilmaz-Oner, S., Oner, C., Dogukan, F.M. et al. Health-related quality of life assessed by LupusQoL questionnaire and SF-36 in Turkish patients with systemic lupus erythematosus. Clin Rheumatol 35, 617–622 (2016). https://doi.org/10.1007/s10067-015-2930-1

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