Literature DB >> 20642344

Quality of life in sarcoidosis: comparing the impact of ocular and non-ocular involvement of the disease.

Leorey N Saligan1, Grace Levy-Clarke, Tongtong Wu, Lisa J Faia, Keith Wroblewski, Steven Yeh, Robert B Nussenblatt, H Nida Sen.   

Abstract

PURPOSE: To compare the differences in vision and health-related quality of life (HRQOL) of individuals with ocular and non-ocular sarcoidosis; and to examine the impact of specific demographic and clinical factors on the noted differences.
METHODS: A cross-sectional study using non-randomized prospective cohort was conducted at the National Eye Institute (protocol number: 06-EI-0239, NCT00379275) from August 31, 2006 until November 15, 2007. Each participant completed vision and HRQOL questionnaires, the Sarcoidosis Health Questionnaire (SHQ) and the National Eye Institute Visual Function Questionnaire (NEI-VFQ), along with a demographic/environmental exposure survey. Clinical data were collected through an ophthalmic exam as part of the research protocol.
RESULTS: The study enrolled 75 biopsy-proven and 20 clinically presumed sarcoidosis participants which were divided into two cohorts, ocular (N = 60) and non-ocular groups (N = 35). The ocular group had significantly lower (P < 0.01) total NEI-VFQ scores compared to the non-ocular group. Multiple linear regression analysis showed that participants with ocular sarcoidosis who had an annual household income of < $50,000 (P < 0.01) had significantly lower total SHQ scores while participants with ocular sarcoidosis whose visual acuity was 20/100 or worse had significantly lower total NEI-VFQ scores (P = 0.03).
CONCLUSIONS: Ocular involvement impacts both overall and vision-related quality of life among sarcoidosis patients. Lower economic status appears to have a significant impact on the quality of life of sarcoidosis patients. Assessment of visual function and general health status provide pertinent information for individuals with sarcoidosis and should be included in their care to assess burden of their disease on their quality of life.

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Year:  2010        PMID: 20642344      PMCID: PMC2994064          DOI: 10.3109/09286586.2010.483754

Source DB:  PubMed          Journal:  Ophthalmic Epidemiol        ISSN: 0928-6586            Impact factor:   1.648


  36 in total

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4.  Sarcoidosis severity and socioeconomic status.

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5.  The Sarcoidosis Health Questionnaire: a new measure of health-related quality of life.

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8.  Demographic-related variations in posterior segment ocular sarcoidosis.

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4.  Development and testing of item response theory-based item banks and short forms for eye, skin and lung problems in sarcoidosis.

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Review 7.  Combining Nonclinical Determinants of Health and Clinical Data for Research and Evaluation: Rapid Review.

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