Jennifer C Samp1, Richard Perry2, James Piercy2, Robert Wood2, Robert W Baran2. 1. AbbVie, Inc., AP31-01 Department GMH1, 1, North Waukegan Road, North Chicago, IL 60064, United States. Electronic address: jennifer.samp@abbvie.com. 2. AbbVie, Inc., AP31-01 Department GMH1, 1, North Waukegan Road, North Chicago, IL 60064, United States.
Abstract
BACKGROUND: France has a high prevalence of patients with chronic hepatitis C virus (HCV). Clinical consequences of HCV are well-recognized, while health-related quality of life (HRQoL) and productivity impacts remain less understood. This study evaluates how HCV disease severity and HCV treatment outcomes impact HRQoL and productivity among patients in France. METHODS: From October 2012 to January 2013, physicians treating HCV patients in France completed Patient Record Forms, which included information on patient demographics, disease stage, and treatment status. Subsequently, these HCV patients completed the EQ-5D-3L health-state instrument and the HCV-specific Work Productivity and Activity Impairment (WPAI:HepC) Questionnaire. Results are reported in descriptive and stratified analyses by disease stage and treatment status. Linear regression analyses were performed to determine independent associations between disease severity and treatment status with EQ-5D and WPAI:HepC. RESULTS: There were 297 matched physician and patient response forms completed. Mean EQ-5D Index score was 0.764, and mean EQ-VAS score was 65.85. Regression analyses showed that older age and worse disease severity were significantly associated with lower EQ-5D Index and EQ-VAS scores. Stratification of EQ-5D Index and EQ-VAS scores showed significantly better scores for HCV treatment responders compared to non-responders. Stratification of WPAI:HepC questions by disease stage revealed greater productivity impact on HCV patients with more severe disease. CONCLUSIONS: In a cross-sectional sample of HCV patients in France, worsening HRQoL and productivity/activity impairment was significantly associated with disease progression and increasing age. This information provides insight into the benefits of treating HCV patients and preventing disease progression.
BACKGROUND: France has a high prevalence of patients with chronic hepatitis C virus (HCV). Clinical consequences of HCV are well-recognized, while health-related quality of life (HRQoL) and productivity impacts remain less understood. This study evaluates how HCV disease severity and HCV treatment outcomes impact HRQoL and productivity among patients in France. METHODS: From October 2012 to January 2013, physicians treating HCVpatients in France completed Patient Record Forms, which included information on patient demographics, disease stage, and treatment status. Subsequently, these HCVpatients completed the EQ-5D-3L health-state instrument and the HCV-specific Work Productivity and Activity Impairment (WPAI:HepC) Questionnaire. Results are reported in descriptive and stratified analyses by disease stage and treatment status. Linear regression analyses were performed to determine independent associations between disease severity and treatment status with EQ-5D and WPAI:HepC. RESULTS: There were 297 matched physician and patient response forms completed. Mean EQ-5D Index score was 0.764, and mean EQ-VAS score was 65.85. Regression analyses showed that older age and worse disease severity were significantly associated with lower EQ-5D Index and EQ-VAS scores. Stratification of EQ-5D Index and EQ-VAS scores showed significantly better scores for HCV treatment responders compared to non-responders. Stratification of WPAI:HepC questions by disease stage revealed greater productivity impact on HCVpatients with more severe disease. CONCLUSIONS: In a cross-sectional sample of HCVpatients in France, worsening HRQoL and productivity/activity impairment was significantly associated with disease progression and increasing age. This information provides insight into the benefits of treating HCVpatients and preventing disease progression.
Authors: Lin Lee Wong; Holly F Fisher; Deborah D Stocken; Stephen Rice; Amardeep Khanna; Michael A Heneghan; Ye Htun Oo; George Mells; Stuart Kendrick; Jessica Katharine Dyson; David E J Jones Journal: Hepatology Date: 2018-10 Impact factor: 17.425
Authors: Daniel Eriksson; David Goldsmith; Siguroli Teitsson; James Jackson; Floortje van Nooten Journal: BMC Nephrol Date: 2016-07-26 Impact factor: 2.388