Redmond Anthony C, Burns Joshua, Ouvrier Robert A
School of Medicine, The University of Leeds, Leeds, United Kingdom.
Neuromuscul Disord. 2008 Aug;18(8):619-25. doi: 10.1016/j.nmd.2008.05.015. Epub 2008 Jul 24.
Health-related, quality of life (HRQoL) is an important outcome in clinical trials of patients with Charcot-Marie-Tooth disease (CMT). In a cross-sectional survey of 295 Australian adults with CMT, HRQoL was measured using the Short Form-36 (SF-36) and predictors of reduced HRQoL were identified with a CMT-specific health status questionnaire. People with CMT demonstrated lower HRQoL scores than the general Australian population in all SF-36 dimensions. The disparity between people with CMT and normative data was greater for physical dimensions than for mental health dimensions. SF-36 scores were generally lower in older vs younger people, but not between men and women, or between CMT types. HRQoL in CMT was predicted strongly by lower limb weakness and to a lesser extent by leg cramps, suggesting clinical trials targeting weakness and cramps may improve HRQoL in patients with CMT.
健康相关生活质量(HRQoL)是夏科-马里-图思病(CMT)患者临床试验中的一项重要结果。在一项对295名澳大利亚成年CMT患者的横断面调查中,使用简短健康调查问卷(SF-36)对HRQoL进行了测量,并通过一份CMT特异性健康状况问卷确定了HRQoL降低的预测因素。在SF-36的所有维度上,CMT患者的HRQoL得分均低于澳大利亚普通人群。CMT患者与标准数据之间在身体维度上的差异大于心理健康维度。老年人的SF-36得分总体上低于年轻人,但在男性和女性之间以及不同CMT类型之间并无差异。CMT患者的HRQoL受下肢无力的强烈影响,腿部痉挛的影响较小,这表明针对无力和痉挛的临床试验可能会改善CMT患者的HRQoL。