Lozano Sánchez Francisco S, Areitio-Aurtena Bolumburu Alix
Servicio de Angiología y Cirugía Vascular, Hospital Clínico Universitario, Universidad de Salamanca, Salamanca, España.
Med Clin (Barc). 2008 Nov;131 Suppl 2:37-41. doi: 10.1016/s0025-7753(08)76447-9.
Health-related quality of life (HRQoL) refers to patients' perceptions of their diseases or the application of specific treatments in various areas of their lives, especially the effects on physical, emotional and social well-being. The present article reviews current knowledge about HRQoL in venous thromboembolic disease (VTED). First, the importance and utility of the concept of HRQoL is discussed and then the instruments used to measure this concept are described. The central argument of this review has three main aims: To present the HRQoL measurement instruments designed specifically for VTED; to evaluate the impact of VTED on HRQoL in these patients; and to determine the changes produced by distinct therapeutic strategies on the already altered HRQoL in these patients. Both in the acute phase (venous thrombosis) and in the chronic phase (postthrombotic syndrome), VTED alters several dimensions of HRQoL. At all stages, treatment of VTED should aim to improve HRQoL. Do achieve this, clinical trials should incorporate HRQoL measurement in the evaluation of results.
健康相关生活质量(HRQoL)指患者对自身疾病或特定治疗在其生活各个领域应用情况的认知,尤其是对身体、情感和社会福祉的影响。本文综述了目前关于静脉血栓栓塞性疾病(VTED)中健康相关生活质量的知识。首先,讨论了健康相关生活质量概念的重要性和实用性,然后描述了用于测量这一概念的工具。本综述的核心论点有三个主要目标:介绍专门为静脉血栓栓塞性疾病设计的健康相关生活质量测量工具;评估静脉血栓栓塞性疾病对这些患者健康相关生活质量的影响;确定不同治疗策略对这些患者已改变的健康相关生活质量所产生的变化。在急性期(静脉血栓形成)和慢性期(血栓后综合征),静脉血栓栓塞性疾病都会改变健康相关生活质量的多个维度。在所有阶段,静脉血栓栓塞性疾病的治疗都应旨在改善健康相关生活质量。为实现这一目标,临床试验应在结果评估中纳入健康相关生活质量测量。