Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
J Rheumatol. 2011 Jun;38(6):1017-9. doi: 10.3899/jrheum.101054. Epub 2011 Mar 1.
To compare health-related quality of life (HRQOL) of patients with antiphospholipid syndrome (APS) and systemic lupus erythematosus (SLE) with and without previous thrombovascular events (TE).
The Medical Outcomes Study Short-Form 36 (SF-36) was used to assess HRQOL in 5 patient groups: (1) primary APS (PAPS; n = 35); (2) APS associated to SLE (SAPS; n = 37); (3) SLE+TE without persistent positive antiphospholipid antibody (SLE+TE-aPL; n = 75); (4) SLE-TE+aPL (n = 71); and (5) SLE-TE-aPL (n = 608).
The data on both mental component summary and physical component summary (PCS) scores showed an impaired quality of life in all patient groups. Patients in the SLE+TE-aPL group had a lower PCS score compared to patients in the SLE-TE+aPL group.
The combination of SLE and TE has a more negative influence on reported HRQOL, compared to having SLE or APS alone.
比较伴或不伴血栓血管事件(TE)的抗磷脂综合征(APS)和系统性红斑狼疮(SLE)患者的健康相关生活质量(HRQOL)。
采用医疗结局研究简表 36 项(SF-36)评估 5 组患者的 HRQOL:(1)原发性 APS(PAPS;n=35);(2)与 SLE 相关的 APS(SAPS;n=37);(3)SLE+TE 且无持续阳性抗磷脂抗体(SLE+TE-aPL;n=75);(4)SLE-TE+aPL(n=71);以及(5)SLE-TE-aPL(n=608)。
精神健康和生理健康的汇总数据(PCS)评分均显示所有患者组的生活质量受损。SLE+TE-aPL 组患者的 PCS 评分低于 SLE-TE+aPL 组。
与单独患有 SLE 或 APS 相比,SLE 和 TE 的合并对报告的 HRQOL 有更负面的影响。