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结核病患者的健康状况和生活质量。

Health status and quality of life in tuberculosis.

机构信息

Centre for Respiratory Medicine, Royal Free London NHS Foundation Trust, London, and Division of Medicine, University College London, Pond Street, London NW3 2QG, UK.

Centre for Respiratory Medicine, Royal Free London NHS Foundation Trust, London, and Division of Medicine, University College London, Pond Street, London NW3 2QG, UK.

出版信息

Int J Infect Dis. 2015 Mar;32:68-75. doi: 10.1016/j.ijid.2014.12.045.

Abstract

Tuberculosis (TB) is a leading cause of global morbidity, yet there is limited information regarding its impact on quality of life and health status. This is surprising given the implications for patient care, the evaluation of novel treatments or preventative strategies, and also health policy. Furthermore, there is no validated TB-specific instrument that measures health status, and thus a wide and non-standardized range of assessment tools have been employed. The studies to date have chosen a number of different comparator populations, and in many TB endemic areas there is a lack of normative data regarding the health status of the general population. Systematic evaluations of quality of life are urgently needed in specific groups, including those with extrapulmonary TB, drug-resistant disease, HIV co-infection, and latent TB infection, and in children with TB; the assessment of post-treatment disability is also required.

摘要

结核病(TB)是全球发病率的主要原因,但关于其对生活质量和健康状况的影响的信息有限。鉴于其对患者护理、新型治疗方法或预防策略的评估以及卫生政策的影响,这令人惊讶。此外,没有经过验证的专门针对结核病的衡量健康状况的工具,因此采用了广泛且非标准化的评估工具。迄今为止的研究选择了许多不同的对照组人群,而且在许多结核病流行地区,缺乏关于一般人群健康状况的规范数据。在特定人群中迫切需要进行生活质量的系统评估,包括肺外结核病、耐药性疾病、HIV 合并感染和潜伏性结核病感染以及结核病儿童;还需要评估治疗后残疾情况。

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