Neurology Clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia.
Neurology Clinic, Clinical Center Kragujevac, Kragujevac, Serbia.
J Peripher Nerv Syst. 2018 Mar;23(1):11-16. doi: 10.1111/jns.12251. Epub 2018 Feb 14.
To date, generic questionnaires have been used to investigate quality of life (QoL) in chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) patients. Although these measures are very useful, they are not usually precise enough to measure all specific characteristics of the disease. Our aim was to investigate QoL using the neuromuscular disease-specific questionnaire (individualized neuromuscular quality of life, INQoL) in a large cohort of patients with CIDP. Our study comprised 106 patients diagnosed with CIDP. INQoL questionnaire, Medical Research Council (MRC) sum score, Inflammatory Neuropathy Cause and Treatment (INCAT) disability score, Visual Analogue Pain Scale, Beck Depression Inventory, and Krupp's Fatigue Severity Scale were used in our study. Physical domains of INQoL were more affected than mental, and the overall score was 57 ± 25. Significant predictors of higher INQoL score in our patients with CIDP were severe fatigue (β = 0.35, p < 0.01), higher INCAT disability score at time of testing (β = 0.29, p < 0.01), and being unemployed/retired (β = 0.22, p < 0.05). QoL was reduced in our cohort of CIDP patients, which was more pronounced in physical segments. Patients with fatigue, more severe disability, and unemployed/retired need special attention of neurologists because they could be at greater risk to have worse QoL.
迄今为止,通用问卷已被用于调查慢性炎症性脱髓鞘性多发性神经病(CIDP)患者的生活质量(QoL)。尽管这些措施非常有用,但它们通常不够精确,无法衡量疾病的所有特定特征。我们的目的是使用神经肌肉疾病特异性问卷(个体化神经肌肉生活质量问卷,INQoL)调查大量 CIDP 患者的 QoL。我们的研究包括 106 名确诊为 CIDP 的患者。在我们的研究中使用了 INQoL 问卷、医学研究委员会(MRC)总和评分、炎症性神经病的病因和治疗(INCAT)残疾评分、视觉模拟疼痛量表、贝克抑郁量表和 Krupp 疲劳严重程度量表。INQoL 的身体领域比精神领域受影响更大,总体评分为 57±25。我们的 CIDP 患者中,严重疲劳(β=0.35,p<0.01)、测试时更高的 INCAT 残疾评分(β=0.29,p<0.01)和失业/退休(β=0.22,p<0.05)是 INQoL 评分更高的显著预测因素。我们的 CIDP 患者队列的生活质量下降,身体部分更为明显。患有疲劳、更严重残疾和失业/退休的患者需要神经科医生的特别关注,因为他们可能面临更大的生活质量恶化风险。