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多汗症及其合并症的健康相关生活质量。

The health-related quality of life in hyperhidrosis and co-morbidities.

机构信息

Department of Dermatology, Zealand University Hospital, Roskilde, Denmark.

Department of Clinical Immunology, Zealand University Hospital, Næstved, Denmark.

出版信息

Qual Life Res. 2022 Aug;31(8):2331-2340. doi: 10.1007/s11136-022-03108-z. Epub 2022 Feb 22.

Abstract

PURPOSE

Hyperhidrosis has been associated with a reduced health-related quality of life (HRQoL). The role of common confounding factors of this association such as stress and socioeconomic status, however, remain largely unexplored, and may affect the management strategy for hyperhidrosis. Therefore, the study objective was to compare the HRQoL in individuals with and without hyperhidrosis while adjusting for confounders.

METHODS

In this retrospective cohort study, data on the HRQoL measured by the short-form-12 questionnaire and self-reported hyperhidrosis were collected from the Danish Blood Donor Study-cohort. Data on international classification of disease-10 codes and redeemed prescriptions were collected from nationwide registries. Linear regression investigated the association between hyperhidrosis and HRQoL.

RESULTS

Total 2794 (9.1%) of 30,808 blood donors had self-reported hyperhidrosis and 284 (0.2%) of 122,225 had hospital diagnosed hyperhidrosis. Self-reported hyperhidrosis was associated with a reduced mental HRQoL (adjusted beta coefficient - 1.10; 95% confidence interval - 1.37, - 0.82; p < 0.001) and physical HRQoL (adjusted beta coefficient - 0.90; 95% confidence interval - 1.09, - 0.70; p < 0.001). Hospital diagnosed hyperhidrosis was associated with a reduced mental HRQoL (adjusted beta coefficient - 0.91; 95% confidence interval - 1.82, - 0.04; p = 0.049).

CONCLUSION

Hyperhidrosis is associated with a reduced HRQoL, independently of confounders or mode of diagnosis. This supports an approach primarily targeting hyperhidrosis.

摘要

目的

多汗症与健康相关生活质量(HRQoL)降低有关。然而,这种关联的常见混杂因素(如压力和社会经济地位)的作用在很大程度上仍未得到探索,这可能会影响多汗症的治疗策略。因此,研究目的是在调整混杂因素的情况下,比较患有和不患有多汗症的个体的 HRQoL。

方法

在这项回顾性队列研究中,从丹麦献血者研究队列中收集了使用简短形式 12 问卷测量的 HRQoL 数据和自我报告的多汗症数据。从全国性登记处收集了国际疾病分类第 10 版代码和已兑换处方的数据。线性回归调查了多汗症与 HRQoL 之间的关联。

结果

在 30808 名献血者中,共有 2794 名(9.1%)报告有自我报告的多汗症,122225 名中有 284 名(0.2%)有医院诊断的多汗症。自我报告的多汗症与心理健康 HRQoL 降低相关(调整后的β系数-1.10;95%置信区间-1.37,-0.82;p<0.001)和生理 HRQoL(调整后的β系数-0.90;95%置信区间-1.09,-0.70;p<0.001)。医院诊断的多汗症与心理健康 HRQoL 降低相关(调整后的β系数-0.91;95%置信区间-1.82,-0.04;p=0.049)。

结论

多汗症与 HRQoL 降低有关,独立于混杂因素或诊断方式。这支持主要针对多汗症的治疗方法。

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