Tantichariyangkul Phattharaphong, Dilokthornsakul Piyameth, Khotcharrat Rossukon, Sawatdiwithayayong Jeerawat, Bhoopat Taniya, Upakdee Nilawan, Towiwat Patapong
Department of Ophthalmology, Faculty of Medicine, Naresuan University, Phitsanulok, 65000, Thailand.
Center for Medical and Health Technology Assessment (CM-HTA), Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, 50200, Thailand.
BMC Ophthalmol. 2024 Dec 18;24(1):539. doi: 10.1186/s12886-024-03808-9.
Dry eye syndrome (DES) is common but lack of data in quality of life (QoL) of DES patients in Thailand. The primary outcome of this study was to determine QoL and health utility in patients of DES by EuroQol 5-domain (EQ-5D) of the 5-level version (5 L) instrument. The secondary outcome was comparison of the utility in the patients of DES classified by severity and causes including the autoimmune and non-autoimmune diseases.
The study was a cross-sectional study at a hospital in the northern part of Thailand. The inclusions DES patients were followed by Tear Film and Ocular surface Society the Dry Eye WorkShop II definition. The EQ-5D-5 L (Thai version) descriptive system and the EQ visual analogue scale (VAS) was instrument for QoL evaluation.
Total patients of DES were fifty-six. The most patients were female. The mean age was 57.7(± 13.9) years. The mean of EQ-5D-utility and EQ-VAS were 0.76 (± 0.18) and 72.56 (± 15.19), respectively. The mean of EQ-5D-utility in these patients who were classified by severity including mild, moderate and severe were 0.84 (± 0.16), 0.78 (± 0.14) and 0.71 (± 0.22), respectively. There is no statistic significant in the EQ-5D-utility and EQ-VAS among severity and the causes of these patients.
This study demonstrated the importance of assessing QoL in DES. The EQ-5D-utility was accorded with the severity of DES. However, no statistic significant was showed in the mean of EQ-5D-utility and EQ-VAS between the severity and between the causes including the autoimmune and non-autoimmune diseases of these patients.
干眼症(DES)很常见,但泰国缺乏有关干眼症患者生活质量(QoL)的数据。本研究的主要结果是通过5级版本(5L)的欧洲五维健康量表(EQ-5D)来确定干眼症患者的生活质量和健康效用。次要结果是比较按严重程度和病因(包括自身免疫性和非自身免疫性疾病)分类的干眼症患者的效用。
该研究是在泰国北部一家医院进行的横断面研究。纳入的干眼症患者按照泪膜与眼表协会干眼症工作坊II的定义进行随访。EQ-5D-5L(泰语版)描述系统和EQ视觉模拟量表(VAS)用于生活质量评估。
共有56例干眼症患者。大多数患者为女性。平均年龄为57.7(±13.9)岁。EQ-5D效用值和EQ-VAS的平均值分别为0.76(±0.18)和72.56(±15.19)。按严重程度分类,包括轻度、中度和重度的这些患者的EQ-5D效用值平均值分别为0.84(±0.16)、0.78(±0.14)和0.71(±0.22)。这些患者在严重程度和病因之间的EQ-5D效用值和EQ-VAS方面无统计学显著差异。
本研究证明了评估干眼症患者生活质量的重要性。EQ-5D效用值与干眼症的严重程度相符。然而,这些患者在严重程度之间以及包括自身免疫性和非自身免疫性疾病的病因之间的EQ-5D效用值和EQ-VAS平均值无统计学显著差异。