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Quality of life and its relation with disease severity in Behçet's disease
I Ertam1, G Kitapcioglu, K Aksu
1Department of Dermatology, Ege University Medical Faculty, Bornova-Izmir, Turkey. ilgen.ertam@ege.edu.tr
Insights
Quality of life is significantly reduced in patients with Behçet's disease (BD), a systemic vasculitis. Disease severity, particularly arthritis, vascular, and eye involvement, negatively impacts patient well-being.
Area of Science:
- Rheumatology
- Immunology
- Quality of Life Research
Background:
- Behçet's disease (BD) is a systemic vasculitis known to affect patient quality of life.
- Understanding the correlation between disease severity and quality of life is crucial for effective patient management.
Purpose of the Study:
- To investigate the relationship between Behçet's disease severity and the quality of life in affected patients.
- To identify specific disease manifestations that contribute to quality of life impairment.
Main Methods:
- A cohort of 195 Behçet's disease patients and 195 matched healthy controls were studied.
- Disease severity was assessed using the Krause score.
- Quality of life was evaluated using the Short-form-36 (SF-36) and World Health Organization Quality of Life (WHOQOL-100) scales.
Main Results:
- BD patients reported significantly lower overall scores on both SF-36 and WHOQOL-100 compared to controls.
- Higher Krause scores correlated negatively with general health, role-physical, psychological, and environmental domains of quality of life.
- Arthritis, vascular, and eye involvement were associated with significantly worse outcomes in specific quality of life domains.
Conclusions:
- Quality of life is demonstrably impaired in Behçet's disease patients and is directly related to disease severity.
- Arthritis, vascular involvement, and eye involvement are significant contributors to the diminished quality of life in BD.
- The findings underscore the need for comprehensive management strategies addressing disease activity and its impact on patient well-being.
Objective:
Since Behçet's disease (BD) is a systemic vasculitis, it may deteriorate the quality of life of the patients. We aimed to investigate the relationship between the disease severity and the quality of life in patients with BD.
Methods:
We studied 195 BD patients and 195 healthy controls who were matched with regard to age, gender and socio-economic status. Krause score was calculated to assess disease severity, while Short-form-36 (SF-36) and The World Health Organization Quality of Life (WHOQOL-100) were used to evaluate the quality of life in BD.
Results:
The overall SF-36 and WHOQOL-100 scale scores, as well as their domains were significantly lower in BD patients. In BD patients, "general health", "role-physical", domains of SF-36, and "psychological", "level of independence", "environment", "environmental-public" domains of WHOQOL-100 showed significantly negative linear correlations with Krause scores. In BD patients with arthritis, the scores of "general health", "physical functioning", "role emotional" domains of SF-36, and the scores of "psychological", "level of independence" and "social relations" domains of WHOQOL-100 were significantly worse than without arthritis. The scores of "pain" domain of SF-36 and "level of independence" domain of WHOQOL-100 were significantly worse in BD patients with vascular involvement, while the scores of "mental health" domain of SF-36 and "psychological" domain of WHOQOL-100 were significantly worse in BD patients with eye involvement.
Conclusion:
Based on the evaluation of SF-36 and WHOQOL-100 scores, quality of life is impaired and related with disease severity in BD. Arthritis, eye involvement and vascular involvement seem to contribute to this impairment.
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