PMID- 30311454
OWN - NLM
STAT- MEDLINE
DCOM- 20190315
LR  - 20210109
IS  - 2055-5822 (Electronic)
IS  - 2055-5822 (Linking)
VI  - 6
IP  - 1
DP  - 2019 Feb
TI  - Assessing health-related quality of life in heart failure patients attending an 
      outpatient clinic: a pragmatic approach.
PG  - 3-9
LID - 10.1002/ehf2.12363 [doi]
AB  - AIMS: Improving quality of life (QoL) in heart failure patients is a key 
      management objective. Validated health-related QoL (HR-QoL) measurement tools 
      have been incorporated into clinical trials but not routinely into daily 
      practice. The aims of this study were to investigate the acceptability and 
      feasibility of implementing validated HR-QoL instruments into heart failure 
      clinics and to examine the impact of patient characteristics on HR-QoL. METHODS 
      AND RESULTS: One hundred and sixty-three patients attending heart failure clinics 
      at a UK tertiary centre were invited to complete three HR-QoL assessments: the 
      Minnesota Living with Heart Failure Questionnaire (MLHFQ); the EuroQoL 5D-3L 
      (EQ-5D-3L); and the Kansas City Cardiomyopathy Questionnaire (KCCQ) in that 
      order. Data on patient demographics, co-morbidities, New York Heart Association 
      (NYHA) class, plasma B-type natriuretic peptide (BNP), renal function, and left 
      ventricular ejection fraction were recorded. 94% of patients attending clinic 
      were willing to participate. The EQ-5D-3L had all questions answered by 92% of 
      patients, compared with 86% and 51% for the MLHFQ and KCCQ, respectively. HR-QoL 
      significantly correlated with NYHA class using each tool (MLHFQ, r = 0.59; KCCQ, 
      r = -0.61; EQ-5D-3L, r = -0.44, all P < 0.01). However, within each NYHA class, 
      there was a widespread of HR-QoL scores. There was no association between patient 
      demographics, left ventricular ejection fraction, plasma B-type natriuretic 
      peptide, or renal function with HR-QoL using any tool. CONCLUSIONS: 
      Health-related QoL assessment by validated questionnaire was acceptable to 
      patients and feasible to perform in routine practice. Although NYHA class 
      correlated significantly with HR-QoL scores, there was high variability in HR-QoL 
      within each NYHA class, highlighting its limitation as the sole assessment of 
      HR-QoL. Clinicians should encourage the assessment of HR-QoL to facilitate 
      patient-centred care and make more specific use of HR-QoL measurement tools.
CI  - (c) 2018 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on 
      behalf of the European Society of Cardiology.
FAU - Gallagher, Angela M
AU  - Gallagher AM
AD  - Imperial College London (Royal Brompton Hospital), London, UK.
FAU - Lucas, Rebecca
AU  - Lucas R
AD  - Royal Brompton Hospital, London, UK.
FAU - Cowie, Martin R
AU  - Cowie MR
AD  - Imperial College London (Royal Brompton Hospital), London, UK.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20181011
PL  - England
TA  - ESC Heart Fail
JT  - ESC heart failure
JID - 101669191
SB  - IM
MH  - Aged
MH  - *Ambulatory Care Facilities
MH  - Feasibility Studies
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Failure/physiopathology/*psychology
MH  - Humans
MH  - Male
MH  - *Quality of Life
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
MH  - Ventricular Function, Left/*physiology
PMC - PMC6352889
OTO - NOTNLM
OT  - EuroQoL 5D-3L (EQ-5D-3L)
OT  - Heart failure
OT  - Heath-related quality of life (HR-QoL)
OT  - Kansas City Cardiomyopathy Questionnaire (KCCQ)
OT  - Minnesota Living with Heart Failure Questionnaire (MLHFQ)
OT  - New York Heart Association (NYHA) class
EDAT- 2018/10/13 06:00
MHDA- 2019/03/16 06:00
PMCR- 2018/10/11
CRDT- 2018/10/13 06:00
PHST- 2018/04/04 00:00 [received]
PHST- 2018/07/13 00:00 [revised]
PHST- 2018/08/30 00:00 [accepted]
PHST- 2018/10/13 06:00 [pubmed]
PHST- 2019/03/16 06:00 [medline]
PHST- 2018/10/13 06:00 [entrez]
PHST- 2018/10/11 00:00 [pmc-release]
AID - EHF212363 [pii]
AID - 10.1002/ehf2.12363 [doi]
PST - ppublish
SO  - ESC Heart Fail. 2019 Feb;6(1):3-9. doi: 10.1002/ehf2.12363. Epub 2018 Oct 11.