1. ILD-specific health-related quality of life in systemic sclerosis-associated ILD compared with IPF.
- Author
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Durheim MT, Hoffmann-Vold AM, Eagan TM, Hovden AO, Lund MB, Bjerke G, Birring SS, Jonassen TM, Johansen OE, and Sjåheim T
- Subjects
- Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Lung Diseases, Interstitial physiopathology, Male, Middle Aged, Norway, Surveys and Questionnaires, Vital Capacity, Idiopathic Pulmonary Fibrosis complications, Lung Diseases, Interstitial diagnosis, Quality of Life, Scleroderma, Systemic complications, Severity of Illness Index
- Abstract
Introduction: Idiopathic pulmonary fibrosis (IPF) and systemic sclerosis-associated interstitial lung disease (SSc-ILD) are fibrotic ILDs with divergent disease populations. Little is known about health-related quality of life (HRQL) in SSc-ILD relative to IPF., Methods: We used the Kings Brief Interstitial Lung Disease Questionnaire (K-BILD) to compare HRQL in a cross-sectional study of 57 patients with IPF and 29 patients with SSc-ILD. Analysis of covariance was used to adjust for age, gender and lung function., Results: The unadjusted mean K-BILD score was 63.1 (95% CI 57.1 to 69.1) among patients with SSc-ILD, as compared with 54.7 (51.8-57.5) among those with IPF (p=0.005). However, this difference in HRQL was attenuated after adjustment for age, gender and lung function. In a multivariable model, only forced vital capacity was associated with K-BILD scores. K-BILD scores were correlated with both forced vital capacity and with other relevant HRQL measures, regardless of ILD diagnosis., Discussion: Patients with SSc-ILD may have better ILD-specific quality of life than patients with IPF, but this difference appears to be driven primarily by better lung function. These results underscore the impact of lung function on HRQL in fibrotic ILD and the utility of K-BILD to assess HRQL in SSc-ILD., Competing Interests: Competing interests: MTD reports research funding from Boehringer Ingelheim Norway KS, unrelated to the current study, lecture and consulting fees from Boehringer Ingelheim, Roche and AstraZeneca, unrelated to the current study, having participated in advisory boards for Boehringer Ingelheim and Roche, and that an immediate family member is a full-time employee of Boehringer Ingelheim who was not involved in this study. A-MH-V reports research funding and/or consulting fees or other remuneration from Actelion, Boehringer Ingelheim, Bayer, Roche, MSD and GlaxoSmithKline. TE reports receiving lecture fees from Boehringer Ingelheim and having participated in advisory boards for GlaxoSmithKline and Boehringer Ingelheim. A-OH and OEJ are full-time employees of Boehringer Ingelheim Norway KS. MBL and GB have no competing interests to report. SB reports research funding to his institution for the use of K-BILD in other studies, but not for the current study. TMJ reports receiving lecture fees from Boehringer Ingelheim and Roche. TS reports lecture fees from Boehringer Ingelheim and Roche., (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2020
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