Skip to main content
Top
Published in: Clinical Autonomic Research 4/2023

28-07-2023 | Hyperhidrosis | Review Article

Quality of life in individuals with primary hyperhidrosis: a systematic review and meta-analysis

Authors: Mattias A. S. Henning, Farnam Barati, Gregor B. E. Jemec

Published in: Clinical Autonomic Research | Issue 4/2023

Login to get access

Abstract

Purpose

Hyperhidrosis can be a debilitating disease that leads to the deterioration of well-being. In this study, the objective was to compare the health-related quality of life (HRQOL) in individuals with and without hyperhidrosis by conducting a systematic review and meta-analysis.

Methods

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and the Meta-analysis Of Observational Studies in Epidemiology checklist were employed. We systematically searched Cochrane Library, Embase and PubMed. Two authors independently assessed the literature and extracted the data. The risk of bias was assessed using the Newcastle–Ottawa Scale. A random-effects model was employed. The heterogeneity was determined using I2.

Results

Eleven studies met the eligibility criteria comprising 4297 and 147,604 participants with and without hyperhidrosis, respectively. The risk of bias ranged from high quality to very high risk of bias. The individuals with hyperhidrosis had a higher Dermatology Life Quality Index (mean difference 8.53; 95% confidence interval 3.47, 13.58; p = 0.0009) and a lower mental component summary of the short form-12 or -36 (mean difference −6.15; 95% confidence interval −9.00, −3.30; p < 0.0001) than the control individuals. No difference was found for the physical component summary score of the short form-12 or -36 (mean difference −0.88; 95% confidence interval −1.88, 0.12; p = 0.085). Studies using patient-reported outcomes, not included in the meta-analysis, showed similar results.

Conclusion

Individuals with hyperhidrosis experience a reduced HRQOL that is clinically meaningful and leads to perceivable deteriorations in their well-being. The evidence shows a high degree of heterogeneity, which warrants additional studies.
Appendix
Available only for authorised users
Literature
11.
go back to reference Lenefsky M, Rice ZP (2018) Hyperhidrosis and its impact on those living with it. Am J Manag Care 24:S491-s495PubMed Lenefsky M, Rice ZP (2018) Hyperhidrosis and its impact on those living with it. Am J Manag Care 24:S491-s495PubMed
14.
go back to reference Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:71. https://doi.org/10.1136/bmj.n71CrossRef Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:71. https://​doi.​org/​10.​1136/​bmj.​n71CrossRef
16.
go back to reference Lo CK-L, Mertz D, Loeb M (2014) Newcastle-Ottawa Scale: comparing reviewers’ to authors’ assessments. BMC Med Res Methodol 14:45 Lo CK-L, Mertz D, Loeb M (2014) Newcastle-Ottawa Scale: comparing reviewers’ to authors’ assessments. BMC Med Res Methodol 14:45
18.
go back to reference Akhtar STC, Mughal A (2018) Correlation of Dermatology Life Quality Index and gravimetric analysis for patients with hyperhidrosis treated with botulinum toxin. Br J Dermatol 179(Supplement 1):64–65 Akhtar STC, Mughal A (2018) Correlation of Dermatology Life Quality Index and gravimetric analysis for patients with hyperhidrosis treated with botulinum toxin. Br J Dermatol 179(Supplement 1):64–65
28.
go back to reference Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483CrossRefPubMed Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483CrossRefPubMed
29.
go back to reference Ware J, Kosinski M, Keller SD (1996) A 12-Item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233 Ware J, Kosinski M, Keller SD (1996) A 12-Item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233
30.
go back to reference Kowalski J, Ravelo A, Weng E, Slaton T (2007) Minimal important difference (MID) of the Dermatology Life Quality Index in patients with axillary and palmar hyperhidrosis. J Am Acad Dermatol 56:AB52 Kowalski J, Ravelo A, Weng E, Slaton T (2007) Minimal important difference (MID) of the Dermatology Life Quality Index in patients with axillary and palmar hyperhidrosis. J Am Acad Dermatol 56:AB52
36.
go back to reference Henning M, Ibler K, Loft I, Jennum P, Didriksen M, Ullum H, Erikstrup C, Nielsen K, Bruun MT, Hjalgrim H, Sørensen E, Dinh K, Thørner LW, Jemec GB, Pedersen O (2022) Hyperhidrosis is associated with sleep disturbances, daytime tiredness, stress, and depression: a retrospective cohort study from the Danish Blood Donor Study. J Am Acad Dermatol. https://doi.org/10.1016/j.jaad.2022.03.063CrossRefPubMed Henning M, Ibler K, Loft I, Jennum P, Didriksen M, Ullum H, Erikstrup C, Nielsen K, Bruun MT, Hjalgrim H, Sørensen E, Dinh K, Thørner LW, Jemec GB, Pedersen O (2022) Hyperhidrosis is associated with sleep disturbances, daytime tiredness, stress, and depression: a retrospective cohort study from the Danish Blood Donor Study. J Am Acad Dermatol. https://​doi.​org/​10.​1016/​j.​jaad.​2022.​03.​063CrossRefPubMed
40.
go back to reference Henning MAS, Ibler KS, Loft I, Ostrowski SR, Erikstrup C, Nielsen KR, Bruun MT, Ullum H, Didriksen M, Dinh KM, Pedersen OB, Jemec GBE (2022) The health-related quality of life in hyperhidrosis and co-morbidities. Qual Life Res Int J Qual Life Asp Treat Care Rehabilit 31:2331–2340. https://doi.org/10.1007/s11136-022-03108-zCrossRef Henning MAS, Ibler KS, Loft I, Ostrowski SR, Erikstrup C, Nielsen KR, Bruun MT, Ullum H, Didriksen M, Dinh KM, Pedersen OB, Jemec GBE (2022) The health-related quality of life in hyperhidrosis and co-morbidities. Qual Life Res Int J Qual Life Asp Treat Care Rehabilit 31:2331–2340. https://​doi.​org/​10.​1007/​s11136-022-03108-zCrossRef
45.
49.
50.
go back to reference Balieva F, Kupfer J, Lien L, Gieler U, Finlay AY, Tomás-Aragonés L, Poot F, Misery L, Sampogna F, van Middendorp H, Halvorsen JA, Szepietowski JC, Lvov A, Marrón SE, Salek MS, Dalgard FJ (2017) The burden of common skin diseases assessed with the EQ5D™: a European multicentre study in 13 countries. Br J Dermatol 176:1170–1178. https://doi.org/10.1111/bjd.15280CrossRefPubMed Balieva F, Kupfer J, Lien L, Gieler U, Finlay AY, Tomás-Aragonés L, Poot F, Misery L, Sampogna F, van Middendorp H, Halvorsen JA, Szepietowski JC, Lvov A, Marrón SE, Salek MS, Dalgard FJ (2017) The burden of common skin diseases assessed with the EQ5D™: a European multicentre study in 13 countries. Br J Dermatol 176:1170–1178. https://​doi.​org/​10.​1111/​bjd.​15280CrossRefPubMed
51.
go back to reference Sampogna F, Abeni D, Gieler U, Tomas Aragones L, Lien L, Poot F, Jemec GBE, Szabó C, Linder D, van Middendorp H, Halvorsen JA, Balieva F, Szepietowski JC, Romanov DV, Marron SE, Altunay IK, Finlay AY, Salek SS, Kupfer J, Misery L, Dalgard FJ (2020) Exploring the EQ-5D dimension of pain/discomfort in dermatology outpatients from a Multicentre Study in 13 European Countries. Acta Dermatovenereol 100:adv00120. https://doi.org/10.2340/00015555-3477CrossRef Sampogna F, Abeni D, Gieler U, Tomas Aragones L, Lien L, Poot F, Jemec GBE, Szabó C, Linder D, van Middendorp H, Halvorsen JA, Balieva F, Szepietowski JC, Romanov DV, Marron SE, Altunay IK, Finlay AY, Salek SS, Kupfer J, Misery L, Dalgard FJ (2020) Exploring the EQ-5D dimension of pain/discomfort in dermatology outpatients from a Multicentre Study in 13 European Countries. Acta Dermatovenereol 100:adv00120. https://​doi.​org/​10.​2340/​00015555-3477CrossRef
Metadata
Title
Quality of life in individuals with primary hyperhidrosis: a systematic review and meta-analysis
Authors
Mattias A. S. Henning
Farnam Barati
Gregor B. E. Jemec
Publication date
28-07-2023
Publisher
Springer Berlin Heidelberg
Keyword
Hyperhidrosis
Published in
Clinical Autonomic Research / Issue 4/2023
Print ISSN: 0959-9851
Electronic ISSN: 1619-1560
DOI
https://doi.org/10.1007/s10286-023-00954-w

Other articles of this Issue 4/2023

Clinical Autonomic Research 4/2023 Go to the issue