Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2012

Open Access 01-12-2012 | Research

Distance saturation product predicts health–related quality of life among sarcoidosis patients

Authors: Julie M Bourbonnais, Subramanian Malaisamy, Bhavinkumar D Dalal, Priyan C Samarakoon, Swapna R Parikh, Lobelia Samavati

Published in: Health and Quality of Life Outcomes | Issue 1/2012

Login to get access

Abstract

Background

Sarcoidosis is a chronic disease with different phenotypic manifestations. Health-related quality of life is an important aspect in sarcoidosis, yet difficult to measure. The objective of this study was to identify clinical markers predictive of poor quality of life in sarcoidosis patients that can be followed over time and targeted for intervention.

Methods

We assessed the quality of life of 162 patients with confirmed sarcoidosis in a prospective, cross-sectional study using the Sarcoidosis Health Questionnaire (SHQ) and Short Form-36 Health Survey (SF-36). We evaluated the validity of these questionnaires and sought to identify variables that would best explain the performance scores of the patients.

Results

On multivariate regression analyses, the very best composite model to predict total scores from both surveys was a model containing the distance-saturation product and Borg Dyspnea Scale score at the end of a 6-min walk test. This model could better predict SF-36 scores (R2 = 0.33) than SHQ scores (R2 = 0.24). Substitution of distanced walked in 6 min for the distance-saturation product in this model resulted in a lesser ability to predict both scores (R2 = 0.26 for SF-36; R2 = 0.22 for SHQ).

Conclusions

Both the SHQ and SF-36 surveys are valuable tools in the assessment of health-related quality of life in sarcoidosis patients. The best model to predict quality of life among these patients, as determined by regression analyses, included the distance-saturation product and Borg score after the 6-min walk test. Both variables represent easily obtainable clinical parameters that can be followed over time and targeted for intervention.
Literature
1.
go back to reference Wasfi YS, Rose CS, Murphy JR, Silveira LJ, Grutters JC, Inoue Y, Judson MA, Maier LA: A new tool to assess sarcoidosis severity. Chest 2006, 129: 1234–1245. 10.1378/chest.129.5.1234CrossRefPubMed Wasfi YS, Rose CS, Murphy JR, Silveira LJ, Grutters JC, Inoue Y, Judson MA, Maier LA: A new tool to assess sarcoidosis severity. Chest 2006, 129: 1234–1245. 10.1378/chest.129.5.1234CrossRefPubMed
2.
go back to reference De Vries J, Drent M: Quality of life and health status in sarcoidosis: a review. Semin Respir Crit Care Med 2007, 28: 121–127. 10.1055/s-2007-970337CrossRefPubMed De Vries J, Drent M: Quality of life and health status in sarcoidosis: a review. Semin Respir Crit Care Med 2007, 28: 121–127. 10.1055/s-2007-970337CrossRefPubMed
3.
go back to reference Ware JE, Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992, 30: 473–483. 10.1097/00005650-199206000-00002CrossRefPubMed Ware JE, Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992, 30: 473–483. 10.1097/00005650-199206000-00002CrossRefPubMed
4.
go back to reference Cox CE, Donohue JF, Brown CD, Kataria YP, Judson MA: The Sarcoidosis Health Questionnaire: a new measure of health-related quality of life. Am J Respir Crit Care Med 2003, 168: 323–329. 10.1164/rccm.200211-1343OCCrossRefPubMed Cox CE, Donohue JF, Brown CD, Kataria YP, Judson MA: The Sarcoidosis Health Questionnaire: a new measure of health-related quality of life. Am J Respir Crit Care Med 2003, 168: 323–329. 10.1164/rccm.200211-1343OCCrossRefPubMed
5.
go back to reference Jones PW, Quirk FH, Baveystock CM, Littlejohns P: A self-complete measure of health status for chronic airflow limitation. The St. George’s Respiratory Questionnaire. Am Rev Respir Dis 1992, 145: 1321–1327.CrossRefPubMed Jones PW, Quirk FH, Baveystock CM, Littlejohns P: A self-complete measure of health status for chronic airflow limitation. The St. George’s Respiratory Questionnaire. Am Rev Respir Dis 1992, 145: 1321–1327.CrossRefPubMed
6.
go back to reference Geijer RM, Sachs AP, Verheij TJ, Kerstjens HA, Kuyvenhoven MM, Hoes AW: Quality of life in smokers: focus on functional limitations rather than on lung function? Br J Gen Pract 2007, 57: 477–482.PubMedCentralPubMed Geijer RM, Sachs AP, Verheij TJ, Kerstjens HA, Kuyvenhoven MM, Hoes AW: Quality of life in smokers: focus on functional limitations rather than on lung function? Br J Gen Pract 2007, 57: 477–482.PubMedCentralPubMed
7.
go back to reference Kaplan RM, Ries AL: Quality of life as an outcome measure in pulmonary diseases. J Cardpulm Rehabil 2005, 25: 321–331. 10.1097/00008483-200511000-00002CrossRef Kaplan RM, Ries AL: Quality of life as an outcome measure in pulmonary diseases. J Cardpulm Rehabil 2005, 25: 321–331. 10.1097/00008483-200511000-00002CrossRef
8.
go back to reference Cahalin LP, Mathier MA, Semigran MJ, Dec GW, DiSalvo TG: The six-minute walk test predicts peak oxygen uptake and survival in patients with advance heart failure. Chest 1996, 110: 325–332. 10.1378/chest.110.2.325CrossRefPubMed Cahalin LP, Mathier MA, Semigran MJ, Dec GW, DiSalvo TG: The six-minute walk test predicts peak oxygen uptake and survival in patients with advance heart failure. Chest 1996, 110: 325–332. 10.1378/chest.110.2.325CrossRefPubMed
9.
go back to reference Hallstrand TS, Boitano LJ, Johnson WC, Spada CA, Hayes JG, Raghu G: The timed walk test as a measure of severity and survival in idiopathic pulmonary fibrosis. Eur Respir J 2005, 25: 96–103. 10.1183/09031936.04.00137203CrossRefPubMed Hallstrand TS, Boitano LJ, Johnson WC, Spada CA, Hayes JG, Raghu G: The timed walk test as a measure of severity and survival in idiopathic pulmonary fibrosis. Eur Respir J 2005, 25: 96–103. 10.1183/09031936.04.00137203CrossRefPubMed
10.
go back to reference Miyamoto S, Nagaya N, Satoh T, Kyotani S, Sakamaki F, Fujita M, Nakanishi N, Miyatake K: Clinical correlates and prognostic significance of six-minute walk test in patients with primary pulmonary hypertension. Comparison with cardiopulmonary exercise testing. Am J Respir Crit Care Med 2000, 161: 487–492.CrossRefPubMed Miyamoto S, Nagaya N, Satoh T, Kyotani S, Sakamaki F, Fujita M, Nakanishi N, Miyatake K: Clinical correlates and prognostic significance of six-minute walk test in patients with primary pulmonary hypertension. Comparison with cardiopulmonary exercise testing. Am J Respir Crit Care Med 2000, 161: 487–492.CrossRefPubMed
11.
go back to reference Kadikar A, Maurer J, Kesten S: The six-minute walk test: a guide to assessment for lung transplantation. J Heart Lung Transplant 1997, 16: 313–319.PubMed Kadikar A, Maurer J, Kesten S: The six-minute walk test: a guide to assessment for lung transplantation. J Heart Lung Transplant 1997, 16: 313–319.PubMed
12.
go back to reference Lederer DJ, Arcasoy SM, Wilt JS, D’Ovidio F, Sonett JR, Kawut SM: Six-minute-walk distance predicts waiting list survival in idiopathic pulmonary fibrosis. Am J Respir Crit Care Med 2006, 174: 659–664. 10.1164/rccm.200604-520OCPubMedCentralCrossRefPubMed Lederer DJ, Arcasoy SM, Wilt JS, D’Ovidio F, Sonett JR, Kawut SM: Six-minute-walk distance predicts waiting list survival in idiopathic pulmonary fibrosis. Am J Respir Crit Care Med 2006, 174: 659–664. 10.1164/rccm.200604-520OCPubMedCentralCrossRefPubMed
13.
go back to reference Paciocco G, Martinez FJ, Bossone E, Pielsticker E, Gillespie B, Rubenfire M: Oxygen desaturation on the six-minute walk test and mortality in untreated primary pulmonary hypertension. Eur Respir J 2001, 17: 647–652. 10.1183/09031936.01.17406470CrossRefPubMed Paciocco G, Martinez FJ, Bossone E, Pielsticker E, Gillespie B, Rubenfire M: Oxygen desaturation on the six-minute walk test and mortality in untreated primary pulmonary hypertension. Eur Respir J 2001, 17: 647–652. 10.1183/09031936.01.17406470CrossRefPubMed
14.
go back to reference Flaherty KR, Andrei AC, Murray S, Fraley C, Colby TV, Travis WD, Lama V, Kazerooni EA, Gross BH, Toews GB, Martinez FJ: Idiopathic pulmonary fibrosis: prognostic values of changes in physiology and six-minute-walk test. Am J Respir Crit Care Med 2006, 174: 803–809. 10.1164/rccm.200604-488OCPubMedCentralCrossRefPubMed Flaherty KR, Andrei AC, Murray S, Fraley C, Colby TV, Travis WD, Lama V, Kazerooni EA, Gross BH, Toews GB, Martinez FJ: Idiopathic pulmonary fibrosis: prognostic values of changes in physiology and six-minute-walk test. Am J Respir Crit Care Med 2006, 174: 803–809. 10.1164/rccm.200604-488OCPubMedCentralCrossRefPubMed
15.
go back to reference Lama VN, Flaherty KR, Toews GB, Colby TV, Travis WD, Long Q, Murray S, Kazerooni EA, Gross BH, Lynch JP, Martinez FJ: Prognostic value of desaturation during a 6-minute walk test in idiopathic interstitial pneumonia. Am J Respir Crit Care Med 2003, 168: 1084–1090. 10.1164/rccm.200302-219OCCrossRefPubMed Lama VN, Flaherty KR, Toews GB, Colby TV, Travis WD, Long Q, Murray S, Kazerooni EA, Gross BH, Lynch JP, Martinez FJ: Prognostic value of desaturation during a 6-minute walk test in idiopathic interstitial pneumonia. Am J Respir Crit Care Med 2003, 168: 1084–1090. 10.1164/rccm.200302-219OCCrossRefPubMed
16.
go back to reference Bourbonnais JM, Samavati L: Clinical predictors of pulmonary hypertension in sarcoidosis. Eur Respir J 2008, 32: 296–302. 10.1183/09031936.00175907CrossRefPubMed Bourbonnais JM, Samavati L: Clinical predictors of pulmonary hypertension in sarcoidosis. Eur Respir J 2008, 32: 296–302. 10.1183/09031936.00175907CrossRefPubMed
17.
go back to reference Lettieri CJ, Nathan SD, Browning RF, Barnett SD, Ahmad S, Shorr AF: The distance-saturation product predicts mortality in idiopathic pulmonary fibrosis. Respir Med 2006, 100: 1734–1741. 10.1016/j.rmed.2006.02.004CrossRefPubMed Lettieri CJ, Nathan SD, Browning RF, Barnett SD, Ahmad S, Shorr AF: The distance-saturation product predicts mortality in idiopathic pulmonary fibrosis. Respir Med 2006, 100: 1734–1741. 10.1016/j.rmed.2006.02.004CrossRefPubMed
18.
go back to reference Baughman RP, Sparkman BK, Lower EE: Six-minute walk test and health status assessment in sarcoidosis. Chest 2007, 132: 207–213. 10.1378/chest.06-2822CrossRefPubMed Baughman RP, Sparkman BK, Lower EE: Six-minute walk test and health status assessment in sarcoidosis. Chest 2007, 132: 207–213. 10.1378/chest.06-2822CrossRefPubMed
19.
go back to reference Statement on sarcoidosis: Joint statement of the American Thoracic Society (ATS), the European Respiratory Society (ERS) and the World Association of Sarcoidosis and Other Granulomatous Disorders (WASOG) adopted by the ATS Board of Directors and by the ERS Executive Committee, February 1999. Am J Respir Crit Care Med 1999, 160: 736–755.CrossRef Statement on sarcoidosis: Joint statement of the American Thoracic Society (ATS), the European Respiratory Society (ERS) and the World Association of Sarcoidosis and Other Granulomatous Disorders (WASOG) adopted by the ATS Board of Directors and by the ERS Executive Committee, February 1999. Am J Respir Crit Care Med 1999, 160: 736–755.CrossRef
20.
go back to reference Scadding JG: Prognosis of intrathoracic sarcoidosis in England. A review of 136 cases after five years’ observation. Br Med J 1961, 5261: 1165–1172.CrossRef Scadding JG: Prognosis of intrathoracic sarcoidosis in England. A review of 136 cases after five years’ observation. Br Med J 1961, 5261: 1165–1172.CrossRef
21.
go back to reference Brusasco V, Crapo R, Viegi G: ATS/ERS Task Force: Standardization of lung function testing. Eur Respir J 2005, 26: 319–338. 10.1183/09031936.05.00034805CrossRefPubMed Brusasco V, Crapo R, Viegi G: ATS/ERS Task Force: Standardization of lung function testing. Eur Respir J 2005, 26: 319–338. 10.1183/09031936.05.00034805CrossRefPubMed
22.
go back to reference ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories: ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002, 166: 111–117.CrossRef ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories: ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002, 166: 111–117.CrossRef
23.
go back to reference Enright PL, Sherrill DL: Reference equations for six-minute walk in healthy adults. Am J Respir Crit Care Med 1998, 158: 1384–1387.CrossRefPubMed Enright PL, Sherrill DL: Reference equations for six-minute walk in healthy adults. Am J Respir Crit Care Med 1998, 158: 1384–1387.CrossRefPubMed
24.
go back to reference Mahler DA, Mackowiak JI: Evaluation of the short-form 36-item questionnaire to measure health-related quality of life in patients with COPD. Chest 1995, 107: 1585–1589. 10.1378/chest.107.6.1585CrossRefPubMed Mahler DA, Mackowiak JI: Evaluation of the short-form 36-item questionnaire to measure health-related quality of life in patients with COPD. Chest 1995, 107: 1585–1589. 10.1378/chest.107.6.1585CrossRefPubMed
25.
go back to reference Martinez TY, Pereira CA, dos Santos ML, Ciconelli RM, Guimaraes SM, Martinez JA: Evaluation of the short-form 36-item questionnaire to measure health-related quality of life in patients with idiopathic pulmonary fibrosis. Chest 2000, 117: 1627–1632. 10.1378/chest.117.6.1627CrossRefPubMed Martinez TY, Pereira CA, dos Santos ML, Ciconelli RM, Guimaraes SM, Martinez JA: Evaluation of the short-form 36-item questionnaire to measure health-related quality of life in patients with idiopathic pulmonary fibrosis. Chest 2000, 117: 1627–1632. 10.1378/chest.117.6.1627CrossRefPubMed
26.
go back to reference Chang JA, Curtis JR, Patrick DL, Raghu G: Assessment of health-related quality of life in patients with interstitial lung disease. Chest 1999, 116: 1175–1182. 10.1378/chest.116.5.1175CrossRefPubMed Chang JA, Curtis JR, Patrick DL, Raghu G: Assessment of health-related quality of life in patients with interstitial lung disease. Chest 1999, 116: 1175–1182. 10.1378/chest.116.5.1175CrossRefPubMed
27.
go back to reference Ruta DA, Hurst NP, Kind P, Hunter M, Stubbings A: Measuring health status in British patients with rheumatoid arthritis: reliability, validity and responsiveness of the short form 36-item health survey. Br J Rheumatol 1998, 37: 425–436. 10.1093/rheumatology/37.4.425CrossRefPubMed Ruta DA, Hurst NP, Kind P, Hunter M, Stubbings A: Measuring health status in British patients with rheumatoid arthritis: reliability, validity and responsiveness of the short form 36-item health survey. Br J Rheumatol 1998, 37: 425–436. 10.1093/rheumatology/37.4.425CrossRefPubMed
28.
go back to reference Bonkovsky HL, Snow KK, Malet PF, Back-Madruga C, Fontana RJ, Sterling RK, Kulig CC, Di Bisceglie AM, Morgan TR, Dienstag JL, Ghany MG, Gretch DR, HALT-C Trial Group: Health-related quality of life in patients with chronic hepatitis C and advanced fibrosis. J Hepatol 2007, 46: 420–431. 10.1016/j.jhep.2006.10.009PubMedCentralCrossRefPubMed Bonkovsky HL, Snow KK, Malet PF, Back-Madruga C, Fontana RJ, Sterling RK, Kulig CC, Di Bisceglie AM, Morgan TR, Dienstag JL, Ghany MG, Gretch DR, HALT-C Trial Group: Health-related quality of life in patients with chronic hepatitis C and advanced fibrosis. J Hepatol 2007, 46: 420–431. 10.1016/j.jhep.2006.10.009PubMedCentralCrossRefPubMed
29.
go back to reference Girard F, Chouinard P, Boudreault D, Poirier C, Richard C, Ruel M, Ferraro P: Prevalence and impact of pain on the quality of life of lung transplant recipients: a prospective observational study. Chest 2006, 130: 1535–1540. 10.1378/chest.130.5.1535CrossRefPubMed Girard F, Chouinard P, Boudreault D, Poirier C, Richard C, Ruel M, Ferraro P: Prevalence and impact of pain on the quality of life of lung transplant recipients: a prospective observational study. Chest 2006, 130: 1535–1540. 10.1378/chest.130.5.1535CrossRefPubMed
31.
go back to reference Gross NJ: Chronic obstructive pulmonary disease outcome measurements: What’s important? What’s useful? Proc Am Thorac Soc 2005, 2: 267–271. 10.1513/pats.200504-036SRCrossRefPubMed Gross NJ: Chronic obstructive pulmonary disease outcome measurements: What’s important? What’s useful? Proc Am Thorac Soc 2005, 2: 267–271. 10.1513/pats.200504-036SRCrossRefPubMed
33.
go back to reference Güneylioğlu D, Ozşeker F, Bilgin S, Kucuk CU, Akkaya E: The influence of sarcoidosis on quality of life. Tuberrk Toraks 2004, 52: 31–37. Güneylioğlu D, Ozşeker F, Bilgin S, Kucuk CU, Akkaya E: The influence of sarcoidosis on quality of life. Tuberrk Toraks 2004, 52: 31–37.
34.
go back to reference Cox CE, Donohue JF, Brown CD, Kataria YP, Judson MA: Health-related quality of life of persons with sarcoidosis. Chest 2004, 125: 997–1004. 10.1378/chest.125.3.997CrossRefPubMed Cox CE, Donohue JF, Brown CD, Kataria YP, Judson MA: Health-related quality of life of persons with sarcoidosis. Chest 2004, 125: 997–1004. 10.1378/chest.125.3.997CrossRefPubMed
35.
go back to reference Michielsen HJ, Peros-Golubicic T, Drent M, De Vries J: Relationship between symptoms and quality of life in a sarcoidosis population. Respiration 2007, 74: 401–405. 10.1159/000092670CrossRefPubMed Michielsen HJ, Peros-Golubicic T, Drent M, De Vries J: Relationship between symptoms and quality of life in a sarcoidosis population. Respiration 2007, 74: 401–405. 10.1159/000092670CrossRefPubMed
36.
go back to reference Michielsen HJ, Drent M, Peros-Golubicic T, De Vries J: Fatigue is associated with quality of life in sarcoidosis patients. Chest 2006, 130: 989–994. 10.1378/chest.130.4.989CrossRefPubMed Michielsen HJ, Drent M, Peros-Golubicic T, De Vries J: Fatigue is associated with quality of life in sarcoidosis patients. Chest 2006, 130: 989–994. 10.1378/chest.130.4.989CrossRefPubMed
37.
go back to reference von Leupoldt A, Hahn E, Taube K, Schubert-Heukeshoven S, Magnussen H, Dahme B: Effects of 3-week outpatient pulmonary rehabilitation on exercise capacity, dyspnea, and quality of life in COPD. Lung 2008, 186: 387–391. 10.1007/s00408-008-9089-3CrossRefPubMed von Leupoldt A, Hahn E, Taube K, Schubert-Heukeshoven S, Magnussen H, Dahme B: Effects of 3-week outpatient pulmonary rehabilitation on exercise capacity, dyspnea, and quality of life in COPD. Lung 2008, 186: 387–391. 10.1007/s00408-008-9089-3CrossRefPubMed
38.
go back to reference Puhan MA, Scharplatz M, Troosters T, Steurer J: Respiratory rehabilitation after acute exacerbation of COPD may reduce risk for readmission and mortality – a systematic review. Respir Res 2005, 6: 54. 10.1186/1465-9921-6-54PubMedCentralCrossRefPubMed Puhan MA, Scharplatz M, Troosters T, Steurer J: Respiratory rehabilitation after acute exacerbation of COPD may reduce risk for readmission and mortality – a systematic review. Respir Res 2005, 6: 54. 10.1186/1465-9921-6-54PubMedCentralCrossRefPubMed
39.
go back to reference Eaton T, Young P, Milne D, Wells AU: Six-minute walk, maximal exercise trests: Reproducibilty in fibrotic interstitial pneumonia. Am J Respir Crit Care Med 2005, 171: 1150–1157. 10.1164/rccm.200405-578OCCrossRefPubMed Eaton T, Young P, Milne D, Wells AU: Six-minute walk, maximal exercise trests: Reproducibilty in fibrotic interstitial pneumonia. Am J Respir Crit Care Med 2005, 171: 1150–1157. 10.1164/rccm.200405-578OCCrossRefPubMed
40.
go back to reference Detmar SB, Muller MJ, Schornagel JH, Wever LD, Aaronson NK: Health-related quality-of-life assessments and patient-physician communication: a randomized controlled trial. JAMA 2002, 288: 3027–3034. 10.1001/jama.288.23.3027CrossRefPubMed Detmar SB, Muller MJ, Schornagel JH, Wever LD, Aaronson NK: Health-related quality-of-life assessments and patient-physician communication: a randomized controlled trial. JAMA 2002, 288: 3027–3034. 10.1001/jama.288.23.3027CrossRefPubMed
41.
go back to reference Groessl EJ, Kaplan RM, Barrett-Connor E, Ganiats TG: Body mass index and quality of well-being in a community of older adults. Am J Prev Med 2004, 26: 126–129. 10.1016/j.amepre.2003.10.007CrossRefPubMed Groessl EJ, Kaplan RM, Barrett-Connor E, Ganiats TG: Body mass index and quality of well-being in a community of older adults. Am J Prev Med 2004, 26: 126–129. 10.1016/j.amepre.2003.10.007CrossRefPubMed
42.
go back to reference Kelley E, Moy E, Stryer D, Burstin H, Clancy C: The national healthcare quality and disparities reports: an overview. Med Care 2005, 43: I3-I8.PubMed Kelley E, Moy E, Stryer D, Burstin H, Clancy C: The national healthcare quality and disparities reports: an overview. Med Care 2005, 43: I3-I8.PubMed
43.
go back to reference DeVries J, Lower EE, Drent M: Quality of life in sarcoidosis: assessment and management. Semin Respir Crit Care Med 2010, 31: 485–493. 10.1055/s-0030-1262216CrossRef DeVries J, Lower EE, Drent M: Quality of life in sarcoidosis: assessment and management. Semin Respir Crit Care Med 2010, 31: 485–493. 10.1055/s-0030-1262216CrossRef
Metadata
Title
Distance saturation product predicts health–related quality of life among sarcoidosis patients
Authors
Julie M Bourbonnais
Subramanian Malaisamy
Bhavinkumar D Dalal
Priyan C Samarakoon
Swapna R Parikh
Lobelia Samavati
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-10-67

Other articles of this Issue 1/2012

Health and Quality of Life Outcomes 1/2012 Go to the issue