Title
Measuring health related quality of life for dengue patients in iquitos, Peru
Date Issued
01 July 2020
Access level
open access
Resource Type
journal article
Author(s)
Elson W.H.
Riley-Powell A.R.
Morrison A.C.
Gotlieb E.E.
Groessl E.J.
Cordova J.J.
Rios J.E.
Quiroz W.L.
Vizcarra A.S.
Reiner R.C.
Barkerid C.M.
Vazquez-Prokopec G.M.
Scottid T.W.
Rothmanid A.L.
Elder J.P.
Tulane School of Public Health and Tropical Medicine
Publisher(s)
Public Library of Science
Abstract
Previous studies measuring the health-related quality of life (HRQoL) of individuals with dengue focused on treatment seeking populations. However, the vast majority of global dengue cases are unlikely to be detected by health systems. Representative measurements of HRQoL should therefore include patients with disease not likely to trigger treatment-seeking behavior. This study based in Iquitos, Peru used the Quality of Wellbeing Scale-Self Administered, a survey that enquires about not only physical health, but also psychological health, self-care, mobility, and usual social activities, and rates HRQoL between 0 (death) and 1 (optimum function), to evaluate the impact of dengue on HRQoL. In order to enroll treatment and non treatment-seeking participants, three modalities of participant recruitment were used. In addition to clinic and community-based febrile surveillance, a contact-cluster methodology was also employed to identify infected individuals less likely to seek treatment. We measured changes in HRQoL and identified common areas of health impairment in 73 virologically confirmed dengue cases at 3 time points during the participant’s illness; the earlyacute (days 0–6 post symptom onset), late-acute (days 7–20), and convalescent illness phases (days 21 +). Participants reported HRQoL related impairments at significantly higher frequency during the early-acute versus convalescent illness phase (Fisher’s exact: P<0.01). There was substantial heterogeneity in scores during each illness phase with median scores in the early-acute, late-acute and convalescent phases of 0.56 (IQR: 0.41– 0.64), 0.70 (IQR: 0.57–0.94), and 1 (IQR: 0.80–1.00), respectively. In all illness phases participants recruited in clinics had on average the lowest HRQoL scores where as those recruited in the contact clusters had the highest. Only 1 individual who was recruited in the contact-clusters had no reduction in HRQoL score during their illness. These data illustrate that dengue should be considered as a disease that may have significant implications for not only physical health but also psychological health and social functioning. The impact of dengue on the HRQoL of non-treatment-seeking individuals, although lower than the impact among treatment-seeking individuals, is not necessarily trivial.
Start page
1
End page
17
Volume
14
Issue
7
Language
English
OCDE Knowledge area
Enfermedades infecciosas Virología
Scopus EID
2-s2.0-85089118546
PubMed ID
Source
PLoS Neglected Tropical Diseases
ISSN of the container
19352727
Sponsor(s)
This research was supported by grant number P01AI098670 from the National Institutes of Health, National Institute of Allergy and Infectious Diseases (https://www.niaid.nih.gov) (TWS PI). Further support was provided by the Military Infectious Disease Research Program award number S0520_15_LI and the US Department of Defense Global Emerging Infections Systems Research Program Work Unit No. 847705.82000.25GB. B0016. ARP was supported by the Wellcome Trust (212712/Z/18/Z). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We thank the residents of Iquitos for their participation in this study. We greatly appreciate the support of the Loreto Regional Health Department, including Drs. Hugo Rodriguez-Ferruci, Christian Carey, Carlos Alvarez, Hernan Silva, and Lic. Wilma Casanova Rojas who all facilitated our work in Iquitos. We thank the NAMRU-6 Virology and Emerging Infections Department (VEID) leadership who provided institutional support, IRB guidance and support supervising field staff. We also appreciate the careful commentary and advice provided by the NAMRU-6 IRB and Research Administration Program for the duration of this study. We thank the NAMRU-6 VEID field team and physicians who provided daily support through the duration of the project and without whom the recruitment of acute dengue cases would not have been possible. In particular we thank Gabriela Vasquez de la Torre for her administrative support of the project.
Sources of information: Directorio de Producción Científica Scopus