Alternative Title肺非結核性抗酸菌症患者のQOLへ慢性痰症状が与える影響:横断研究
Periodical titleRespiratory Investigation
Degree grantor/typeNagasaki University (長崎大学)
Note (General)Background: The effect of chronic sputum (CS) symptoms on health-related quality of life (HRQOL) in patients with nontuberculous mycobacterial pulmonary disease (NTM-PD) has not been studied. The aim of this study was to clarify the differences in the clinical characteristics of NTM-PD patients with and without CS and to investigate the effect of CS on HRQOL.Methods: This cross-sectional study included patients with NTM-PD who were prescribed pulmonary rehabilitation at the Fukujuji Hospital from March 2016 to June 2019. HRQOL was evaluated using the MOS 36-Item Short-Form Health Survey (SF-36).Results: Of the 99 subjects studied, 71 had CS (CS+) (71.7%), and 28 (28.3%) did not have CS (CS-). Patients in the CS + group had a lower body mass index, forced vital capacity percent predicted, and forced expiratory volume in 1 s percent predicted. Regarding the radiological evaluation, the proportion of patients with the fibrocavitary form and the radiological score were significantly higher in the CS + group. The mental component summary (MCS) score of the SF-36 were significantly lower in the CS + group. Multiple regression analysis showed that the presence of CS was independently associated with a lower MCS score of the SF-36.Conclusions: NTM-PD patients with CS had more severe disease, with reduced pulmonary function and severe radiological findings. CS was shown to independently affect HRQOL, especially mental status.
長崎大学学位論文 学位記番号:博(医歯薬)甲第1399号 学位授与年月日:令和4年3月31日
Author: Kazumasa Yamane, Koji Furuuchi, Mitsuru Tabusadani, Satoshi Takao, Yuki Kuroyama, Yusuke Matsumura, Kosuke Mori, Kazuki Ono, Kazuma Kawahara, Shunya Omatsu, Yuki Toyoda, Keiji Fujiwara, Kozo Morimoto, Hideaki Senjyu
Citation: Respiratory Investigation, 60(2), pp. 277-283; 2022
identifier:Nagasaki University (長崎大学), 博士(医学) (2022-03-31)
http://hdl.handle.net/10069/00041
DOIinfo:doi/10.1016/j.resinv.2021.09.011
Collection (particular)国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
Date Accepted (W3CDTF)2022-06-05T18:01:14+09:00
Data Provider (Database)国立国会図書館 : 国立国会図書館デジタルコレクション