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Analysis of quality of life and influencing factors in 197 Chinese patients with port-wine stains.

Abstract Port-wine stains (PWS) are congenital capillary malformations, usually occurring on the face, neck, and other exposed parts of the skin, that have serious psychological and social impact on the patient. Most researchers focus on the treatment of PWS, but the quality of life (QoL) of PWS patients is seldom researched. The objective of this study is to evaluate the QoL of patients with PWS on exposed parts and explore the factors influencing the QoL of PWS patients. The QoL of 197 cases with PWS on exposed parts were prospectively studied using the Dermatology Life Quality Index questionnaire (DLQI), and the factors influencing the patients' QoL were analyzed by single-factor analysis and multiple-factor logistic regression analysis. The reliability and validity of the QoL of PWS patients were then assessed by DLQI. A total of 197 valid questionnaires were collected. The DLQI scores in PWS cases ranged from 2 to 16, with 2 to 5 in 52.29% (103/197), 6 to 10 in 42.13% (83/197), and 11 to 20 in 5.58% (11/197). The main score elements of the DLQI focused on symptoms and feelings, daily activities, and social entertainment. Single-factor analysis and multiple-factor logistic regression analysis showed that the main influencing factors were female sex, skin hypertrophy, and lesion area >30 cm. The inter-item correlation averaged 47.46% and the Cronbach α was 0.740, indicating high internal consistency. Correlation of the 6 dimensions of the DLQI questionnaires with the total scores showed that the Spearman correlation coefficient r ranged from 0.550 to 0.782 (P < .001), with symptoms and feelings having a correlation coefficient of 0.782 and a high correlation with total scores. This study shows that PWS has mild to moderate influence on the QoL of most patients, mainly on daily activities, social entertainment, and feelings.
PMID
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Authors

Mayor MeshTerms

Quality of Life

Keywords
Journal Title medicine
Publication Year Start




PMID- 29390578
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 51
DP  - 2017 Dec
TI  - Analysis of quality of life and influencing factors in 197 Chinese patients with 
      port-wine stains.
PG  - e9446
LID - 10.1097/MD.0000000000009446 [doi]
AB  - Port-wine stains (PWS) are congenital capillary malformations, usually occurring 
      on the face, neck, and other exposed parts of the skin, that have serious
      psychological and social impact on the patient. Most researchers focus on the
      treatment of PWS, but the quality of life (QoL) of PWS patients is seldom
      researched. The objective of this study is to evaluate the QoL of patients with
      PWS on exposed parts and explore the factors influencing the QoL of PWS patients.
      The QoL of 197 cases with PWS on exposed parts were prospectively studied using
      the Dermatology Life Quality Index questionnaire (DLQI), and the factors
      influencing the patients' QoL were analyzed by single-factor analysis and
      multiple-factor logistic regression analysis. The reliability and validity of the
      QoL of PWS patients were then assessed by DLQI. A total of 197 valid
      questionnaires were collected. The DLQI scores in PWS cases ranged from 2 to 16, 
      with 2 to 5 in 52.29% (103/197), 6 to 10 in 42.13% (83/197), and 11 to 20 in
      5.58% (11/197). The main score elements of the DLQI focused on symptoms and
      feelings, daily activities, and social entertainment. Single-factor analysis and 
      multiple-factor logistic regression analysis showed that the main influencing
      factors were female sex, skin hypertrophy, and lesion area &gt;30 cm. The inter-item
      correlation averaged 47.46% and the Cronbach alpha was 0.740, indicating high
      internal consistency. Correlation of the 6 dimensions of the DLQI questionnaires 
      with the total scores showed that the Spearman correlation coefficient r ranged
      from 0.550 to 0.782 (P &lt; .001), with symptoms and feelings having a correlation
      coefficient of 0.782 and a high correlation with total scores. This study shows
      that PWS has mild to moderate influence on the QoL of most patients, mainly on
      daily activities, social entertainment, and feelings.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Wang, Juan
AU  - Wang J
AD  - Department of Dermatology.
FAU - Zhu, Yu-You
AU  - Zhu YY
AD  - Department of Neurology, Anhui Provincial Hospital, Anhui Medical University.
FAU - Wang, Zhong-Ying
AU  - Wang ZY
AD  - Department of Dermatology, The First Affiliated Hospital of Anhui Medical
      University, Hefei, China.
FAU - Yao, Xiu-Hua
AU  - Yao XH
AD  - Department of Dermatology.
FAU - Zhang, Lan-Fang
AU  - Zhang LF
AD  - Department of Dermatology.
FAU - Lv, Hong
AU  - Lv H
AD  - Department of Dermatology.
FAU - Zhang, Si-Ping
AU  - Zhang SP
AD  - Department of Dermatology.
FAU - Hu, Bai
AU  - Hu B
AD  - Department of Dermatology.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Case-Control Studies
MH  - China
MH  - Female
MH  - Humans
MH  - Male
MH  - Port-Wine Stain/*psychology
MH  - Prospective Studies
MH  - *Quality of Life
MH  - Sex Factors
MH  - Surveys and Questionnaires
PMC - PMC5758280
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009446 [doi]
AID - 00005792-201712220-00165 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(51):e9446. doi: 10.1097/MD.0000000000009446.