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Physical and mental quality of life in adult patients with haemophilia in Belgium: the impact of financial issues

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Carvalhosa, Ana Monteiro [UCL] Henrard, Séverine [UCL] Lambert, Catherine [UCL] Hermans, Cédric [UCL]

In Belgium, where haemophilia affects approximately 1:7000 people (2011), data on patients' quality of life (QoL) is scarce. This project aims to assess physical and mental QoL (P-QoL and M-QoL) simultaneously, and to analyse the influence of different variables on these two aspects of QoL. After Ethics Committee approval, we contacted 84 adult haemophilia A (HA) and haemophilia B (HB) patients, without current inhibitors, on replacement therapy (on-demand or secondary prophylaxis), regularly followed up at our comprehensive treatment centre. Seventy-one (n = 59 HA, n = 12 HB) replied to our questionnaire, which included the SF36v2 QoL assessment forms. We analysed two groups of variables: one including variables previously associated with decreased QoL, and another including variables with unclear impact on QoL (e.g., patients' understanding of haemophilia-related issues, economical concerns). In our population (mean ± SD age: 45.2 ± 14.7 years old), P-QoL appeared more reduced than M-QoL. P-QoL was strongly influenced by the number of arthropathies while M-QoL was primarily affected by patients' concern of personal costs due to haemophilia. Among this latter group, having knowledge of insurance coverage had a positive impact on M-QoL. Scores did not depend on haemophilia type. QoL was impaired in our haemophilia patients. A simultaneous assessment of P-QoL and M-QoL confirmed the benefit of primary prophylaxis in P-QoL, while originally pointing out the major burden of patients' concerns and poor understanding of haemophilia-related economical issues on their M-QoL. This might become a particularly challenging issue in times of financial crisis.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2014
Language Anglais
Journal information "Haemophilia" - Vol. 20, no. 4, p. 479-485 (2014)
Peer reviewed yes
Publisher Blackwell Science ((United Kingdom) Osney Mead)
issn 1351-8216
e-issn 1365-2516
Publication status Publié
Affiliations UCL - (SLuc) Service d'hématologie
UCL - SSS/IRSS - Institut de recherche santé et société
UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire
Keywords Belgium ; financial issues ; haemophilia ; haelth-related quality of life ; insurance ; Short-Form 36 Questionnaire
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Bibliographic reference Carvalhosa, Ana Monteiro ; Henrard, Séverine ; Lambert, Catherine ; Hermans, Cédric. Physical and mental quality of life in adult patients with haemophilia in Belgium: the impact of financial issues. In: Haemophilia, Vol. 20, no. 4, p. 479-485 (2014)
Permanent URL http://hdl.handle.net/2078.1/146924