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Patients’ perceptions of health-related quality of life in rheumatoid arthritis

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Abstract

The purpose of this study is to determine how health-related quality of life (HRQL) is perceived by patients with rheumatoid arthritis using textual analysis and to identify associations between sociodemographic and clinical variables and patients’ perceptions. Multicentre, cross-sectional study, including 781 patients (78.8% females, mean age 60.65 years, standard deviation 14.22). Sociodemographic and clinical variables were collected. A questionnaire was used which included an open question, “What does HRQL mean to you?” Cluster analysis was used, and answers to the open question were analysed using textual analysis. Cluster analysis showed three typologies differentiated by gender, age, and socioeconomic level and by the terms used to describe perceptions of HRQL with no marked clinical differences. Characteristic phrases were “to be totally independent, to have no pain, and to do things without thinking about the negative effects” (typology 1); “to have no pain and control my moods and my illness has made me a little excitable” (typology 2); and “to feel well enough to do things for myself” (typology 3). Three representative typologies of patients were identified who differed clearly in their perceptions of HRQL. Textual analysis may be considered as a valid tool for the analysis of complex issues such as quality of life.

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Acknowledgements

We wish to thank F. Segura, D. Buss, and R. Ortega for their help and M. A. Parra, N. Rodriguez, R. Sanmartí, J. D. Cañete, L. L. Quintó, and M. J. Bertran for their advice. The authors also acknowledge the contributions of all participants. This study was supported by the Foundation La Marató TV3 (nº 30510).

The other members of the ARQUALIS Study Group are C. Alegre (Hospital Vall d’Hebron), X. Alzaga (SAP Muntanya), X. Arasa (Hospital Verge de la Cinta), D. Boquet (Hospital Arnau de Vilanova), M. A. Campillo (SAP Dreta BCN), M. Carandell (Hospital Sant Camil), M. Centelles (Hospital de Mataró), T. Clavaguera (Hospital de Palamós), L. Figueiras (SAP Cerdanyola), E. Llopart (SAP Muntanya), S. Ordoñez (Hospital Arnau de Vilanova), M. R. Oriach (SAP Dreta BCN), and C. Trabado (SAP Esquerra BCN).

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Authors and Affiliations

  1. Department of Rheumatology, Clinical Medical and Surgical Institute (ICEMEQ) Hospital Clínic, Villarroel 170, 08036, Barcelona, Spain

    Montserrat Núñez

  2. Health Services, Institut Català de la Salut, SAP Support al Diagnòstic i al Tractament, Avda. Drassanes 17-21, 08001, Barcelona, Spain

    Esther Núñez & José Luis del Val

  3. Department of Statistics, University of Barcelona, Avda. Diagonal 80, Barcelona, Spain

    Alex Sanchez

  4. Rheumatology Service, Hospital de l’Alt Penedes, Espirall s/n., 08720, Vilafranca del Penedes, Barcelona, Spain

    María Bonet

  5. Health Services, Institut Català de la Salut, SAP Baix Llobregat Centre, 17, 08040, Cornella, Barcelona, Spain

    Daniel Roig

  6. Institut d’ Estudis de la Salut, Roc Boronat 81-95, 08005, Barcelona, Spain

    Dolors Muñoz

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  1. Montserrat Núñez
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  2. Esther Núñez
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  3. Alex Sanchez
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  4. José Luis del Val
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  5. María Bonet
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  6. Daniel Roig
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  7. Dolors Muñoz
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ARQUALIS Study Group

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Correspondence to Montserrat Núñez.

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Núñez, M., Núñez, E., Sanchez, A. et al. Patients’ perceptions of health-related quality of life in rheumatoid arthritis. Clin Rheumatol 28, 1157–1165 (2009). https://doi.org/10.1007/s10067-009-1215-y

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  • DOI: https://doi.org/10.1007/s10067-009-1215-y

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