Health-related quality of life in patients with alveolar echinococcosis: a cross-sectional study

Infection. 2019 Feb;47(1):67-75. doi: 10.1007/s15010-018-1219-0. Epub 2018 Sep 17.

Abstract

Purpose: The Alveolar echinococcosis (AE) is a rare zoonosis caused by the parasite Echinococcus multilocularis. To date, nothing is known about the health-related quality of life (HRQoL) in patients with AE. The aim of the study was to evaluate the HRQoL in patients with AE in comparison of the healthy population.

Methods: We used the 36-Item Short Form Health Survey (SF-36) questionnaire to evaluate the HRQoL. The SF-36 scales have a range of 0-100 (0 represents the worst and 100 the most favourable state of health). SAS Version 9.2 was used for the statistical analysis of AE-cases (n = 30) and the healthy control group (n = 35).

Results: The analysis showed that the HRQoL in people with AE is reduced in comparison with the control population. The study group consisted of 15 (50.0%) men and 15 (50.0%) women; the control group of 16 (45.7%) men and 19 (54.3%) women. The mean age was 55.73 ± 16.65 years, while that of the control group was 54.57 ± 15.34 years. The physical quality of life in patients with AE (45.21 ± 11.42) was not significantly less than that of the control group (50.54 ± 10.52); p = 0.0568. Nevertheless, AE-patients show lower SF-36 scores for the physical quality of life. For the mental quality of life, patients with AE had a significantly lower score (45.46 ± 10.57) than the control group (51.57 ± 9.04); p = 0.0154.

Conclusions: The HRQoL in people with AE is reduced in comparison with a control population. Assessment of the physical and mental quality of life in patients with AE may help to evaluate the patient outcome.

Keywords: Alveolar echinococcosis; Echinococcus multilocularis; Health-related quality of life; Healthy control group; SF-36 questionnaire.

MeSH terms

  • Adult
  • Aged
  • Animals
  • Cross-Sectional Studies
  • Echinococcosis / psychology*
  • Echinococcus multilocularis / physiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Quality of Life* / psychology
  • Surveys and Questionnaires

Supplementary concepts

  • Alveolar echinococcosis