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Quality of life predictors in patients with chronic inflammatory demyelinating polyradiculoneuropathy
Authors:Ivo?Bozovic  Aleksandra?Kacar  Email author" target="_blank">Stojan?PericEmail author  Ana?Nikolic  Bogdan?Bjelica  Mina?Cobeljic  Milutin?Petrovic  Aleksandar?Stojanov  Vanja?Djuric  Miroslav?Stojanovic  Gordana?Djordjevic  Vesna?Martic  Aleksandra?Dominovic  Zoran?Vukojevic  Ivana?Basta
Institution:1.Neurology Clinic, Clinical Center of Serbia, School of Medicine,University of Belgrade,Belgrade,Serbia;2.Neurology Clinic,Clinical Center Kragujevac,Kragujevac,Serbia;3.Neurology Clinic,Clinical Center Nis,Nis,Serbia;4.Outpatient Neurology Clinic “Neuromedic”,Nis,Serbia;5.Neurology Clinic,Military Medical Academy,Belgrade,Serbia;6.Neurology Clinic,Clinical Center Banja Luka,Banja Luka,Bosnia and Herzegovina
Abstract:Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a chronic disease which can lead to many functional impairments, and like most other chronic disorders it might significantly affect quality of life (QoL). Information about QoL in patients with CIDP from developing countries is still lacking. We, therefore, sought to complete these data mosaic by investigating QoL in patients with CIDP from Serbia and surrounding countries. Our study comprised 106 patients diagnosed with CIDP. QoL was investigated using the Serbian version of the SF-36 questionnaire. The Medical Research Council 0–5 point scale, INCAT motor and sensory scores, Krupp’s Fatigue Severity Scale, and Beck Depression Inventory were also used. Factors that significantly correlated with SF-36 total score in univariate analysis were included in the multiple linear regression analysis. Physical domains of the SF-36 were more affected than mental, and the overall score was 56.6 ± 25.4. Significant predictors of worse SF-36 score in our patients with CIDP were severe fatigue (β = ? 0.331, p < 0.01), higher INCAT motor score (β = ? 0.301, p < 0.01), depression (β = ? 0.281, p < 0.01), being unemployed/retired (β = ? 0.188, p < 0.05), and shorter duration of CIDP (β = + 0.133, p < 0.01). QoL was reduced in CIDP patients, especially in physical domains. Patients with presence of fatigue and depression, with more severe motor disability, unemployed/retired ones, and those with shorter duration of the disease need special attention of clinicians since they could be at higher risk to have worse QoL.
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