Development and Application of the Chinese (Mainland) Version of Chronic Liver Disease Questionnaire to Assess the Health-Related Quality of Life (HRQoL) in Patients with Chronic Hepatitis B.

Yanli Liu,Sai Zhang,Juan Du,Shuang Shao,Xiaoqin Lu,Guanghui Jin,Yali Zhao

doi:10.1371/journal.pone.0162763

Yanli Liu, Sai Zhang + Show 5 more

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https://doi.org/10.1371/journal.pone.0162763

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Journal: PloS one	Publication Date: Sep 15, 2016
Citations: 5	License type: CC BY 4.0

Affiliation: Capital Medical University

Abstract

ObjectiveTo develop the Chinese (Mainland) version of Chronic Liver Disease Questionnaire (CLDQ) and use it to assess the health-related quality of life (HRQoL) of chronic hepatitis B (CHB) patients in China and identify the determinants of HRQoL.MethodsThe Chinese (Mainland) CLDQ was developed by expert consultation, focus group interviews with patients, and pilot study. The final version of questionnaire was adopted to assess the HRQoL of chronic hepatitis B outpatients enrolled from two largest infectious hospitals in Beijing. Cronbach’ s alpha was used to measure the internal consistency reliability. The construct validity was measured by factor analysis. T-test, one-way analysis of variance (ANOVA), and multi-variable linear regression were used to analyze the data.ResultsCronbach’s alpha of the overall CLDQ is 0.935, ranging from 0.628 to o.881 among six subscales. Six factors were identified via factor analysis, including a new factor sleeping(SL). A total of 519 patients with CHB were included in the investigation with the final version of questionnaire, 405 of them were only with CHB, 53 with compensated cirrhosis, and 61 with decompensated cirrhosis. The CHB group scored the highest in the overall score of CLDQ (p<0.05). The score of worry (WO) domain was significantly lower in the compensated group than the CHB group (p<0.05). Decompensated cirrhosis patients scored lower than the CHB group in all CLDQ domains and the overall score (p<0.05). Stages of illness, gender, regular visits to specialized hospitals, and work status in last year were determinants of HRQoL.ConclusionThe psychometric properties of the Chinese(Mainland) CLDQ is acceptable. The HRQoL of CHB patients deteriorated with disease progression. Advanced stages of CHB, female, long time absence from work after illness, and no job or retirement were determinants of poor HRQoL. Regular visits to specialized hospitals was a positive determinant of HRQoL.

Highlights

Viral Hepatitis has been a major global health problem
A total of 519 patients with chronic hepatitis B (CHB) were included in the investigation with the final version of questionnaire, 405 of them were only with CHB, 53 with compensated cirrhosis, and 61 with decompensated cirrhosis
Thirty percent chronic HBV infectious patients develop into CHB and 12%-15% CHB patients develop into cirrhosis within 5 years [2]

Summary

Introduction

More than 240 million people worldwide have chronic hepatitis B infections. More than 780,000 people die every year due to acute or chronic consequences of hepatitis B [1]. Thirty percent chronic HBV infectious patients develop into CHB and 12%-15% CHB patients develop into cirrhosis within 5 years [2]. The mortality of CHB, compensated cirrhosis and decompensated cirrhosis within 5 years are 0~2%, 14%~20%, 70%~86%, respectively [4]. China has the highest carrier prevalence of HBV infection in the world, accounting for 10% of the general population [5]. In China, CHB related-disease posed substantial threat on patients’ health and resulted in heavy economic burden on their families and the society [6,7]

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