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Vision-related and health-related quality of life in patients with giant cell arteritis.

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posted on 21.12.2020, 09:27 by Aíne Ní Mhéalóid, Richard Conway, Lorraine O'Neill, Barbara Clyne, Eamonn Molloy, Conor Murphy

Objective: To establish if there is a difference in health-related quality of life and vision-related quality of life in patients with a confirmed diagnosis of giant cell arteritis compared with those with clinical features suspicious for the disease at initial presentation but in whom giant cell arteritis is ultimately excluded.

Methods: A cross-sectional study of 116 patients who presented to two tertiary referral hospitals in Ireland with symptoms suspicious for giant cell arteritis was performed between August 2011 and June 2017. The Vision Core Measurement 1 and Short Form-36 questionnaires were used as assessment tools.

Results: The mean (standard deviation) age of all 116 participants was 69.4 (9.3) years of whom 74 (63.8%) were female. In the giant cell arteritis group, 19.7% had permanent loss of vision and 54.7% had non-permanent visual disturbance. Vision Core Measurement 1 score in the giant cell arteritis group correlated with worse eye visual acuity (r = 0.4233, p = 0.0002). The Short Form-36 subscales of role physical (p = 0.0002), role emotional (p = 0.024), and the mental composite score (p = 0.012) were significantly worse in patients with giant cell arteritis. A significant correlation was found between vision-related quality of life scores and all Short Form-36 subscale scores except bodily pain (r = -0.215 to -0.399, p < 0.05 for all), and between social functioning and visual acuity in the better eye (r = -0.242, p = 0.038).

Conclusion: Vision-related quality of life is an important subjective concern for both patients presenting with a suspicion of giant cell arteritis and those with a definite diagnosis of giant cell arteritis. Features of giant cell arteritis impact on patients' physical and emotional states and vision influences global quality of life in giant cell arteritis. A long-term multidisciplinary approach is warranted for clinical, physical, and psychological treatment and support.

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This article is also available at Sage Publications: https://journals.sagepub.com/

Published Citation

Mhéalóid A, Conway R, O'Neill L, Clyne B, Molloy E, Murphy C. Vision-related and health-related quality of life in patients with giant cell arteritis. European Journal of Ophthalmology. 2020 Jan 20; https://doi.org/10.1177/1120672120901693

Publication Date

20 January 2020

PubMed ID

31957482

Department/Unit

  • General Practice
  • HRB Centre for Primary Care Research
  • Ophthalmology

Publisher

Sage

Version

  • Accepted Version (Postprint)

Exports

Royal College of Surgeons in Ireland

Exports