Evidence map›Paper›PMID 32887630›Full record

ArticleHealth and quality of life outcomes2020

Factors affecting health-related quality of life in patients with skin disease: cross-sectional results from 8,789 patients with 16 skin diseases.

Zehui He, Gaetano Marrone, Aihua Ou, Hongxia Liu, Lin Ma, Ying Huang, Yongmei Li, Liyun Sun, Yanping Bai, Wali Liu and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  15. Quality of Life and Its Associated Factors among Patients with Psoriasis in a Semi-Urban Northeast Malaysia.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Zehui HeDepartment of Clinical Epidemiology, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Gaetano MarroneDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Aihua OuDepartment of Clinical Epidemiology, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Hongxia LiuDepartment of Dermatology, Xinjiang Medical University Affiliated Chinese Medicine Hospital, Urumqi, China.
Lin MaDepartment of Dermatology, Heilongjiang Academy of Chinese Medical Sciences, Harbin, China.
Ying HuangDepartment of Dermatology, Chengdu University of Traditional Chinese Medicine Affiliated Hospital, Chengdu, China.
Yongmei LiDepartment of Dermatology, Shanghai University of Traditional Chinese Medicine Affiliated Longhua Hospital, Shanghai, China.
Liyun SunDepartment of Dermatology, Capital Medical University Affiliated Beijing Traditional Chinese Medicine Hospital, Beijing, China.
Yanping BaiDepartment of Dermatology, China-Japan Friendship Hospital, Beijing, China.
Wali LiuDepartment of Dermatology, China Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Xushan ZhaDepartment of Dermatology, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Chuanjian LuDepartment of Dermatology, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, No. 111 Da De Road, Yue Xiu District, Guangzhou, 510120, Guangdong, China. luchuanjian888@vip.sina.com.ORCID http://orcid.org/0000-0001-6531-0702

Funding

Guangdong Provincial Hospital of Traditional Chinese Medicine YN2019QL07National Science and Technology Program during the Twelfth Five-year Plan Period 2013BAI02B03
6 · The paper itself

Abstract

backgroundMany previous studies have reported factors that contribute to health-related quality of life (HRQoL) for a single skin disease. However, little is known about generalized factors associated with HRQoL across skin diseases. The objective of this study was to investigate overall HRQoL, and to identify factors related to severely impaired HRQoL among patients with 16 different skin diseases.

methodsA cross-sectional study of 9845 patients with skin disease was conducted in 9 hospitals in China. HRQoL was assessed with the Chinese version of the Skindex-29 which measures dermatology-specific health along three domains (symptoms, emotions and functioning). With the published Skindex-29 cut-off scores for severely impaired HRQoL, logistic regression models assessed the relationship between severely impaired HRQoL and demographic/clinical characteristics, with adjustments for different skin diseases. To guarantee the models' convergence, 16 skin diseases with frequencies of at least 100 were included, and the sample size was 8789.

resultsEmotions was the most impaired aspect of HRQoL. Co-existing chronic diseases, 3 years or longer duration, and more severity were identified as associated factors for severely impaired HRQoL for each Skindex-29 domain, and for the aggregate. Being female, under 45 years old, and consuming alcohol were associated with a severely impaired emotion domain; Lack of exercise and smoking were associated with severely impaired symptoms and function domains, respectively.

conclusionsSkin diseases can affect many facets of HRQoL, but the emotional impairment deserves more attention. In addition to skin disease severity, this study shows that other chronic diseases and long duration are correlated with severely impaired HRQoL for patients with 16 clinical common skin diseases. This suggests the need for increased awareness in treating skin disease as a chronic disease. It also suggests that disease management decisions should consider HRQoL improvement, especially emotional conditions, when making management decisions.

Indexed as

Quality of LifeAdultChinaChronic DiseaseCross-Sectional StudiesFemaleHumansMaleMiddle AgedSeverity of Illness IndexSkin DiseasesSurveys and QuestionnairesYoung AdultDermatologyLogistic modelsQuality of lifeSkin diseases

Identifiers

PMID32887630
PMCPMC7487577

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.