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Treatment Adherence and Health-Related Quality of Life in Patients with Hemophilia in Hong Kong.


ABSTRACT:

Background

This study aims to identify factors affecting health-related quality of life (HRQoL) in Chinese patients with hemophilia in Hong Kong, and to examine the association between treatment adherence and HRQoL outcomes.

Methods

Patients with hemophilia A or B from a non-governmental organization reported their HRQoL and treatment adherence to prophylactic therapy using validated tools. Univariate tests and multivariable regression analysis were used to compare differences in outcomes across clinically relevant subgroups.

Results

Fifty-six patients were recruited (mean age 30.4 [17.4] years; majority hemophilia A: 75%; moderate-to-severe severity: 88%). Patients who received prophylactic treatment reported fewer work/school problems (25.8 [18.9] versus 51.5 [26.3]; p = 0.001) than those who received on-demand therapy. The multivariable model showed that older age (B = 0.42, 95% CI = 0.093-0.75) and living in public housing (B = 10.24, 95% CI = 0.70-19.77) were associated with worse HRQoL. Older age was associated with treatment non-adherence (r = 0.66, p < 0.0001). Patients with poor adherence tended to report worse functioning in sports/leisure (r = 0.31, p = 0.033).

Conclusions

Our results suggest that patients who were older, had lower education attainment and received on-demand treatment had poorer perception of their health. Improving adherence may lead to better HRQoL. Future work includes evaluating the occupational needs prospectively in this population.

SUBMITTER: Cheung YT 

PROVIDER: S-EPMC9180237 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature

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Publications

Treatment Adherence and Health-Related Quality of Life in Patients with Hemophilia in Hong Kong.

Cheung Yin Ting YT   Lam Pok Hong PH   Lam Henry Hon Wai HHW   Ma Chung-Tin CT   Leung Alex Wing Kwan AWK   Wong Raymond Siu Ming RSM   Li Chi Kong CK  

International journal of environmental research and public health 20220526 11


Background: This study aims to identify factors affecting health-related quality of life (HRQoL) in Chinese patients with hemophilia in Hong Kong, and to examine the association between treatment adherence and HRQoL outcomes. Methods: Patients with hemophilia A or B from a non-governmental organization reported their HRQoL and treatment adherence to prophylactic therapy using validated tools. Univariate tests and multivariable regression analysis were used to compare differences in outcomes acro  ...[more]

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