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Health-related quality of life in patients with chronic rheumatic disease after a multidisciplinary rehabilitation regimen

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Abstract

Introduction

Multidisciplinary rehabilitation has beneficial effects on health-related quality of life (HRQoL) in patients with chronic rheumatic diseases. However, whether this intervention benefits different age groups in women or men is largely unknown.

Purpose

To investigate HRQoL in patients with chronic rheumatic disease after completion of a 3-week multidisciplinary treatment, with special focus on differences in effect between age and gender groups.

Method

HRQoL was measured with SF-36. Mean scores for all SF-36 domains were compared before and after the 3-week regimen and again at 3-, 6-, and 12-month follow-ups. Multivariable linear regression models using generalized estimating equations to account for repeated measurement were employed. A weighting procedure to account for differential dropouts was applied.

Results

Three hundred fifty-six women and 74 men with chronic rheumatic disease were included. There were short-term improvements in all SF-36 domains irrespective of age or gender. These effects persisted for up to 1 year in the psychological, social, and energy domains for women under 50. We found no lasting effects for men; however, young men showed similar trends.

Conclusion

Inpatient multidisciplinary rehabilitation improves short-term HRQoL in all patients. Younger women maintain these beneficial effects for up to 1 year. Additional intervention should be considered for elderly women and for men in order to sustain rehabilitation effects.

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Notes

  1. http://www.rand.org/health/surveys_tools/mos/mos_core_36item_survey_print.html.

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Acknowledgments

We thank Fritze Flink, P.T. and Lis Seiling, R.N., from the Center for Health and Rehabilitation, SANO, Danish Association for Rheumatism, for excellent technical assistance.

Funding

This study was supported by the Danish Medical Research Council and the Danish Association for Rheumatism. J.D. Comins, P.T., PhD was funded by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) Advanced Rehabilitation Research Training Fellowship at Boston University (Grant No. H133P120001) and IOC Sports Medicine, Department of Orthopaedic Surgery M, Bispebjerg Hospital, and Center for Healthy Aging, Faculty of Health Sciences, University of Copenhagen, Denmark.

Author information

Authors and Affiliations

  1. Musculoskeletal Rehabilitation Research Unit, Department of Physical Therapy, Bispebjerg Hospital, Copenhagen, Denmark

    C. Couppé & N. Beyer

  2. IOC Sports Medicine, Department of Orthopaedic Surgery M, Bispebjerg Hospital and Center for Healthy Aging, Faculty of Health Sciences, University of Copenhagen, Building 8, Bispebjerg Bakke 23, 2400, Copenhagen, NV, Denmark

    C. Couppé, J. Comins & N. Beyer

  3. Research Unit and Department of General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark

    J. Comins & V. Siersma

  4. SANO, Center for Health and Rehabilitation, Danish Association for Rheumatism, Copenhagen, Denmark

    S. E. Hansen

  5. Institute for Social Informatics, Copenhagen, Denmark

    D. S. Stodolsky

  6. Health and Disability Research Institute, Boston University School of Public Health, Boston, MA, USA

    J. Comins

  7. Department of Rheumatology, Zealand University Hospital, Roskilde, Denmark

    J. Comins

Authors
  1. C. Couppé
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  2. J. Comins
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  3. N. Beyer
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  4. S. E. Hansen
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  6. V. Siersma
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Corresponding author

Correspondence to C. Couppé.

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The authors have no conflicts interests.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Couppé, C., Comins, J., Beyer, N. et al. Health-related quality of life in patients with chronic rheumatic disease after a multidisciplinary rehabilitation regimen. Qual Life Res 26, 381–391 (2017). https://doi.org/10.1007/s11136-016-1402-7

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  • DOI: https://doi.org/10.1007/s11136-016-1402-7

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