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Title: Health-related quality of life and chronic wound characteristics among patients with chronic wounds treated in primary care: a cross-sectional study in Singapore
Authors: Zhu, Xiaoli
Olsson, Maja Magdalena
Bajpai, Ram
Järbrink, Krister
Tang, Wern Ee
Car, Josip
Keywords: Science::Medicine
Issue Date: 2022
Source: Zhu, X., Olsson, M. M., Bajpai, R., Järbrink, K., Tang, W. E. & Car, J. (2022). Health-related quality of life and chronic wound characteristics among patients with chronic wounds treated in primary care: a cross-sectional study in Singapore. International Wound Journal, 19(5), 1121-1132.
Journal: International Wound Journal 
Abstract: Chronic wounds commonly decrease patients' quality of life. Understanding how chronic wounds impact a patient's health-related quality of life (HRQoL) is important for healthcare service delivery and treatment management. This study explored HRQoL among patients suffering from chronic wounds and investigated associations with patients' socio-demographics and wound characteristics. Two hundred and thirty-three patients across six primary care clinics were assessed and responded to a survey that collected information on socio-demographic, wound characteristics, and HRQoL using the EQ-5D-5L instrument. Data were analysed by descriptive statistics and generalised linear models. The mean age of patients was 61.2 (SD: 14.6) years; 68.2% were males; and 61.8% were of Chinese origin. Arterial ulcers had the greatest negative impact on HRQoL related to mobility, self-care, pain/discomfort and anxiety/depression, and the lowest VAS mean score 62.31 (SD: 28.3; range: 0-100) indicating the worst health. HRQoL related to mobility was significantly associated with age (β = 0.008, P < .001), non-Chinese ethnicity (β = 0.25, P = .001), mixed ulcers (β = -0.41, P = .022), atypical hard-to-heal wounds (β = -0.38, P = .021), wounds with low (β = 0.24, P = .044) to moderate (β = 0.29, P = .018) exudate level, and a wound duration ≥6 months (β = 0.19, P = .033). The findings can be used to improve healthcare delivery for patients with chronic wound to optimise their HRQoL.
ISSN: 1742-4801
DOI: 10.1111/iwj.13708
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
Organisations: National Healthcare Group Polyclinics
Research Centres: Centre for Population Health Sciences
Rights: © 2021 The Authors. International Wound Journal published by Inc (3M) and John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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