Abstract
Methods
Consultation records of 4,672 patients aged 50 years and above from six general practices were linked to their baseline and
3-year Short-Form-12 (SF-12) physical component summary (PCS) scores. Associations between exclusive diagnostic categories
and comorbid counts with physical health change over 3 years were examined.
3-year Short-Form-12 (SF-12) physical component summary (PCS) scores. Associations between exclusive diagnostic categories
and comorbid counts with physical health change over 3 years were examined.
Results
There were 1,371 (29.3%) CVD and 1,972 (42.2%) MSK consulters. Adjusted additional change in PCS scores relative to hypertension
ranged from −0.43 (95% confidence interval −2.5, 1.7) for atrial fibrillation to −2.09 (−4.2, 0.0) for heart failure. In the MSK spectrum, changes relative to soft tissue disorder ranged from −0.63 (−3.0, 1.8) for soft tissue pain to −1.09 (−4.1, 2.0) for inflammatory polyarthropathy. A trend in association between increasing disease severity and deterioration in physical health was only observed within
the CVD spectrum, and this trend was retained in those with CVD and higher levels of comorbidity.
ranged from −0.43 (95% confidence interval −2.5, 1.7) for atrial fibrillation to −2.09 (−4.2, 0.0) for heart failure. In the MSK spectrum, changes relative to soft tissue disorder ranged from −0.63 (−3.0, 1.8) for soft tissue pain to −1.09 (−4.1, 2.0) for inflammatory polyarthropathy. A trend in association between increasing disease severity and deterioration in physical health was only observed within
the CVD spectrum, and this trend was retained in those with CVD and higher levels of comorbidity.
- Content Type Journal Article
- Pages 1-11
- DOI 10.1007/s11136-011-9974-8
- Authors
- J. A. Prior, Arthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, Staffordshire, ST5 5BG UK
- K. P. Jordan, Arthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, Staffordshire, ST5 5BG UK
- U. T. Kadam, Arthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, Staffordshire, ST5 5BG UK
- Journal Quality of Life Research
- Online ISSN 1573-2649
- Print ISSN 0962-9343