The comparison of Health-Related Quality of Life (HRQL) in patients with GERD, peptic ulcer disease and ulcerative colitis.
OBJECTIVE
The aim of the study was to compare HRQL in patients with three common gastroenterological chronic conditions: gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD) and ulcerative colitis (UC), as well as to assess the correlation between HRQL scores and the disease activity in patients with ulcerative colitis.


METHODS
The study group comprised of 45 patients with GERD, 35--with PUD and 30--with UC. Among patients with UC, 7 were in remission, 13--in mild active and 10--with severe phase of the disease, according to Rachmilewitz. HRQL was assessed using 8 domains of Polish version of 36-Item Short Form Survey (SF-36).


RESULTS
The highest mean HRQL scores in all groups were obtained in physical and social functioning SF-36 domains. Among patients with GERD and PUD the worst HRQL results were noted in bodily pain subscale; in patients with UC--in general health perception subscale. UC patients with remission showed significantly higher HRQL scores compared with those with mild active and severe phase of the disease; especially in social functioning, mental health and vitality (p < 0.001). Patients with severe UC clinical course had mean HRQL scores statistically lower than those with mild active disease only in vitality and social functioning domains. Mean SF-36 bodily pain parameters were significantly lower in GERD and PUD compared with UC.


CONCLUSIONS
All the evaluated diseases have a significant negative impact on patients' HRQL parameters, which needs to be considered in those diseases management. The severity of UC clinical course contributes to impaired HRQL.
Mokrowiecka
A
A
Department of Digestive Tract Diseases, Medical University of Lódź, Poland. annazlo@poczta.wp.pl
Jurek
K
K
Pińkowski
D
D
Małecka-Panas
E
E
D000328:Adult; D000368:Aged; D003093:Colitis, Ulcerative / Q000503:physiopathology* / Q000523:psychology; D005764:Gastroesophageal Reflux / Q000503:physiopathology* / Q000523:psychology; D006304:Health Status; D006801:Humans; D008875:Middle Aged; D010437:Peptic Ulcer / Q000503:physiopathology* / Q000523:psychology; D011788:Quality of Life; D012720:Severity of Illness Index; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires