DEFI A FRENCH PREVALENCE STUDY OF FIBROMYALGIA (FM), HEALTH RELATED QUALITY OF LIFE - SF36

Author(s)

Servant D1, Perrot S2, Ravaud P3, Vicaut E4, Kosa M5, Pichot L51Clinique Michel Fontan, Lille, France, 2Hôpital Hôtel Dieu Paris (France), Paris, France, 3Groupe Hospitalier Bichat Paris (France), Paris, France, 4Hôpital Fernand Widal Paris (France), Paris, France, 5PFIZER FRANCE, Paris, France

OBJECTIVES: This part of DEFI study aimed at assessing Qol in a FM population whose diagnosis was suspected or clinically confirmed. METHODS: In a French cross-sectional study, 6000 subjects were screened by phone using the French validated London Fibromyalgia Epidemiological study Screening Questionnaire (LFES-SQ) which was positive for 232 of them (LFES-SQ+). On this population 145 accepted to fill in SF36 and were proposed a rheumatologist consultation : 49 refused but filled in questionnaires, 20/96 who accepted the consultation and questionnaires (CS+) were diagnosed as FM (FM+) on the ACR criteria. RESULTS: Normalized SF36 subscales mean values of LFES-SQ+ subjects are as follow:  Physical Functioning (PF) 42.3 ± 10.4, Role Physical (RP) 36,8 ± 9.4, Bodily Pain (BP) 42,5 ± 7.1, General Health (GH) 39,9 ± 9.6, Vitality (VT) 41.3 ±6.6, Social Functioning (SF) 43.5 ± 9,4, Role Emotional (RE) 43,7 ± 9,4 , Mental Health (MH) 36,8 ± 7.4. Physical component score (PCS) was 42.4 ± 8.4 while mental component score (MCS) was 40.0 ± 9.5. No significant differences were observed between CS+ and CS- subjects. In contrast, comparisons between the FM+ and FM- subjects showed in most cases significant differences : PF 37.7 ± 8.1 vs 44.6 ± 9.4  (p=0.003), RP 33.6 ± 5.4   vs 36.9 ± 10.0  (p=0.053), BP 39.6 ± 6.0 vs 43.5 ± 6.1 (p=0.011), GH 33.2 ± 8.2 vs 42.3 ± 9.0  (p<0.0001), VT 39.2 ± 4.2  vs 44.7 ± 6.3 (p<0.0001), SF 39.0 ± 8.3 vs 45.8 ± 9.3 (p=0.004), RE 33.2 ± 11.3 vs 44.9 ±14.1 (p=0.027), MH 33.5 ± 5.2 vs 37.6 ± 7.2  (p=0.019), PCS 38.2 ± 7.0 vs 43.6 ± 7.8, (p=0.006), MCS 35.3 ± 7.5 vs 41.6 ± 9.4 (p=0.008). CONCLUSIONS: This study demonstrated the alterations of SF36 in positive screened and ACR criteria confirmed FM subjects.

Conference/Value in Health Info

2009-10, ISPOR Europe 2009, Paris, France

Value in Health, Vol. 12, No. 7 (October 2009)

Code

PSY52

Topic

Patient-Centered Research

Topic Subcategory

Patient-reported Outcomes & Quality of Life Outcomes

Disease

Systemic Disorders/Conditions

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