Health-related quality of life due to malaria: a systematic review.

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Quality of Life Research Pub Date : 2024-11-06 DOI:10.1007/s11136-024-03822-w
Mônica Viegas Andrade, Kenya Noronha, Gilvan Ramalho Guedes, Bernardo Campolina Diniz, Valéria Andrade Silva, Aline de Souza, Lucas Resende de Carvalho, Paulo Estevão Braga, André Soares Motta-Santos, Nayara Abreu Julião, Daniel Nogueira da Silva, Henrique Bracarense, Marcia C Castro
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Abstract

Purpose: This paper aims to conduct a systematic review (SR) to assess Health-Related Quality of Life (HRQoL) of malaria-exposed populations for different regions where malaria is endemic, considering any health measurements.

Methods: An electronic search of the Medline, Lilacs, and Embase databases was conducted until February 2nd, 2024, to identify and select studies that evaluated HRQoL. No restrictions on place or language were made.

Results: Thirty-seven studies were included, among them 21 focused on African countries. The most investigated HRQoL outcome associated with malaria was Disability-Adjusted Life Years (DALYs). These studies primarily aim to analyze the epidemiological burden of the disease or to conduct economic assessments. Only four studies conducted field research using specific instruments to assess the HRQoL of individuals experiencing malaria episodes. Three of them estimated EQ-5D utility index and found scores varying from 0.349 for severe malaria (Indonesia) to 0.74 (Nigeria). The health domains that are most affected by malaria are pain and discomfort and usual activities (EQ-5D instrument) and physical domains (WHOQOL-BREF). These results reflect the main malaria symptoms which are fever, headache, and generalized pain.

Conclusion: This SR highlights a significant gap in understanding the quality of life among individuals experiencing malaria. Despite being an acute illness, recurrent episodes of malaria can lead to considerable loss in quality of life. Moreover, there are significant equity implications, as malaria remains endemic in socioeconomically disadvantaged populations.

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疟疾导致的与健康相关的生活质量:系统综述。
目的:本文旨在开展一项系统性综述(SR),评估疟疾流行的不同地区受疟疾影响人群与健康相关的生活质量(HRQoL),同时考虑任何健康测量指标:方法:对 Medline、Lilacs 和 Embase 数据库进行电子检索,直至 2024 年 2 月 2 日,以确定并选择评估 HRQoL 的研究。结果:共纳入 37 项研究:结果:共纳入 37 项研究,其中 21 项侧重于非洲国家。调查最多的与疟疾相关的 HRQoL 结果是残疾调整生命年 (DALYs)。这些研究的主要目的是分析疾病的流行病学负担或进行经济评估。只有四项研究使用特定工具进行了实地调查,以评估疟疾患者的 HRQoL。其中三项研究估算了 EQ-5D 实用指数,发现严重疟疾患者的得分从 0.349(印度尼西亚)到 0.74(尼日利亚)不等。受疟疾影响最大的健康领域是疼痛和不适以及日常活动(EQ-5D 工具)和身体领域(WHOQOL-BREF)。这些结果反映了疟疾的主要症状,即发烧、头痛和全身疼痛:本研究强调了在了解疟疾患者的生活质量方面存在的巨大差距。尽管疟疾是一种急性疾病,但反复发作会导致生活质量大幅下降。此外,由于疟疾仍在社会经济条件较差的人群中流行,因此对公平产生了重大影响。
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来源期刊
Quality of Life Research
Quality of Life Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
8.60%
发文量
224
审稿时长
3-8 weeks
期刊介绍: Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.
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