Health related quality of life (HRQOL) from the perspective of patients with chronic whiplash-associated disorders (WAD) in Sweden.

IF 2.4 3区医学 Q2 ORTHOPEDICS BMC Musculoskeletal Disorders Pub Date : 2025-02-14 DOI:10.1186/s12891-025-08397-2

Koustuv Dalal, Gunnel Peterson, Anneli Peolsson

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Abstract

Background: The current study investigated Whiplash Associated Disorders (WAD) and health related quality of life (HRQOL) from the perspective of Swedish patients. Another aim was to assess medicine consumption and income loss due to WAD.

Method: The present study was a planned secondary analysis using baseline data from a prospective, multicentre randomized controlled trial. The study participants were WAD patients, victims of four-wheel motor vehicle collisions at least six months but not more than five years ago. Neck Disability Index and HRQOL were measured. HRQOL was measured by the EQ-5D instrument. Cross tabulations, Box Plots, and regression analyses were performed.

Trial registration section: The study was registered before data collection started (ClinicalTrials.gov Protocol ID: NCT03022812, initial release 12/20/2016).

Results: There were 137 WAD participants (78.8% women), and almost three-fourths (74.5%) were married. The majority (54.7%) of the WAD patients were in white-collar jobs, followed by blue-collar jobs (35%) and students /unemployed (10.2%). Both consumption of medicine for neck pain and income loss due to WAD have a negative relation with the Neck Disability Index (NDI). On average, EQ-VAS for WAD women is 58.21 (± 17.625), and for men, it is 61.11 (± 16.444). WAD patients with a university education have the highest EQ-VAS average of 60.42 (± 17.738).

Conclusions: The low HRQOL seen in WAD patients in this study should warrant the attention of the medical fraternity, researchers and policymakers.

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瑞典慢性鞭扭伤相关疾病（WAD）患者的健康相关生活质量（HRQOL）

背景：本研究从瑞典患者的角度调查了鞭打相关疾病（WAD）和健康相关生活质量（HRQOL）。另一个目的是评估WAD造成的药品消费和收入损失。方法：本研究采用前瞻性、多中心随机对照试验的基线数据进行有计划的二次分析。研究参与者是WAD患者，至少六个月但不超过五年的四轮机动车碰撞的受害者。测量颈部残疾指数和HRQOL。采用EQ-5D仪测定HRQOL。进行交叉表、箱形图和回归分析。试验注册部分：该研究在数据收集开始前注册（ClinicalTrials.gov协议ID: NCT03022812，首次发布日期12/20/2016）。结果：共有137名WAD参与者（78.8%为女性），其中近四分之三（74.5%）已婚。大多数WAD患者从事白领工作（54.7%），其次是蓝领工作（35%）和学生/失业者（10.2%）。颈痛用药和WAD所致收入损失与颈失能指数（NDI）呈负相关。WAD女性的EQ-VAS平均为58.21（±17.625），男性为61.11（±16.444）。大学学历WAD患者的EQ-VAS平均值最高，为60.42（±17.738）。结论：本研究中WAD患者较低的HRQOL应引起医学界、研究者和决策者的重视。

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来源期刊

BMC Musculoskeletal Disorders 医学-风湿病学

CiteScore

3.80

自引率

8.70%

发文量

1017

审稿时长

3-6 weeks

期刊介绍： BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.