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Evaluation of quality of life and prognostic scales in patients with chronic obstructive pulmonary disease

https://doi.org/10.18093/0869-0189-2016-26-4-473-480

Abstract

This study was aimed at assessment of vaccination effects on quality of life and main prognostic scores in COPD patients. Methods. The study involved 362 male patients with COPD. Vaccination was done using13-valent conjugate pneumococcal vaccine Prevenar-13 (PCV-13) and polyvalent pneumococcal vaccine Pneumo-23 (PPV23). Quality of life was assessed using the Russian version of SRGQ and CAT questionnaire. Prognostic BODE, DOSE and ADO scores were calculated. Results. Vaccination with PCV13 and PPV23 was associated with improvement in quality of life in 1 year after vaccination, though this effect of PPV23 decreased to the 3rd year. Quality of life questionnaires help to assess the therapeutic strategy chosen both in early and delayed follow-up. BODE, DOSE, and ADO scores have demonstrated a reliable and statistically significant decrease in 1 year after vaccination; for PCV13, this effect maintained in 3 years after vaccination. Conclusion. Vaccination with PCV13 could reduce total 3-year healthcare expenses to 11,357 RUB (78%), partly due to long-term maintenance of the effect of vaccination. This is an important advantage of PCV13 over PPV23 both from economic and clinical points of view.

About the Authors

G. L. Ignatova
South Ural State Medical University, Healthcare Ministry of Russia: 64, Vorovskogo str., Chelyabinsk, 454092, Russia
Russian Federation

MD, Professor, Head of Department of Therapy, Faculty of Postgraduate Physician Training, South Ural State Medical University, Healthcare Ministry of Russia; tel.: (351) 742-66-40;



V. N. Antonov
South Ural State Medical University, Healthcare Ministry of Russia: 64, Vorovskogo str., Chelyabinsk, 454092, Russia
Russian Federation

PhD, Associate Professor at Department of Therapy, Faculty of Postgraduate Physician Training, South Ural State Medical University, Healthcare Ministry of Russia; tel.: (351) 742-66-40;



O. V. Rodionova
South Ural State Medical University, Healthcare Ministry of Russia: 64, Vorovskogo str., Chelyabinsk, 454092, Russia
Russian Federation

PhD, Associate Professor at Institute of Postgraduate Physician Training, South Ural State Medical University, Healthcare Ministry of Russia; tel.: (351) 742-66-40



I. V. Grebneva
South Ural State Medical University, Healthcare Ministry of Russia: 64, Vorovskogo str., Chelyabinsk, 454092, Russia
Russian Federation

PhD, Associate Professor at Institute of Postgraduate Physician Training, South Ural State Medical University, Healthcare Ministry of Russia; tel.: (351) 742-66-40;



M. S. Bel'sner
South Ural State Medical University, Healthcare Ministry of Russia: 64, Vorovskogo str., Chelyabinsk, 454092, Russia
Russian Federation

PhD student at Department of Therapy, Institute of Postgraduate Physician Training, South Ural State Medical University, Healthcare Ministry of Russia; tel.: (351) 742-66-40



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Review

For citations:


Ignatova G.L., Antonov V.N., Rodionova O.V., Grebneva I.V., Bel'sner M.S. Evaluation of quality of life and prognostic scales in patients with chronic obstructive pulmonary disease. PULMONOLOGIYA. 2016;26(4):473-480. (In Russ.) https://doi.org/10.18093/0869-0189-2016-26-4-473-480

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ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)