Assessment of dyspnea in sarcoidosis using the Baseline Dyspnea Index (BDI) and the Transition Dyspnea Index (TDI)

被引:8
|
作者
Obi, Ogugua Ndili [1 ]
Judson, Marc A. [2 ]
Birring, Surinder S. [3 ]
Maier, Lisa A. [4 ,5 ,6 ,7 ]
Wells, Athol U. [8 ]
Lower, Elyse E. [9 ]
Baughman, Robert P. [9 ]
机构
[1] East Carolina Univ, Brody Sch Med, Div Pulm Crit Care & Sleep Med, 3E-149E Brody Med Sci Bldg,600 Moye Blvd, Greenville, NC 27834 USA
[2] Albany Med Coll, Div Pulm & Crit Care Med, Albany, NY 12208 USA
[3] Kings Coll Hosp London, London, England
[4] Univ Colorado, Div Environm & Occupat Hlth Sci, Natl Jewish Hlth, Denver, CO 80202 USA
[5] Univ Colorado, Div Pulm Sci & Crit Care Med, Denver, CO 80202 USA
[6] Univ Colorado, Dept Med, Sch Med, Denver, CO 80202 USA
[7] Univ Colorado, Colorado Sch Publ Hlth, Dept Environm Occupat Hlth, Denver, CO 80202 USA
[8] Royal Brompton Hosp, Interstitial Lung Dis Unit, London SW3 6NP, England
[9] Univ Cincinnati, Dept Med, Cincinnati, OH USA
关键词
Sarcoidosis; Dyspnea; Baseline dyspnea index; Transitional dyspnea index; Health related quality of life; QUALITY-OF-LIFE; FATIGUE ASSESSMENT SCALE; HEALTH-STATUS; PULMONARY-FUNCTION; LUNG-FUNCTION; EXERCISE; IMPAIRMENT; VALIDATION; DIAGNOSIS; SYMPTOMS;
D O I
10.1016/j.rmed.2021.106436
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: The Borg and Modified Medical Research Council (mMRC) dyspnea scales have been used to evaluate dyspnea in sarcoidosis. The Baseline Dyspnea Index (BDI) and Transitional Dyspnea Index (TDI) are useful for the assessment of dyspnea in COPD. It is not known if the BDI-TDI accurately assesses dyspnea in sarcoidosis patients. Methods: Data was analyzed from the Registry for Advanced Sarcoidosis (ReAS), a multi-national database enrolling patients with advanced sarcoidosis and a comparison group of sarcoidosis patients with non-advanced disease. At baseline, patients completed a BDI questionnaire along with spirometry, 6-min walk distance (6MWD), mMRC, Borg score, fatigue assessment score (FAS) and HRQoL assessments using Kings Sarcoidosis Questionnaire (KSQ) and St Georges Respiratory Questionnaire (SGRQ). At 12-months, patients with advanced disease completed a TDI questionnaire along with the other measures. Correlations between BDI and baseline variables, and between TDI and changes in baseline variables were evaluated. Results: There was significant correlation (p < 0.001 for all) between BDI and baseline 6MWD (rho = 0.336), FVC % (rho = 0.387), FEV1% (rho = 0.285), DLCO% (rho = 0.355), mMRC (rho = 0.721), Borg score (rho = 0.389), FAS (rho = 0.669), SGRQ (rho = 0.785), and KSQ (rho = 0.318 to 0.724). At follow-up, TDI correlated with BDI, but not with changes in pulmonary function or other dyspnea measures. Conclusion: BDI scores correlated with pulmonary function, 6MWD, and other dyspnea measures. TDI scores did not correlate with changes in pulmonary function or other dyspnea measures. BDI may be a useful independent measure of dyspnea in sarcoidosis patients. The role of TDI needs further evaluation in longitudinal studies associated with changes in clinical parameters.
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页数:10
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