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Quality of life in patients after long-term biochemical cure of Cushing's disease.
J Clin Endocrinol Metab 2005; 90(6):3279-86JC

Abstract

To evaluate the long-term impact of cured Cushing's disease on subjective well-being, we assessed quality of life by validated health-related questionnaires in 58 patients cured from Cushing's disease by transsphenoidal surgery (n = 58), some of whom received additional radiotherapy (n = 11) and/or bilateral adrenalectomy (n = 3). The mean duration of remission was 13.4 +/- 6.7 yr (range of 2-25 yr). Patient data were compared with a control group of 98 healthy subjects with the same age and sex distribution and with age-adjusted reference values available from the literature. General perceived well-being, measured by the Nottingham Health Profile and the Short Form, was reduced compared with controls for all subscales (P < 0.001). Patients with Cushing's disease had worse scores on subscales of fatigue Multidimensional Fatigue Index and anxiety and depression (Hospital Anxiety and Depression Scale). Compared with reference values from the literature, quality of life was also reduced in the patients according to all questionnaires and all items, except pain (Short Form), sleep (Nottingham Health Profile), and reduced activity (Multidimensional Fatigue Index). Despite conventional hormone replacement therapy, hypopituitarism was an important independent predictor of reduced quality of life. Patients without hypopituitarism (n = 28) showed reduced scores on physical items but normal scores on mental items compared with controls. In conclusion, despite long-term cure of Cushing's disease, patients experience a considerable decrease in quality of life, with physical and psychosocial impairments, especially in the presence of hypopituitarism.

Authors+Show Affiliations

Department of Endocrinology, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15741267

Citation

van Aken, M O., et al. "Quality of Life in Patients After Long-term Biochemical Cure of Cushing's Disease." The Journal of Clinical Endocrinology and Metabolism, vol. 90, no. 6, 2005, pp. 3279-86.
van Aken MO, Pereira AM, Biermasz NR, et al. Quality of life in patients after long-term biochemical cure of Cushing's disease. J Clin Endocrinol Metab. 2005;90(6):3279-86.
van Aken, M. O., Pereira, A. M., Biermasz, N. R., van Thiel, S. W., Hoftijzer, H. C., Smit, J. W., ... Romijn, J. A. (2005). Quality of life in patients after long-term biochemical cure of Cushing's disease. The Journal of Clinical Endocrinology and Metabolism, 90(6), pp. 3279-86.
van Aken MO, et al. Quality of Life in Patients After Long-term Biochemical Cure of Cushing's Disease. J Clin Endocrinol Metab. 2005;90(6):3279-86. PubMed PMID: 15741267.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of life in patients after long-term biochemical cure of Cushing's disease. AU - van Aken,M O, AU - Pereira,A M, AU - Biermasz,N R, AU - van Thiel,S W, AU - Hoftijzer,H C, AU - Smit,J W A, AU - Roelfsema,F, AU - Lamberts,S W J, AU - Romijn,J A, Y1 - 2005/03/01/ PY - 2005/3/3/pubmed PY - 2005/7/6/medline PY - 2005/3/3/entrez SP - 3279 EP - 86 JF - The Journal of clinical endocrinology and metabolism JO - J. Clin. Endocrinol. Metab. VL - 90 IS - 6 N2 - To evaluate the long-term impact of cured Cushing's disease on subjective well-being, we assessed quality of life by validated health-related questionnaires in 58 patients cured from Cushing's disease by transsphenoidal surgery (n = 58), some of whom received additional radiotherapy (n = 11) and/or bilateral adrenalectomy (n = 3). The mean duration of remission was 13.4 +/- 6.7 yr (range of 2-25 yr). Patient data were compared with a control group of 98 healthy subjects with the same age and sex distribution and with age-adjusted reference values available from the literature. General perceived well-being, measured by the Nottingham Health Profile and the Short Form, was reduced compared with controls for all subscales (P < 0.001). Patients with Cushing's disease had worse scores on subscales of fatigue Multidimensional Fatigue Index and anxiety and depression (Hospital Anxiety and Depression Scale). Compared with reference values from the literature, quality of life was also reduced in the patients according to all questionnaires and all items, except pain (Short Form), sleep (Nottingham Health Profile), and reduced activity (Multidimensional Fatigue Index). Despite conventional hormone replacement therapy, hypopituitarism was an important independent predictor of reduced quality of life. Patients without hypopituitarism (n = 28) showed reduced scores on physical items but normal scores on mental items compared with controls. In conclusion, despite long-term cure of Cushing's disease, patients experience a considerable decrease in quality of life, with physical and psychosocial impairments, especially in the presence of hypopituitarism. SN - 0021-972X UR - https://www.unboundmedicine.com/medline/citation/15741267/Quality_of_life_in_patients_after_long_term_biochemical_cure_of_Cushing's_disease_ L2 - https://academic.oup.com/jcem/article-lookup/doi/10.1210/jc.2004-1375 DB - PRIME DP - Unbound Medicine ER -