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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Good Quality of Life in Former Buruli Ulcer Patients with Small Lesions: Long-Term Follow-up of the BURULICO Trial
PLoS Neglected Tropical Diseases, Volume 8, No. 7, Article e2964, Year 2014
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Description
Background:Buruli Ulcer is a tropical skin disease caused by Mycobacterium ulcerans, which, due to scarring and contractures can lead to stigma and functional limitations. However, recent advances in treatment, combined with increased public health efforts have the potential to significantly improve disease outcome.Objectives:To study the Quality of Life (QoL) of former Buruli Ulcer patients who, in the context of a randomized controlled trial, reported early with small lesions (cross-sectional diameter <10 cm), and received a full course of antibiotic treatment.Methods:127 Participants of the BURULICO drug trial in Ghana were revisited. All former patients aged 16 or older completed the Dermatology Life Quality Index (DLQI) and the abbreviated World Health Organization Quality of Life scale (WHOQOL-BREF). The WHOQOL-BREF was also administered to 82 matched healthy controls. Those younger than 16 completed the Childrens' Dermatology Life Quality Index (CDLQI) only.Results:The median (Inter Quartile Range) score on the DLQI was 0 (0-4), indicating good QoL. 85% of former patients indicated no effect, or only a small effect of the disease on their current life. Former patients also indicated good QoL on the physical and psychological domains of the WHOQOL-BREF, and scored significantly higher than healthy controls on these domains. There was a weak correlation between the DLQI and scar size (ρ = 0.32; p<0.001).Conclusions:BU patients who report early with small lesions and receive 8 weeks of antimicrobial therapy have a good QoL at long-term follow-up. These findings contrast with the debilitating sequelae often reported in BU, and highlight the importance of early case detection. © 2014 Klis et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC4091870/bin/pntd.0002964.s001.doc
Authors & Co-Authors
Klis, Sandor Adrian
Netherlands, Groningen
Universitair Medisch Centrum Groningen
Ranchor, Adelita V.
Netherlands, Groningen
Universitair Medisch Centrum Groningen
Phillips, Richard Odame
Ghana, Kumasi
Komfo Anokye Teaching Hospital
Abass, Kabiru Mohammed
Ghana, Agogo
Agogo Presbyterian Hospital
Tuah, Wilson
Ghana, Toase
Nkawie-toase Government Hospital
Loth, Susanne
Netherlands, Groningen
Universitair Medisch Centrum Groningen
Velding, Kristien
Netherlands, Groningen
Universitair Medisch Centrum Groningen
Van Derwerf, Tjip S.
Netherlands, Groningen
Universitair Medisch Centrum Groningen
Stienstra, Ymkje
Netherlands, Groningen
Universitair Medisch Centrum Groningen
Statistics
Citations: 24
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1371/journal.pntd.0002964
ISSN:
19352727
e-ISSN:
19352735
Research Areas
Disability
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Ghana