Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

Health Services Research & Development

Veterans Crisis Line Badge
Go to the ORD website
Go to the QUERI website

HSR&D Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

Flint KM, Fairclough DL, Spertus JA, Bekelman DB. Does heart failure-specific health status identify patients with bothersome symptoms, depression, anxiety, and/or poorer spiritual well-being? European heart journal. Quality of care & clinical outcomes. 2019 Jul 1; 5(3):233-241.
PubMed logo Search for Abstract from PubMed
(This link leaves the website of VA HSR&D.)

Abstract: AIMS: Patients with heart failure often have under-recognized symptoms, depression, anxiety, and poorer spiritual well-being (''QoL domains''). Ideally all patients should have heart failure-specific health status and quality of life (QoL) domains routinely evaluated; however, lack of time and resources are limiting in most clinical settings. Therefore, we aimed to evaluate whether heart failure-specific health status was associated with QoL domains and to identify a score warranting further evaluation of QoL domain deficits. METHODS AND RESULTS: Participants (N? = 314) enrolled in the Collaborative Care to Alleviate Symptoms and Adjust to Illness trial completed measures of heart failure-specific health status [Kansas City Cardiomyopathy Questionnaire, KCCQ (score 0-100, 0? = worst health status)], additional symptoms (Memorial Symptom Assessment Scale), depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), and spiritual well-being (Facit-Sp) at baseline. Mean ± standard deviation (SD) KCCQ score was 46.9?±?19.3, mean age was 65.5 ± 11.4, and 79% were male. Prevalence of QoL domain deficits ranged from 11% (nausea) to 47% (depression). Sensitivity/specificity of KCCQ for each QoL domain ranged from 20-40%/80-96% for KCCQ? = 25, 61-84%/48-62% for KCCQ? = 50, 84-97%/26-40% for KCCQ? = 60, and 96-100%/8-13% for KCCQ? = 75. Patients with KCCQ? = 60 had mean ± SD 4.5?±?2.5 QoL domain deficits (maximum 12), vs. 1.6?±?1.6 for KCCQ? > 60 (P? < 0.001). Similar results were seen for KCCQ = 25 (6.6?±?2.4 vs. 3.3?±?2.4), KCCQ? = 50 (4.8?±?2.6 vs. 2.5?±?2) and KCCQ? = 75 (4.0?±?2.6 vs. 1.0?±?1.2) (all P? < 00001). CONCLUSION: KCCQ? = 60 had good sensitivity for each QoL domain deficit and for patients with at least one QoL domain deficit. Screening for QoL domain deficits should target patients with lower KCCQ scores based on a clinic''s KCCQ score distribution and clinical resources for addressing QoL domain deficits.

Questions about the HSR&D website? Email the Web Team.

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.