Disability and long-term breathlessness: a cross-sectional, population study.

Kochovska, S; Ferreira, D; Chang, S; Brunelli, V; Morgan, D; Similowski, T; Johnson, M; Ekström, M; Currow, D

Disability and long-term breathlessness: a cross-sectional, population study.

Kochovska, S

Ferreira, D Chang, S

Brunelli, V Morgan, D Similowski, T Johnson, M Ekström, M Currow, D

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Publisher:: BMJ
Publication Type:: Journal Article
Citation:: BMJ Open Respir Res, 2024, 11, (1), pp. e002029
Issue Date:: 2024-07-22

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Field	Value	Language
dc.contributor.author	Kochovska, S https://orcid.org/0000-0002-3531-0389
dc.contributor.author	Ferreira, D
dc.contributor.author	Chang, S https://orcid.org/0000-0003-0723-3192
dc.contributor.author	Brunelli, V
dc.contributor.author	Morgan, D
dc.contributor.author	Similowski, T
dc.contributor.author	Johnson, M
dc.contributor.author	Ekström, M
dc.contributor.author	Currow, D https://orcid.org/0000-0003-1988-1250
dc.date.accessioned	2024-08-21T03:43:18Z
dc.date.available	2024-06-28
dc.date.available	2024-08-21T03:43:18Z
dc.date.issued	2024-07-22
dc.identifier.citation	BMJ Open Respir Res, 2024, 11, (1), pp. e002029
dc.identifier.issn	2052-4439
dc.identifier.issn	2052-4439
dc.identifier.uri	http://hdl.handle.net/10453/180442
dc.description.abstract	INTRODUCTION: Disability, resulting from altered interactions between individuals and their environment, is a worldwide issue causing inequities and suffering. Many diseases associated with breathlessness cause disability but the relationship between disability and the severity of breathlessness itself is unknown.This study evaluated associations between disability using the WHO's Disability Assessment Schedule (WHODAS) 2.0 and levels of long-term breathlessness limiting exertion. METHODS: This population-based, cross-sectional online survey (n=10 033) reflected the most recent national census (2016) by age, sex, state/territory of residence and rurality. Assessments included self-reported disability (WHODAS 2.0 12-item (range 12 (no disability) to 60 (most severe disability)) assessed in 6 domains) and long-term breathlessness limiting exertion (modified Medical Research Council (mMRC) breathlessness scale; 0-4 (4-most severe)). Days in the last month affected by breathlessness were reported. RESULTS: Of respondents (52% women; mean age 45), mean total disability score was 20.9 (SD 9.5). 42% (n=4245) had mMRC >0 (mMRC1 31% (n=3139); mMRC2 8% (n=806); mMRC3,4 3% (n=300)). Every level of long-term breathlessness limiting exertion was associated with greater levels of disability (total p <0.001; each domain p <0.001). The most compromised domains were Mobility and Participation.In the last 30 days, people with severe breathlessness (mMRC 3-4): experienced disability (20 days); reduced activities/work (10 days); and completely forwent activities (another 5 days). CONCLUSIONS: Disability should be in the definition of persistent breathlessness as it is systematically associated with long-term breathlessness limiting exertion in a grade-dependent, multidimensional manner. Disability should be assessed in people with long-term breathlessness to optimise their social well-being and health.
dc.format	Electronic
dc.language	eng
dc.publisher	BMJ
dc.relation.ispartof	BMJ Open Respir Res
dc.relation.isbasedon	10.1136/bmjresp-2023-002029
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	3201 Cardiovascular medicine and haematology
dc.subject.classification	3202 Clinical sciences
dc.subject.mesh	Humans
dc.subject.mesh	Dyspnea
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Adult
dc.subject.mesh	Disability Evaluation
dc.subject.mesh	Disabled Persons
dc.subject.mesh	Aged
dc.subject.mesh	Severity of Illness Index
dc.subject.mesh	Young Adult
dc.subject.mesh	Self Report
dc.subject.mesh	Adolescent
dc.subject.mesh	Humans
dc.subject.mesh	Dyspnea
dc.subject.mesh	Disability Evaluation
dc.subject.mesh	Severity of Illness Index
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Disabled Persons
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Young Adult
dc.subject.mesh	Self Report
dc.subject.mesh	Humans
dc.subject.mesh	Dyspnea
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Adult
dc.subject.mesh	Disability Evaluation
dc.subject.mesh	Disabled Persons
dc.subject.mesh	Aged
dc.subject.mesh	Severity of Illness Index
dc.subject.mesh	Young Adult
dc.subject.mesh	Self Report
dc.subject.mesh	Adolescent
dc.title	Disability and long-term breathlessness: a cross-sectional, population study.
dc.type	Journal Article
utslib.citation.volume	11
utslib.location.activity	England
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Public Health
pubs.organisational-group	University of Technology Sydney/All Manual Groups
pubs.organisational-group	University of Technology Sydney/All Manual Groups/Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT)
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated	2024-08-21T03:43:15Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	11
utslib.citation.issue	1

Abstract:

INTRODUCTION: Disability, resulting from altered interactions between individuals and their environment, is a worldwide issue causing inequities and suffering. Many diseases associated with breathlessness cause disability but the relationship between disability and the severity of breathlessness itself is unknown.This study evaluated associations between disability using the WHO's Disability Assessment Schedule (WHODAS) 2.0 and levels of long-term breathlessness limiting exertion. METHODS: This population-based, cross-sectional online survey (n=10 033) reflected the most recent national census (2016) by age, sex, state/territory of residence and rurality. Assessments included self-reported disability (WHODAS 2.0 12-item (range 12 (no disability) to 60 (most severe disability)) assessed in 6 domains) and long-term breathlessness limiting exertion (modified Medical Research Council (mMRC) breathlessness scale; 0-4 (4-most severe)). Days in the last month affected by breathlessness were reported. RESULTS: Of respondents (52% women; mean age 45), mean total disability score was 20.9 (SD 9.5). 42% (n=4245) had mMRC >0 (mMRC1 31% (n=3139); mMRC2 8% (n=806); mMRC3,4 3% (n=300)). Every level of long-term breathlessness limiting exertion was associated with greater levels of disability (total p <0.001; each domain p <0.001). The most compromised domains were Mobility and Participation.In the last 30 days, people with severe breathlessness (mMRC 3-4): experienced disability (20 days); reduced activities/work (10 days); and completely forwent activities (another 5 days). CONCLUSIONS: Disability should be in the definition of persistent breathlessness as it is systematically associated with long-term breathlessness limiting exertion in a grade-dependent, multidimensional manner. Disability should be assessed in people with long-term breathlessness to optimise their social well-being and health.

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http://hdl.handle.net/10453/180442