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Article
Quality-of-Life in Charcot-Marie-Tooth Disease: The Patient's Perspective
Neuromuscular Disorders
  • Nicholas E. Johnson, University of Utah
  • Chad R. Heatwole, University of Rochester
  • Nuran Dilek, University of Rochester
  • Janet Sowden, University of Rochester
  • Callyn A. Kirk, University of South Florida
  • Denise Shereff, University of South Florida
  • Michael E. Shy, University of Iowa
  • David N. Hermann, University of Rochester
Document Type
Article
Publication Date
11-1-2014
Keywords
  • Charcot–Marie–Tooth disease,
  • Quality of life,
  • Patient reported outcomes,
  • Peripheral neuropathy
Digital Object Identifier (DOI)
https://doi.org/10.1016/j.nmd.2014.06.433
Abstract

This study determines the impact of symptoms associated with Charcot-Marie-Tooth disease on quality-of-life. Charcot-Marie-Tooth patients in the Inherited Neuropathies Consortium Rare Diseases Clinical Research Network Contact Registry were surveyed. The survey inquired about 214 symptoms and 20 themes previously identified as important to Charcot-Marie-Tooth patients through patient interviews. Symptom population impact was calculated as the prevalence multiplied by the relative importance of each symptom identified. Prevalence and symptom impact were analyzed by age, symptom duration, gender, Charcot-Marie-Tooth type, and employment status. 407 participants returned the survey, identifying foot and ankle weakness (99.7%) and impaired balance (98.6%) as the most prevalent themes. Foot and ankle weakness and limitations with mobility were the themes with the highest impact. Both symptom prevalence and impact gradually increased with age and symptom duration. Several themes were more prevalent in women with Charcot-Marie-Tooth, including activity limitations, pain, fatigue, hip-thigh weakness, and gastrointestinal issues. All of the themes, except emotional or body image issues, were more prevalent among unemployed individuals. There were minimal differences in symptom prevalence between Charcot-Marie-Tooth types. There are multiple symptoms that impact Charcot-Marie-Tooth quality-of-life in adults. These symptoms have different levels of importance, are readily recognized by patients, and represent critical areas of Charcot-Marie-Tooth health.

Citation / Publisher Attribution

Neuromuscular Disorders, v. 24, issue 11, p. 1018-1023

Citation Information
Nicholas E. Johnson, Chad R. Heatwole, Nuran Dilek, Janet Sowden, et al.. "Quality-of-Life in Charcot-Marie-Tooth Disease: The Patient's Perspective" Neuromuscular Disorders Vol. 24 Iss. 11 (2014) p. 1018 - 1023
Available at: http://works.bepress.com/denise-shereff/4/