Evaluation of the Quality of Life in Moroccan Patients Diagnosed with Hypoparathyroidism

Objective. Hypoparathyroidism (HPt) is a rare endocrine disorder often of postsurgical origin, resulting in hypocalcaemia. Several complications have been described including impairment of quality of life (QoL). Our study aims to evaluate the effect of hypoparathyroidism on the QoL of patients diagn...

Full description

Saved in:
Bibliographic Details
Main Authors: Mohammed-Amine Essafi, Samira Handa, Hayat Aynaou, Houda Salhi
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2024/7337895
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849304614846857216
author Mohammed-Amine Essafi
Samira Handa
Hayat Aynaou
Houda Salhi
author_facet Mohammed-Amine Essafi
Samira Handa
Hayat Aynaou
Houda Salhi
author_sort Mohammed-Amine Essafi
collection DOAJ
description Objective. Hypoparathyroidism (HPt) is a rare endocrine disorder often of postsurgical origin, resulting in hypocalcaemia. Several complications have been described including impairment of quality of life (QoL). Our study aims to evaluate the effect of hypoparathyroidism on the QoL of patients diagnosed with HPt. Methods. A cross-sectional study was conducted in the Department of Endocrinology, Diabetology, Metabolic Diseases and Nutrition of the Hassan II University Hospital of Fez. We included in our study all patients followed for chronic HPt. Well-being was assessed using the WHO 5 index, and QoL was assessed by the SF-36 questionnaire in its validated Arabic version. Data were entered into Excel and analysed using SPSS 26. Multiple linear regression was utilized to ascertain the variables linked to the QoL in individuals diagnosed with HPt. Results. A total of 143 patients with HPt were included in the study, 86.7% of whom were female. The mean age of the patients was 44.6 ± 17.3 years. 89.9% were of postsurgical etiology. The assessment of well-being by the WHO 5 index showed a low score (<50), meaning poor well-being in 44.8%. Regarding the QoL, the assessment showed low scores in the areas of general health (41.7), limitations due to physical condition (40.5), vitality (41.4), and limitations due to psychological condition (42.6). The multiple linear regression model revealed a noteworthy association between low SF-36 score and advanced age (β = −5.91; p<0.001), surgical etiology (β = 8.71; p<0.001), low education level (β = −10.1; p<0.001), and poor compliance with medication (β = −11.3; p<0.001). However, the relationship between impaired QoL and achievement of normocalcemia was nonsignificant (p=0.69). Conclusions. Our work objective is that patients with HPt have a reduced and multifactorial QoL. Despite normocalcemia, it is hypothesized that parathyroid hormone directly influences QoL. These results could serve as a basis for future research.
format Article
id doaj-art-3a3a1f7e8f4e49a58200373b46a7ea1a
institution Kabale University
issn 1687-8345
language English
publishDate 2024-01-01
publisher Wiley
record_format Article
series International Journal of Endocrinology
spelling doaj-art-3a3a1f7e8f4e49a58200373b46a7ea1a2025-08-20T03:55:41ZengWileyInternational Journal of Endocrinology1687-83452024-01-01202410.1155/2024/7337895Evaluation of the Quality of Life in Moroccan Patients Diagnosed with HypoparathyroidismMohammed-Amine Essafi0Samira Handa1Hayat Aynaou2Houda Salhi3Department of Endocrinology, Diabetology, Metabolic Diseases and NutritionDepartment of Endocrinology, Diabetology, Metabolic Diseases and NutritionDepartment of Endocrinology, Diabetology, Metabolic Diseases and NutritionDepartment of Endocrinology, Diabetology, Metabolic Diseases and NutritionObjective. Hypoparathyroidism (HPt) is a rare endocrine disorder often of postsurgical origin, resulting in hypocalcaemia. Several complications have been described including impairment of quality of life (QoL). Our study aims to evaluate the effect of hypoparathyroidism on the QoL of patients diagnosed with HPt. Methods. A cross-sectional study was conducted in the Department of Endocrinology, Diabetology, Metabolic Diseases and Nutrition of the Hassan II University Hospital of Fez. We included in our study all patients followed for chronic HPt. Well-being was assessed using the WHO 5 index, and QoL was assessed by the SF-36 questionnaire in its validated Arabic version. Data were entered into Excel and analysed using SPSS 26. Multiple linear regression was utilized to ascertain the variables linked to the QoL in individuals diagnosed with HPt. Results. A total of 143 patients with HPt were included in the study, 86.7% of whom were female. The mean age of the patients was 44.6 ± 17.3 years. 89.9% were of postsurgical etiology. The assessment of well-being by the WHO 5 index showed a low score (<50), meaning poor well-being in 44.8%. Regarding the QoL, the assessment showed low scores in the areas of general health (41.7), limitations due to physical condition (40.5), vitality (41.4), and limitations due to psychological condition (42.6). The multiple linear regression model revealed a noteworthy association between low SF-36 score and advanced age (β = −5.91; p<0.001), surgical etiology (β = 8.71; p<0.001), low education level (β = −10.1; p<0.001), and poor compliance with medication (β = −11.3; p<0.001). However, the relationship between impaired QoL and achievement of normocalcemia was nonsignificant (p=0.69). Conclusions. Our work objective is that patients with HPt have a reduced and multifactorial QoL. Despite normocalcemia, it is hypothesized that parathyroid hormone directly influences QoL. These results could serve as a basis for future research.http://dx.doi.org/10.1155/2024/7337895
spellingShingle Mohammed-Amine Essafi
Samira Handa
Hayat Aynaou
Houda Salhi
Evaluation of the Quality of Life in Moroccan Patients Diagnosed with Hypoparathyroidism
International Journal of Endocrinology
title Evaluation of the Quality of Life in Moroccan Patients Diagnosed with Hypoparathyroidism
title_full Evaluation of the Quality of Life in Moroccan Patients Diagnosed with Hypoparathyroidism
title_fullStr Evaluation of the Quality of Life in Moroccan Patients Diagnosed with Hypoparathyroidism
title_full_unstemmed Evaluation of the Quality of Life in Moroccan Patients Diagnosed with Hypoparathyroidism
title_short Evaluation of the Quality of Life in Moroccan Patients Diagnosed with Hypoparathyroidism
title_sort evaluation of the quality of life in moroccan patients diagnosed with hypoparathyroidism
url http://dx.doi.org/10.1155/2024/7337895
work_keys_str_mv AT mohammedamineessafi evaluationofthequalityoflifeinmoroccanpatientsdiagnosedwithhypoparathyroidism
AT samirahanda evaluationofthequalityoflifeinmoroccanpatientsdiagnosedwithhypoparathyroidism
AT hayataynaou evaluationofthequalityoflifeinmoroccanpatientsdiagnosedwithhypoparathyroidism
AT houdasalhi evaluationofthequalityoflifeinmoroccanpatientsdiagnosedwithhypoparathyroidism