Long-term quality of life in cervical dystonia after treatment with abobotulinum toxin A: a 2-year prospective study

Subsai Kongsaengdao,1,2 Narong Maneeton,3 Benchalak Maneeton3 1Division of Neurology, Department of Medicine, Rajavithi Hospital, Department of Medical Services, Public Health Ministry, Bangkok, Thailand; 2Department of Medicine, College of Medicine, Rangsit University, Bangkok, Thailand; 3Departme...

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Autores principales: Kongsaengdao S, Maneeton N, Maneeton B
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Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:be37b59e2ac54cecb927df4822d5b8342021-12-02T02:42:43ZLong-term quality of life in cervical dystonia after treatment with abobotulinum toxin A: a 2-year prospective study1178-2021https://doaj.org/article/be37b59e2ac54cecb927df4822d5b8342018-04-01T00:00:00Zhttps://www.dovepress.com/long-term-quality-of-life-in-cervical-dystonia-after-treatment-with-ab-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Subsai Kongsaengdao,1,2 Narong Maneeton,3 Benchalak Maneeton3 1Division of Neurology, Department of Medicine, Rajavithi Hospital, Department of Medical Services, Public Health Ministry, Bangkok, Thailand; 2Department of Medicine, College of Medicine, Rangsit University, Bangkok, Thailand; 3Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Background: The short-term quality of life (QoL) in cervical dystonia (CD) after treating with abobotulinum toxin A (Abo-BTX A) and neubotulinum toxin A (Neu-BTX A) have been studied in Thai CD patients.However; the long-term study has not been published. Objective: The aim of the present study was to determine long-term improvement of the health-related quality of life (HRQoL) after eight injections of Abo-BTX A over 2 years in CD patients. Patients and methods: A 2-year prospective study on the QoL of CD patients, as measured by HRQoL, before and after receiving eight injections of Abo-BTX A at 3-month intervals over a 2-year treatment period was performed. The disease-specific HRQoL was assessed before and after the treatment by using the Cervical Dystonia Impact Profile-58 (CDIP-58) questionnaire. The general HRQoL was assessed by using the Medical Outcomes 36-Item Short Form Health Survey (SF-36), while depressive disorder screening was assessed by using the Center of Epidemiologic Studies-Depression (CES-D) questionnaire. The SF-36 and CES-D questionnaire were administered before treatment and every 3 months before the next injection for a 2-year period. Results: A total of 20 CD patients were enrolled from January 2013 to December 2015. CDIP-58 showed a significant improvement after long-term injections of Abo-BTX A in all domains (P < 0.001). However, only vitality domain of SF-36, which assessed general HRQoL, showed a significant improvement after long-term injections (P = 0.037). There was no prevalence of depressive disorder in all patients (CES-D score <20) in this study. Conclusion: The Abo-BTX A injections at 3-month intervals over a 2-year period improved the CDIP-58 scores, which assess disease-specific HRQoL, as well as an increased vitality domain of general HRQoL. No patient suffered from depression in this study. Keywords: cervical dystonia, abobotulinum toxin A, health-related quality of life, depressive disorder, 36-Item Short Form Health Survey, Cervical Dystonia Impact Profile-58 questionnaireKongsaengdao SManeeton NManeeton BDove Medical PressarticleCervical dystoniaAbobotulinumtoxinAthe health-related quality of lifeDepressive disorder36-Item Short Form Health SurveyCervical Dystonia Impact Profile-58 questionnaireNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 1119-1124 (2018)
institution DOAJ
collection DOAJ
language EN
topic Cervical dystonia
AbobotulinumtoxinA
the health-related quality of life
Depressive disorder
36-Item Short Form Health Survey
Cervical Dystonia Impact Profile-58 questionnaire
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Cervical dystonia
AbobotulinumtoxinA
the health-related quality of life
Depressive disorder
36-Item Short Form Health Survey
Cervical Dystonia Impact Profile-58 questionnaire
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Kongsaengdao S
Maneeton N
Maneeton B
Long-term quality of life in cervical dystonia after treatment with abobotulinum toxin A: a 2-year prospective study
description Subsai Kongsaengdao,1,2 Narong Maneeton,3 Benchalak Maneeton3 1Division of Neurology, Department of Medicine, Rajavithi Hospital, Department of Medical Services, Public Health Ministry, Bangkok, Thailand; 2Department of Medicine, College of Medicine, Rangsit University, Bangkok, Thailand; 3Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Background: The short-term quality of life (QoL) in cervical dystonia (CD) after treating with abobotulinum toxin A (Abo-BTX A) and neubotulinum toxin A (Neu-BTX A) have been studied in Thai CD patients.However; the long-term study has not been published. Objective: The aim of the present study was to determine long-term improvement of the health-related quality of life (HRQoL) after eight injections of Abo-BTX A over 2 years in CD patients. Patients and methods: A 2-year prospective study on the QoL of CD patients, as measured by HRQoL, before and after receiving eight injections of Abo-BTX A at 3-month intervals over a 2-year treatment period was performed. The disease-specific HRQoL was assessed before and after the treatment by using the Cervical Dystonia Impact Profile-58 (CDIP-58) questionnaire. The general HRQoL was assessed by using the Medical Outcomes 36-Item Short Form Health Survey (SF-36), while depressive disorder screening was assessed by using the Center of Epidemiologic Studies-Depression (CES-D) questionnaire. The SF-36 and CES-D questionnaire were administered before treatment and every 3 months before the next injection for a 2-year period. Results: A total of 20 CD patients were enrolled from January 2013 to December 2015. CDIP-58 showed a significant improvement after long-term injections of Abo-BTX A in all domains (P < 0.001). However, only vitality domain of SF-36, which assessed general HRQoL, showed a significant improvement after long-term injections (P = 0.037). There was no prevalence of depressive disorder in all patients (CES-D score <20) in this study. Conclusion: The Abo-BTX A injections at 3-month intervals over a 2-year period improved the CDIP-58 scores, which assess disease-specific HRQoL, as well as an increased vitality domain of general HRQoL. No patient suffered from depression in this study. Keywords: cervical dystonia, abobotulinum toxin A, health-related quality of life, depressive disorder, 36-Item Short Form Health Survey, Cervical Dystonia Impact Profile-58 questionnaire
format article
author Kongsaengdao S
Maneeton N
Maneeton B
author_facet Kongsaengdao S
Maneeton N
Maneeton B
author_sort Kongsaengdao S
title Long-term quality of life in cervical dystonia after treatment with abobotulinum toxin A: a 2-year prospective study
title_short Long-term quality of life in cervical dystonia after treatment with abobotulinum toxin A: a 2-year prospective study
title_full Long-term quality of life in cervical dystonia after treatment with abobotulinum toxin A: a 2-year prospective study
title_fullStr Long-term quality of life in cervical dystonia after treatment with abobotulinum toxin A: a 2-year prospective study
title_full_unstemmed Long-term quality of life in cervical dystonia after treatment with abobotulinum toxin A: a 2-year prospective study
title_sort long-term quality of life in cervical dystonia after treatment with abobotulinum toxin a: a 2-year prospective study
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/be37b59e2ac54cecb927df4822d5b834
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AT maneetonn longtermqualityoflifeincervicaldystoniaaftertreatmentwithabobotulinumtoxinaa2yearprospectivestudy
AT maneetonb longtermqualityoflifeincervicaldystoniaaftertreatmentwithabobotulinumtoxinaa2yearprospectivestudy
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