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Complement 3 glomerulopathy (C3G) is a rare, chronic kidney disease (CKD), with an estimated worldwide incidence of 1-2 million people/year. C3G is associated with a high risk of disease progression and later stages are associated with worsening symptoms, but there are limited published data describing the health-related quality of life in patients with C3G. We aimed to evaluate the impact of CKD stage on the health-related quality of life in a multi-country study of C3G patients.
Data were drawn from the Adelphi C3G Disease Specific Programme, a cross-sectional survey, with retrospective data collection, of nephrologists and their consulting C3G patients conducted in France, Germany, Italy, Spain, the United Kingdom (EU5), China, Japan and the United States from August 2022 – April 2023. Nephrologists completed forms for 1-9 consecutively consulting C3G patients, reporting demographic and clinical information including CKD stage by glomerular filtration rate. These patients were then invited to voluntarily complete a survey, self-reporting impact of fatigue within the last seven days via the Functional Assessment of Chronic Illness Therapy (FACIT) – Fatigue and health-related quality of life via the EQ-5D-5L (US tariff), the EuroQol Visual Analogue Scale (EQ-VAS). Analyses presented here are descriptive.
C3G was shown to impact many aspects of a patient’s quality of life, in particular causing severe fatigue that patients described as the second most bothersome symptom. Quality of life is notably lower for patients with stage 4/5 of CKD. Treatment to slow the progression of kidney disease in C3G patients, particularly to later stages, could help improve patient’s quality of life.