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24-05-2021

Could the EQ-5D-3L predict all-cause mortality in older Chinese? Evidence from a 5-year longitudinal study in eastern China

Auteurs: Chen-Wei Pan, Rui-Jie Liu, Xue-Jiao Yang, Qing-Hua Ma, Yong Xu, Nan Luo, Pei Wang

Gepubliceerd in: Quality of Life Research | Uitgave 10/2021

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Abstract

Purpose

To assess the ability of the 3-level EQ-5D (i.e., EQ-5D-3L) in predicting all-cause mortality in older Chinese adults.

Methods

The data were from a 5-year longitudinal study, Weitang Geriatric Diseases Study, including 4579 community-dwelling older people in eastern China, with the mean age of 72.5 years at baseline and female being 52.0%. Three multivariable logistic regression models were adopted to assess the associations of the baseline EQ-5D data [i.e., the EQ-5D problems, EQ-5D-3L index score, and EQ-5D visual analog scale (VAS) score] with the 5-year all-cause mortality, adjusting for socio-demographic characteristics, and subsequently, health conditions and lifestyle habits.

Results

A total of 183 participants died over the 5-year study period. A larger proportion of the dead reported problems in physical dimensions (i.e., including three dimensions: mobility, self-care, and usual activities, p < 0.05 for all). The mean EQ-5D index score (0.928) and EQ-VAS score (79.7) of the living were higher than those of the dead (0.915 and 73.2, p < 0.05 for both). In multivariable logistic analyses, the EQ-5D health problems in the physical-related dimensions [odds ratio (OR) 2.16, p < 0.05] and the EQ-VAS score (OR: 0.97, p < 0.001) were associated with the 5-year all-cause mortality when adjusting for socio-demographic characteristics, health conditions, and lifestyle habits.

Conclusions

It appears that the EQ-5D-3L could predict mortality in general older Chinese, which could be used to detect high-risk older individuals in China.
Literatuur
8.
go back to reference Higueras-Fresnillo, S., Cabanas-Sánchez, V., García-Esquinas, E., Rodríguez-Artalejo, F., & Martinez-Gomez, D. (2018). Physical activity attenuates the impact of poor physical, mental, and social health on total and cardiovascular mortality in older adults: A population-based prospective cohort study. Quality of Life Research, 27(12), 3293–3302. https://doi.org/10.1007/s11136-018-1974-5CrossRefPubMed Higueras-Fresnillo, S., Cabanas-Sánchez, V., García-Esquinas, E., Rodríguez-Artalejo, F., & Martinez-Gomez, D. (2018). Physical activity attenuates the impact of poor physical, mental, and social health on total and cardiovascular mortality in older adults: A population-based prospective cohort study. Quality of Life Research, 27(12), 3293–3302. https://​doi.​org/​10.​1007/​s11136-018-1974-5CrossRefPubMed
12.
go back to reference Rosenberg, T., Montgomery, P., Hay, V., & Lattimer, R. (2019). Using frailty and quality of life measures in clinical care of the elderly in Canada to predict death, nursing home transfer and hospitalisation—the frailty and ageing cohort study. British Medical Journal Open, 9(11), e032712. https://doi.org/10.1136/bmjopen-2019-032712CrossRef Rosenberg, T., Montgomery, P., Hay, V., & Lattimer, R. (2019). Using frailty and quality of life measures in clinical care of the elderly in Canada to predict death, nursing home transfer and hospitalisation—the frailty and ageing cohort study. British Medical Journal Open, 9(11), e032712. https://​doi.​org/​10.​1136/​bmjopen-2019-032712CrossRef
14.
go back to reference Siersma, V., Thorsen, H., Holstein, P. E., Kars, M., Apelqvist, J., Jude, E. B., Piaggesi, A., Bakker, K., Edmonds, M., Jirkovská, A., Mauricio, D., Tennvall, G. R., Reike, H., Spraul, M., Uccioli, L., Urbancic, V., van Acker, K., van Baal, J., & Schaper, N. C. (2014). Health-related quality of life predicts major amputation and death, but not healing, in people with diabetes presenting with foot ulcers: The eurodiale study. Diabetes Care, 37(3), 694–700. https://doi.org/10.2337/dc13-1212CrossRefPubMed Siersma, V., Thorsen, H., Holstein, P. E., Kars, M., Apelqvist, J., Jude, E. B., Piaggesi, A., Bakker, K., Edmonds, M., Jirkovská, A., Mauricio, D., Tennvall, G. R., Reike, H., Spraul, M., Uccioli, L., Urbancic, V., van Acker, K., van Baal, J., & Schaper, N. C. (2014). Health-related quality of life predicts major amputation and death, but not healing, in people with diabetes presenting with foot ulcers: The eurodiale study. Diabetes Care, 37(3), 694–700. https://​doi.​org/​10.​2337/​dc13-1212CrossRefPubMed
15.
go back to reference Berg, S. K., Rasmussen, T. B., Mols, R. E., Thorup, C. B., Borregaard, B., Christensen, A. V., Cromhout, P. F., Ekholm, O., Juel, K., & Thrysoee, L. (2019). Both mental and physical health predicts one year mortality and readmissions in patients with implantable cardioverter defibrillators: Findings from the national denheart study. European Journal of Cardiovascular Nursing, 18(2), 96–105. https://doi.org/10.1177/1474515118794598CrossRefPubMed Berg, S. K., Rasmussen, T. B., Mols, R. E., Thorup, C. B., Borregaard, B., Christensen, A. V., Cromhout, P. F., Ekholm, O., Juel, K., & Thrysoee, L. (2019). Both mental and physical health predicts one year mortality and readmissions in patients with implantable cardioverter defibrillators: Findings from the national denheart study. European Journal of Cardiovascular Nursing, 18(2), 96–105. https://​doi.​org/​10.​1177/​1474515118794598​CrossRefPubMed
16.
go back to reference Kikkenborg Berg, S., Caspar Thygesen, L., Hastrup Svendsen, J., Vinggaard Christensen, A., & Zwisler, A. D. (2014). Anxiety predicts mortality in ICD patients: Results from the cross-sectional national CopenHeartICD survey with register follow-up. Pacing and Clinical Electrophysiology, 37(12), 1641–1650. https://doi.org/10.1111/pace.12490CrossRefPubMed Kikkenborg Berg, S., Caspar Thygesen, L., Hastrup Svendsen, J., Vinggaard Christensen, A., & Zwisler, A. D. (2014). Anxiety predicts mortality in ICD patients: Results from the cross-sectional national CopenHeartICD survey with register follow-up. Pacing and Clinical Electrophysiology, 37(12), 1641–1650. https://​doi.​org/​10.​1111/​pace.​12490CrossRefPubMed
17.
go back to reference Nagy, K. V., Széplaki, G., Perge, P., Boros, A. M., Kosztin, A., Apor, A., Molnár, L., Szilágyi, S., Tahin, T., Zima, E., Kutyifa, V., Gellér, L., & Merkely, B. (2018). Quality of life measured with EuroQol-five dimensions questionnaire predicts long-term mortality, response, and reverse remodelling in cardiac resynchronization therapy patients. Europace, 20(9), 1506–1512. https://doi.org/10.1093/europace/eux342CrossRefPubMed Nagy, K. V., Széplaki, G., Perge, P., Boros, A. M., Kosztin, A., Apor, A., Molnár, L., Szilágyi, S., Tahin, T., Zima, E., Kutyifa, V., Gellér, L., & Merkely, B. (2018). Quality of life measured with EuroQol-five dimensions questionnaire predicts long-term mortality, response, and reverse remodelling in cardiac resynchronization therapy patients. Europace, 20(9), 1506–1512. https://​doi.​org/​10.​1093/​europace/​eux342CrossRefPubMed
18.
go back to reference Lenzen, M. J., Scholte op Reimer, W. J. M., Pedersen, S. S., Boersma, E., Maier, W., Widimsky, P., Simoons, M. L., Mercado, N. F., Wijns, W., & Euro Heart Survey on Coronary Revascularization. (2007). The additional value of patient-reported health status in predicting 1-year mortality after invasive coronary procedures: A report from the Euro heart survey on coronary revascularisation. Heart, 93(3), 339–344. https://doi.org/10.1136/hrt.2005.086868CrossRefPubMed Lenzen, M. J., Scholte op Reimer, W. J. M., Pedersen, S. S., Boersma, E., Maier, W., Widimsky, P., Simoons, M. L., Mercado, N. F., Wijns, W., & Euro Heart Survey on Coronary Revascularization. (2007). The additional value of patient-reported health status in predicting 1-year mortality after invasive coronary procedures: A report from the Euro heart survey on coronary revascularisation. Heart, 93(3), 339–344. https://​doi.​org/​10.​1136/​hrt.​2005.​086868CrossRefPubMed
21.
go back to reference Sexton, D. J., Lowney, A. C., O’Seaghdha, C. M., Murphy, M., O’Brien, T., Casserly, L. F., McQuillan, R., Plant, W. D., Eustace, J. A., Kinsella, S. M., & Conlon, P. J. (2016). Do patient-reported measures of symptoms and health status predict mortality in hemodialysis? An assessment of POS-S renal and EQ-5D. Hemodialysis International, 20(4), 618–630. https://doi.org/10.1111/hdi.12415CrossRefPubMed Sexton, D. J., Lowney, A. C., O’Seaghdha, C. M., Murphy, M., O’Brien, T., Casserly, L. F., McQuillan, R., Plant, W. D., Eustace, J. A., Kinsella, S. M., & Conlon, P. J. (2016). Do patient-reported measures of symptoms and health status predict mortality in hemodialysis? An assessment of POS-S renal and EQ-5D. Hemodialysis International, 20(4), 618–630. https://​doi.​org/​10.​1111/​hdi.​12415CrossRefPubMed
23.
24.
30.
go back to reference Chen, C., & Lu, F. C. (2004). The guidelines for prevention and control of overweight and obesity in Chinese adults. Biomedical and Environmental Sciences, 17(Suppl), 1–36.PubMed Chen, C., & Lu, F. C. (2004). The guidelines for prevention and control of overweight and obesity in Chinese adults. Biomedical and Environmental Sciences, 17(Suppl), 1–36.PubMed
35.
go back to reference Olaya, B., Moneta, M. V., Doménech-Abella, J., Miret, M., Bayes, I., Ayuso-Mateos, J. L., & Haro, J. M. (2018). Mobility difficulties, physical activity, and all-cause mortality risk in a nationally representative sample of older adults. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 73(9), 1272–1279. https://doi.org/10.1093/gerona/glx121CrossRef Olaya, B., Moneta, M. V., Doménech-Abella, J., Miret, M., Bayes, I., Ayuso-Mateos, J. L., & Haro, J. M. (2018). Mobility difficulties, physical activity, and all-cause mortality risk in a nationally representative sample of older adults. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 73(9), 1272–1279. https://​doi.​org/​10.​1093/​gerona/​glx121CrossRef
38.
go back to reference Bernard, S. L., Kincade, J. E., Konrad, T. R., Arcury, T. A., Rabiner, D. J., Woomert, A., DeFriese, G. H., & Ory, M. G. (1997). Predicting mortality from community surveys of older adults: The importance of self-rated functional ability. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 52(3), S155–S163. https://doi.org/10.1093/geronb/52b.3.s155CrossRefPubMed Bernard, S. L., Kincade, J. E., Konrad, T. R., Arcury, T. A., Rabiner, D. J., Woomert, A., DeFriese, G. H., & Ory, M. G. (1997). Predicting mortality from community surveys of older adults: The importance of self-rated functional ability. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 52(3), S155–S163. https://​doi.​org/​10.​1093/​geronb/​52b.​3.​s155CrossRefPubMed
40.
go back to reference Myint, P. K., Smith, R. D., Luben, R. N., Surtees, P. G., Wainwright, N. W., Wareham, N. J., Bingham, S. A., & Khaw, K.-T. (2010). The short-form six-dimension utility index predicted mortality in the European prospective investigation into cancer-norfolk prospective population-based study. Journal of Clinical Epidemiology, 63(2), 192–198. https://doi.org/10.1016/j.jclinepi.2009.05.002CrossRefPubMed Myint, P. K., Smith, R. D., Luben, R. N., Surtees, P. G., Wainwright, N. W., Wareham, N. J., Bingham, S. A., & Khaw, K.-T. (2010). The short-form six-dimension utility index predicted mortality in the European prospective investigation into cancer-norfolk prospective population-based study. Journal of Clinical Epidemiology, 63(2), 192–198. https://​doi.​org/​10.​1016/​j.​jclinepi.​2009.​05.​002CrossRefPubMed
Metagegevens
Titel
Could the EQ-5D-3L predict all-cause mortality in older Chinese? Evidence from a 5-year longitudinal study in eastern China
Auteurs
Chen-Wei Pan
Rui-Jie Liu
Xue-Jiao Yang
Qing-Hua Ma
Yong Xu
Nan Luo
Pei Wang
Publicatiedatum
24-05-2021
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 10/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-021-02883-5

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