Skip to main content
Top
Gepubliceerd in: Quality of Life Research 3/2008

01-04-2008

EuroQol EQ-5D and condition-specific measures of health outcome in women with urinary incontinence: reliability, validity and responsiveness

Auteurs: Kirstie L. Haywood, Andrew M. Garratt, Ranjit Lall, Jan Fereday Smith, Sarah E. Lamb

Gepubliceerd in: Quality of Life Research | Uitgave 3/2008

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

To evaluate the measurement properties of the EuroQoL EQ-5D and two condition-specific patient-reported outcome measures—the Symptom Severity Index (SSI) and the Urinary Incontinence-Specific Quality of Life instrument (I-QoL)—in women with urinary incontinence.

Methods

A questionnaire comprising all instruments was completed by women taking part in a clinical trial of physiotherapy for urinary incontinence. Follow-up questionnaires were at 6 weeks and 5 months. Data quality, internal consistency reliability, validity and responsiveness were assessed.

Results

One hundred and seventy-four patients taking part in the clinical trial completed the questionnaire. Instruments had low levels of missing data. The EQ-5D had a large ceiling effect and poor responsiveness. The SSI had poor validity and responsiveness. The I-QoL had levels of reliability that supported application in group assessment, and in some cases, individual assessment, and good evidence of validity. The I-QoL was the most responsive instrument at both 6 weeks and 5 months.

Conclusion

The I-QoL was the best performing instrument and is recommended as a continence-specific measure of quality of life in a clinical trial setting. The SSI and EQ-5D are not recommended. Alternative generic instruments, which support economic evaluation, require further evaluation in trials of female urinary incontinence.
Literatuur
2.
go back to reference Miner, P. B., Jr. (2004). Economic and personal impact of fecal and urinary incontinence. Gastroenterology, 126, S8–S13.PubMedCrossRef Miner, P. B., Jr. (2004). Economic and personal impact of fecal and urinary incontinence. Gastroenterology, 126, S8–S13.PubMedCrossRef
3.
go back to reference Martin, J. L., Williams, K. S., Abrams, K. R., et al. (2006). Systematic review and evaluation of methods of assessing urinary incontinence. Health Technology Assessment, 10(6), 1–132. Martin, J. L., Williams, K. S., Abrams, K. R., et al. (2006). Systematic review and evaluation of methods of assessing urinary incontinence. Health Technology Assessment, 10(6), 1–132.
4.
go back to reference Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., et al. (2002). The standardisation of terminology of lower urinary tract function: Report from the Standardisation Sub-committee of the International Continence Society. Neurourology and Urodynamics, 21, 167–178.PubMedCrossRef Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., et al. (2002). The standardisation of terminology of lower urinary tract function: Report from the Standardisation Sub-committee of the International Continence Society. Neurourology and Urodynamics, 21, 167–178.PubMedCrossRef
5.
go back to reference Fitzpatrick, R., Davey, C., Buxton, M. J., & Jones, D. R. (1998). Evaluating patient-based outcome measures for use in clinical trials. Health Technology Assessment, 2(i–iv), 1–74.PubMed Fitzpatrick, R., Davey, C., Buxton, M. J., & Jones, D. R. (1998). Evaluating patient-based outcome measures for use in clinical trials. Health Technology Assessment, 2(i–iv), 1–74.PubMed
6.
go back to reference Ross, S., Soroka, D., Karahalios, A., Glazener, C. M., Hay-Smith, E. J., & Drutz, H. P. (2005). Incontinence-specific quality of life measures used in trials of treatments for female urinary incontinence: A systematic review. International Urogynecology Journal and Pelvic Floor Dysfunction, 17(3), 272–285.PubMed Ross, S., Soroka, D., Karahalios, A., Glazener, C. M., Hay-Smith, E. J., & Drutz, H. P. (2005). Incontinence-specific quality of life measures used in trials of treatments for female urinary incontinence: A systematic review. International Urogynecology Journal and Pelvic Floor Dysfunction, 17(3), 272–285.PubMed
7.
go back to reference Naughton, M. J., Donovan, J., Badia, X., Corcos, J., Gotoh, M., et al. (2004). Symptom severity and QOL scales for urinary incontinence. Gastroenterology, 126, S114–S123.PubMedCrossRef Naughton, M. J., Donovan, J., Badia, X., Corcos, J., Gotoh, M., et al. (2004). Symptom severity and QOL scales for urinary incontinence. Gastroenterology, 126, S114–S123.PubMedCrossRef
8.
go back to reference Symonds, T. (2003). A review of condition-specific instruments to assess the impact of urinary incontinence on health-related quality of life. European Urology, 43, 219–225.PubMedCrossRef Symonds, T. (2003). A review of condition-specific instruments to assess the impact of urinary incontinence on health-related quality of life. European Urology, 43, 219–225.PubMedCrossRef
9.
go back to reference EuroQoL-Group. (1990). EuroQol—a new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy, 16, 199–208.CrossRef EuroQoL-Group. (1990). EuroQol—a new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy, 16, 199–208.CrossRef
10.
go back to reference Brazier, J., Roberts, J., Tsuchiya, A., & Busschbach, J. (2004). A comparison of the EQ-5D and SF-6D across seven patient groups. Health Economics, 13, 873–884.PubMedCrossRef Brazier, J., Roberts, J., Tsuchiya, A., & Busschbach, J. (2004). A comparison of the EQ-5D and SF-6D across seven patient groups. Health Economics, 13, 873–884.PubMedCrossRef
11.
go back to reference Wiebe, S., Guyatt, G., Weaver, B., Matijevic, S., & Sidwell, C. (2003). Comparative responsiveness of generic and specific quality-of-life instruments. Journal of Clinical Epidemiology, 56, 52–60.PubMedCrossRef Wiebe, S., Guyatt, G., Weaver, B., Matijevic, S., & Sidwell, C. (2003). Comparative responsiveness of generic and specific quality-of-life instruments. Journal of Clinical Epidemiology, 56, 52–60.PubMedCrossRef
12.
go back to reference Scottish-Intercollegiate-Guidelines-Network. (2004). SIGN 79: Management of urinary incontinence in primary care. A national clinical guideline. Edinburgh: Scottish-Intercollegiate-Guidelines-Network. Scottish-Intercollegiate-Guidelines-Network. (2004). SIGN 79: Management of urinary incontinence in primary care. A national clinical guideline. Edinburgh: Scottish-Intercollegiate-Guidelines-Network.
14.
go back to reference Lose, G., Fantl, J. A., Victor, A., Walter, S., Wells, T. L., et al. (2001). Outcome measures for research in adult women with symptoms of lower urinary tract dysfunction. Standardization Committee of the International Continence Society. Acta Obstetrica et Gynecologica Scandinavia, 80, 981–985.CrossRef Lose, G., Fantl, J. A., Victor, A., Walter, S., Wells, T. L., et al. (2001). Outcome measures for research in adult women with symptoms of lower urinary tract dysfunction. Standardization Committee of the International Continence Society. Acta Obstetrica et Gynecologica Scandinavia, 80, 981–985.CrossRef
15.
go back to reference Garratt, A., Schmidt, L., Mackintosh, A., & Fitzpatrick, R. (2002). Quality of life measurement: Bibliographic study of patient assessed health outcome measures. British Medical Journal, 324, 1417.PubMedCrossRef Garratt, A., Schmidt, L., Mackintosh, A., & Fitzpatrick, R. (2002). Quality of life measurement: Bibliographic study of patient assessed health outcome measures. British Medical Journal, 324, 1417.PubMedCrossRef
16.
go back to reference Black, N., Griffiths, J., & Pope, C. (1996). Development of a symptom severity index and a symptom impact index for stress incontinence in women. Neurourology and Urodynamics, 15, 630–640.PubMedCrossRef Black, N., Griffiths, J., & Pope, C. (1996). Development of a symptom severity index and a symptom impact index for stress incontinence in women. Neurourology and Urodynamics, 15, 630–640.PubMedCrossRef
17.
go back to reference Wagner, T. H., Patrick, D. L., Bavendam, T. G., Martin, M. L., & Buesching, D. P. (1996). Quality of life of persons with urinary incontinence: Development of a new measure. Urology, 47, 67–71.PubMedCrossRef Wagner, T. H., Patrick, D. L., Bavendam, T. G., Martin, M. L., & Buesching, D. P. (1996). Quality of life of persons with urinary incontinence: Development of a new measure. Urology, 47, 67–71.PubMedCrossRef
18.
go back to reference Patrick, D. L., Martin, M. L., Bushnell, D. M., Yalcin, I., Wagner, T. H., & Buesching, D. P. (1999). Quality of life of women with urinary incontinence: Further development of the incontinence quality of life instrument (I-QOL). Urology, 53, 71–76.PubMedCrossRef Patrick, D. L., Martin, M. L., Bushnell, D. M., Yalcin, I., Wagner, T. H., & Buesching, D. P. (1999). Quality of life of women with urinary incontinence: Further development of the incontinence quality of life instrument (I-QOL). Urology, 53, 71–76.PubMedCrossRef
19.
go back to reference Black, N., Griffiths, J., Pope, C., Bowling, A., & Abel P. (1997). Impact of surgery for stress incontinence on morbidity: Cohort study. British Medical Journal, 315, 1493–1498.PubMed Black, N., Griffiths, J., Pope, C., Bowling, A., & Abel P. (1997). Impact of surgery for stress incontinence on morbidity: Cohort study. British Medical Journal, 315, 1493–1498.PubMed
20.
go back to reference Bushnell, D. M., Martin, M. L., Summers, K. H., Svihra, J., Lionis, C., & Patrick, D. L. (2005). Quality of life of women with urinary incontinence: Cross-cultural performance of 15 language versions of the I-QOL. Quality of Life Research, 14, 1901–1913.PubMedCrossRef Bushnell, D. M., Martin, M. L., Summers, K. H., Svihra, J., Lionis, C., & Patrick, D. L. (2005). Quality of life of women with urinary incontinence: Cross-cultural performance of 15 language versions of the I-QOL. Quality of Life Research, 14, 1901–1913.PubMedCrossRef
21.
go back to reference Marra, C. A., Woolcott, J. C., Kopec, J. A., Shojania, K., Offer, R., et al. (2005). A comparison of generic, indirect utility measures (the HUI2, HUI3, SF-6D, and the EQ-5D) and disease-specific instruments (the RAQoL and the HAQ) in rheumatoid arthritis. Social Science and Medicine, 60, 1571–1582.PubMedCrossRef Marra, C. A., Woolcott, J. C., Kopec, J. A., Shojania, K., Offer, R., et al. (2005). A comparison of generic, indirect utility measures (the HUI2, HUI3, SF-6D, and the EQ-5D) and disease-specific instruments (the RAQoL and the HAQ) in rheumatoid arthritis. Social Science and Medicine, 60, 1571–1582.PubMedCrossRef
22.
go back to reference Donovan, J. L., Kay, H. E., Peters, T. J., Abrams, P., Coast, J., et al. (1997). Using the ICSOoL to measure the impact of lower urinary tract symptoms on quality of life: Evidence from the ICS-‘BPH’ Study. International Continence Society–Benign Prostatic Hyperplasia. British Journal of Urology, 80, 712–721.PubMed Donovan, J. L., Kay, H. E., Peters, T. J., Abrams, P., Coast, J., et al. (1997). Using the ICSOoL to measure the impact of lower urinary tract symptoms on quality of life: Evidence from the ICS-‘BPH’ Study. International Continence Society–Benign Prostatic Hyperplasia. British Journal of Urology, 80, 712–721.PubMed
23.
go back to reference Kobelt, G. (1997). Economic considerations and outcome measurement in urge incontinence. Urology, 50, 100–7; discussion 8–10. Kobelt, G. (1997). Economic considerations and outcome measurement in urge incontinence. Urology, 50, 100–7; discussion 8–10.
24.
go back to reference Fuertes, M. E., Garcia Matres, M. J., Gonzalez Romojaro, V., de la Rosa, S., Anguera Vila, A., et al. (2000). Clinical trial to evaluate trospium chloride (Uraplex) effectiveness and tolerance in patients with detrusor instability incontinence and its impact on quality of life. Archivos Españoles de Urologia, 53, 125–136.PubMed Fuertes, M. E., Garcia Matres, M. J., Gonzalez Romojaro, V., de la Rosa, S., Anguera Vila, A., et al. (2000). Clinical trial to evaluate trospium chloride (Uraplex) effectiveness and tolerance in patients with detrusor instability incontinence and its impact on quality of life. Archivos Españoles de Urologia, 53, 125–136.PubMed
26.
go back to reference Streiner, D., & Norman, G. (2003). Health measurement scales: A practical guide to their development and use (3rd ed.). Oxford: Oxford University Press. Streiner, D., & Norman, G. (2003). Health measurement scales: A practical guide to their development and use (3rd ed.). Oxford: Oxford University Press.
27.
go back to reference Jolliffe, I. (1986). Principal component analysis. New York: Springer-Verlag. Jolliffe, I. (1986). Principal component analysis. New York: Springer-Verlag.
28.
go back to reference Nunnally, J., & Bernstein, I. (1994). Psychometric theory. New York: McGraw-Hill. Nunnally, J., & Bernstein, I. (1994). Psychometric theory. New York: McGraw-Hill.
29.
go back to reference Shrout, P., & Fleiss, J. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420–428.CrossRef Shrout, P., & Fleiss, J. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420–428.CrossRef
30.
go back to reference Hawthorne, G., Richardson, J., & Osborne, R. (1999). The Assessment of Quality of Life (AQoL) instrument: a psychometric measure of health related quality of life. Quality of Life Research, 8, 209–224.PubMedCrossRef Hawthorne, G., Richardson, J., & Osborne, R. (1999). The Assessment of Quality of Life (AQoL) instrument: a psychometric measure of health related quality of life. Quality of Life Research, 8, 209–224.PubMedCrossRef
31.
go back to reference Hair, J. F., Anderson, R. E., Tatham, R. L., & Black, W. C. (1995). Multivariate data analysis: With readings (4th ed.). New Jersey: Prentice Hall. Hair, J. F., Anderson, R. E., Tatham, R. L., & Black, W. C. (1995). Multivariate data analysis: With readings (4th ed.). New Jersey: Prentice Hall.
Metagegevens
Titel
EuroQol EQ-5D and condition-specific measures of health outcome in women with urinary incontinence: reliability, validity and responsiveness
Auteurs
Kirstie L. Haywood
Andrew M. Garratt
Ranjit Lall
Jan Fereday Smith
Sarah E. Lamb
Publicatiedatum
01-04-2008
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 3/2008
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-008-9311-z

Andere artikelen Uitgave 3/2008

Quality of Life Research 3/2008 Naar de uitgave