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09-02-2023

Health utility in community-dwelling adults with dysvascular lower limb loss

Auteurs: Sander L. Hitzig, Jorge Rios, Michael Devlin, Sara J. T. Guilcher, Crystal MacKay, Steven Dilkas, Michael W. Payne, Ricardo Viana, Ahmed Kayssi, Stephanie R. Cimino, Amanda L. Mayo

Gepubliceerd in: Quality of Life Research | Uitgave 7/2023

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Abstract

Purpose

Adults with dysvascular lower extremity amputation (LEA) experience a large number of secondary health conditions yet there is a gap in the literature on health utility scores for this population. A health utility score relates to a person’s state of well-being, and is a single metric anchored at 0 (death) and 1 (perfect health). This study aimed to provide a descriptive account of health utility scores in community-dwelling adults with dysvascular LEA.

Methods

Participants were adults with dysvascular LEA who were 3 months post-amputation. Data collected included socio-demographic characteristics, the Special Interest Group in Amputee Medicine (SIGAM) grades, the dysvascular conditions scale (DCS), which is a scale developed for this study, and the Short Form-36 (SF-36). SF-6D health utility scores were derived from the SF-36 using a software algorithm. Participants were grouped into low-impact and high-impact groups based on self-reported severity of symptoms using the DCS. Health utility scores were compared between the low-impact and high-impact groups using independent t-tests.

Results

A total of 231 participants were enrolled in the study. The mean SF-6D health utility score was 0.689 (0.127). A significant association was found between health utility score and SIGAM grade (p < 0.001, η2 = .09). Health utility was positively associated with age (r = 0.137, p = 0.037) and months post-amputation (r = 0.141, p = 0.032), and negatively associated with DCS severity (r = -0.526, p < 0.001). Health utility scores were lower for participants in the DCS high-impact groups for conditions such as diabetes mellitus, phantom limb pain, musculoskeletal pain, back pain, psychological distress, depression, vision problems, and other pain.

Conclusion

Cost-utility analyses rely on health utility estimates and our findings provide data for future economic evaluations that may assist policy makers in evidence informed allocation of healthcare resources for this population.
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Metagegevens
Titel
Health utility in community-dwelling adults with dysvascular lower limb loss
Auteurs
Sander L. Hitzig
Jorge Rios
Michael Devlin
Sara J. T. Guilcher
Crystal MacKay
Steven Dilkas
Michael W. Payne
Ricardo Viana
Ahmed Kayssi
Stephanie R. Cimino
Amanda L. Mayo
Publicatiedatum
09-02-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 7/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03357-6

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