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Gepubliceerd in: Quality of Life Research 1/2010

01-02-2010

Change in health-related quality of life as a predictor of mortality in the older adults

Auteurs: Andrea Otero-Rodríguez, Luz María León-Muñoz, Teresa Balboa-Castillo, José R. Banegas, Fernando Rodríguez-Artalejo, Pilar Guallar-Castillón

Gepubliceerd in: Quality of Life Research | Uitgave 1/2010

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Abstract

Purpose

We examined whether changes in health-related quality of life (HRQL) predict subsequent mortality among the Spanish elderly.

Methods

Prospective cohort study of 2,373 persons, representative of the Spanish population aged 60 and older. HRQL was measured in 2001 and 2003 using the SF-36 health questionnaire. Cox regression models were used to examine the association of changes in the physical and mental component summary (PCS and MCS) scores of HRQL from 2001 to 2003 with all-cause mortality through 2007.

Results

Two hundred twelve deaths were ascertained from 2003 to 2007. The hazard ratios for mortality across categories of PCS change were as follows: 2.12 (95% confidence interval [CI] 1.39–3.24) for a > 10-point decline; 1.51 (1.01–2.28) for a 6- to 10-point decline; 1 for the reference category, a change of −5 to +5 points; 0.83 (0.51–1.34) for a 6- to 9-point improvement and 0.68 (0.42–1.09) for a > 10-point improvement; P for linear trend <0.001. The associations between changes in the MCS and mortality showed the same direction, but were of a lower magnitude and attained statistical significance (P < 0.05) only for a > 10-point decline in MCS.

Conclusions

Changes in HRQL predict mortality in the older adults. A decline in HRQL should alert to a worse vital prognosis and stimulate the search for the possible determinants of such decline.
Literatuur
1.
go back to reference Hickey, A., Barker, M., McGee, H., & O’Boyle, C. (2005). Measuring health-related quality of life in older patient populations: A review of current approaches. Pharmacoeconomics, 23(10), 971–993 [Review].CrossRefPubMed Hickey, A., Barker, M., McGee, H., & O’Boyle, C. (2005). Measuring health-related quality of life in older patient populations: A review of current approaches. Pharmacoeconomics, 23(10), 971–993 [Review].CrossRefPubMed
2.
go back to reference Testa, M. A., & Simonson, D. C. (1996). Assesment of quality-of-life outcomes. New England Journal of Medicine, 334(13), 835–840.CrossRefPubMed Testa, M. A., & Simonson, D. C. (1996). Assesment of quality-of-life outcomes. New England Journal of Medicine, 334(13), 835–840.CrossRefPubMed
3.
go back to reference Rumsfeld, J. S., MaWhinney, S., McCarthy, M., Jr., Shroyer, A. L., VillaNueva, C. B., O’Brien, M., et al. (1999). Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the department of veterans affairs cooperative study group on processes, structures, and outcomes of care in cardiac surgery. JAMA, 281(14), 1298–1303.CrossRefPubMed Rumsfeld, J. S., MaWhinney, S., McCarthy, M., Jr., Shroyer, A. L., VillaNueva, C. B., O’Brien, M., et al. (1999). Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the department of veterans affairs cooperative study group on processes, structures, and outcomes of care in cardiac surgery. JAMA, 281(14), 1298–1303.CrossRefPubMed
4.
go back to reference Rodriguez-Artalejo, F., Guallar-Castillon, P., Pascual, C. R., Otero, C. M., Montes, A. O., Garcia, A. N., et al. (2005). Health-related quality of life as a predictor of hospital readmission and death among patients with heart failure. Archives of Internal Medicine, 165(11), 1274–1279.CrossRefPubMed Rodriguez-Artalejo, F., Guallar-Castillon, P., Pascual, C. R., Otero, C. M., Montes, A. O., Garcia, A. N., et al. (2005). Health-related quality of life as a predictor of hospital readmission and death among patients with heart failure. Archives of Internal Medicine, 165(11), 1274–1279.CrossRefPubMed
5.
go back to reference Domingo-Salvany, A., Lamarca, R., Ferrer, M., Garcia-Aymerich, J., Alonso, J., Felez, M., et al. (2002). Health-related quality of life and mortality in male patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 166(5), 680–685.CrossRefPubMed Domingo-Salvany, A., Lamarca, R., Ferrer, M., Garcia-Aymerich, J., Alonso, J., Felez, M., et al. (2002). Health-related quality of life and mortality in male patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 166(5), 680–685.CrossRefPubMed
6.
go back to reference Singh, J. A., Nelson, D. B., Fink, H. A., & Nichol, K. L. (2005). Health-related quality of life predicts future health care utilization and mortality in veterans with self-reported physician-diagnosed arthritis: The veterans arthritis quality of life study. Seminars in Arthritis and Rheumatism, 34(5), 755–765.CrossRefPubMed Singh, J. A., Nelson, D. B., Fink, H. A., & Nichol, K. L. (2005). Health-related quality of life predicts future health care utilization and mortality in veterans with self-reported physician-diagnosed arthritis: The veterans arthritis quality of life study. Seminars in Arthritis and Rheumatism, 34(5), 755–765.CrossRefPubMed
7.
go back to reference Fan, V. S., Au, D. H., McDonell, M. B., & Fihn, S. D. (2004). Intraindividual change in SF-36 in ambulatory clinic primary care patients predicted mortality and hospitalizations. Journal of Clinical Epidemiology, 57(3), 277–283.CrossRefPubMed Fan, V. S., Au, D. H., McDonell, M. B., & Fihn, S. D. (2004). Intraindividual change in SF-36 in ambulatory clinic primary care patients predicted mortality and hospitalizations. Journal of Clinical Epidemiology, 57(3), 277–283.CrossRefPubMed
8.
go back to reference Lee, Y. (2000). The predictive value of self assessed general, physical, and mental health on functional decline and mortality in older adults. Journal of Epidemiology and Community Health, 54(2), 123–129.CrossRefPubMed Lee, Y. (2000). The predictive value of self assessed general, physical, and mental health on functional decline and mortality in older adults. Journal of Epidemiology and Community Health, 54(2), 123–129.CrossRefPubMed
9.
go back to reference Tsai, S. Y., Chi, L. Y., Lee, C. H., & Chou, P. (2007). Health-related quality of life as a predictor of mortality among community-dwelling older persons. European Journal of Epidemiology, 22(1), 19–26.CrossRefPubMed Tsai, S. Y., Chi, L. Y., Lee, C. H., & Chou, P. (2007). Health-related quality of life as a predictor of mortality among community-dwelling older persons. European Journal of Epidemiology, 22(1), 19–26.CrossRefPubMed
10.
go back to reference Kaplan, M. S., Berthelot, J. M., Feeny, D., McFarland, B. H., Khan, S., & Orpana, H. (2007). The predictive validity of health-related quality of life measures: Mortality in a longitudinal population-based study. Quality of Life Research, 16(9), 1539–1546.CrossRefPubMed Kaplan, M. S., Berthelot, J. M., Feeny, D., McFarland, B. H., Khan, S., & Orpana, H. (2007). The predictive validity of health-related quality of life measures: Mortality in a longitudinal population-based study. Quality of Life Research, 16(9), 1539–1546.CrossRefPubMed
11.
go back to reference Myint, P. K., Luben, R. N., Surtees, P. G., Wainwright, N. W., Welch, A. A., Bingham, S. A., et al. (2006). Relation between self-reported physical functional health and chronic disease mortality in men and women in the European prospective investigation into cancer (EPIC-Norfolk): A prospective population study. Annals of Epidemiology, 16(6), 492–500.CrossRefPubMed Myint, P. K., Luben, R. N., Surtees, P. G., Wainwright, N. W., Welch, A. A., Bingham, S. A., et al. (2006). Relation between self-reported physical functional health and chronic disease mortality in men and women in the European prospective investigation into cancer (EPIC-Norfolk): A prospective population study. Annals of Epidemiology, 16(6), 492–500.CrossRefPubMed
12.
go back to reference Zahran, H. S., Kobau, R., Moriarty, D. G., Zack, M. M., Holt, J., & Donehoo, R. (2005). Health-related quality of life surveillance—United States, 1993–2002. MMWR Surveillance Summaries, 54(4), 1–35. Zahran, H. S., Kobau, R., Moriarty, D. G., Zack, M. M., Holt, J., & Donehoo, R. (2005). Health-related quality of life surveillance—United States, 1993–2002. MMWR Surveillance Summaries, 54(4), 1–35.
13.
go back to reference Knight, E. L., Ofsthun, N., Teng, M., Lazarus, J. M., & Curhan, G. C. (2003). The association between mental health, physical function, and hemodialysis mortality. Kidney International, 63(5), 1843–1851.CrossRefPubMed Knight, E. L., Ofsthun, N., Teng, M., Lazarus, J. M., & Curhan, G. C. (2003). The association between mental health, physical function, and hemodialysis mortality. Kidney International, 63(5), 1843–1851.CrossRefPubMed
14.
go back to reference Kroenke, C. H., Kubzansky, L. D., Adler, N., & Kawachi, I. (2008). Prospective change in health-related quality of life and subsequent mortality among middle-aged and older women. American Journal of Public Health, 98(11), 2085–2091. Kroenke, C. H., Kubzansky, L. D., Adler, N., & Kawachi, I. (2008). Prospective change in health-related quality of life and subsequent mortality among middle-aged and older women. American Journal of Public Health, 98(11), 2085–2091.
15.
go back to reference Leon-Munoz, L. M., Guallar-Castillon, P., Banegas, J. R., Gutierrez-Fisac, J. L., Lopez-Garcia, E., Jimenez, F. J., et al. (2005). Changes in body weight and health-related quality-of-life in the older adult population. International Journal of Obesity (London), 29(11), 1385–1391.CrossRef Leon-Munoz, L. M., Guallar-Castillon, P., Banegas, J. R., Gutierrez-Fisac, J. L., Lopez-Garcia, E., Jimenez, F. J., et al. (2005). Changes in body weight and health-related quality-of-life in the older adult population. International Journal of Obesity (London), 29(11), 1385–1391.CrossRef
16.
go back to reference Lopez-Garcia, E., Banegas, J. R., Graciani, A., Gutierrez-Fisac, J. L., Alonso, J., & Rodriguez-Artalejo, F. (2003). Population-based reference values for the Spanish version of the SF-36 health survey in the elderly. Medicina Clínica (Barcelona), 120(15), 568–573.CrossRef Lopez-Garcia, E., Banegas, J. R., Graciani, A., Gutierrez-Fisac, J. L., Alonso, J., & Rodriguez-Artalejo, F. (2003). Population-based reference values for the Spanish version of the SF-36 health survey in the elderly. Medicina Clínica (Barcelona), 120(15), 568–573.CrossRef
17.
go back to reference Galan, I., Rodriguez-Artalejo, F., & Zorilla, B. (2004). Reproducibility of a telephone questionnaire on risk factors associated with behavior and preventive practices. Gaceta Sanitaria, 18(2), 118–128.CrossRefPubMed Galan, I., Rodriguez-Artalejo, F., & Zorilla, B. (2004). Reproducibility of a telephone questionnaire on risk factors associated with behavior and preventive practices. Gaceta Sanitaria, 18(2), 118–128.CrossRefPubMed
18.
go back to reference Galan, I., Rodriguez-Artalejo, F., & Zorrilla, B. (2004). Telephone versus face-to-face household interviews in the assessment of health behaviors and preventive practices. Gaceta Sanitaria, 18(6), 440–450.CrossRefPubMed Galan, I., Rodriguez-Artalejo, F., & Zorrilla, B. (2004). Telephone versus face-to-face household interviews in the assessment of health behaviors and preventive practices. Gaceta Sanitaria, 18(6), 440–450.CrossRefPubMed
19.
go back to reference Nelson, D. E., Holtzman, D., Bolen, J., Stanwyck, C. A., & Mack, K. A. (2001). Reliability and validity of measures from the behavioral risk factor surveillance system (BRFSS). Sozial- und Praventivmedizin, 46(Suppl 1), S3–S42.PubMed Nelson, D. E., Holtzman, D., Bolen, J., Stanwyck, C. A., & Mack, K. A. (2001). Reliability and validity of measures from the behavioral risk factor surveillance system (BRFSS). Sozial- und Praventivmedizin, 46(Suppl 1), S3–S42.PubMed
20.
go back to reference Nelson, D. E., Powell-Griner, E., Town, M., & Kovar, M. G. (2003). A comparison of national estimates from the national health interview survey and the behavioral risk factor surveillance system. American Journal of Public Health, 93(8), 1335–1341.CrossRefPubMed Nelson, D. E., Powell-Griner, E., Town, M., & Kovar, M. G. (2003). A comparison of national estimates from the national health interview survey and the behavioral risk factor surveillance system. American Journal of Public Health, 93(8), 1335–1341.CrossRefPubMed
21.
go back to reference Navarro, C. (2006). The national death index: A largely expected advance in the access to mortality data. Gaceta Sanitaria, 20(6), 421–423.CrossRefPubMed Navarro, C. (2006). The national death index: A largely expected advance in the access to mortality data. Gaceta Sanitaria, 20(6), 421–423.CrossRefPubMed
22.
go back to reference Alonso, J. (2000). Manual de puntuación de la versión española del cuestionario de salud SF-36. Institut municipal d’ Investigació Médica (IMIM) ed. Barcelona. Alonso, J. (2000). Manual de puntuación de la versión española del cuestionario de salud SF-36. Institut municipal d’ Investigació Médica (IMIM) ed. Barcelona.
23.
go back to reference Alonso, J., Regidor, E., Barrio, G., Prieto, L., Rodríguez, C., & de la, F. L. (1998). Population reference values of the Spanish version of the health questionnaire SF-36. Medicina Clínica (Barcelona), 111(11), 410–416. Alonso, J., Regidor, E., Barrio, G., Prieto, L., Rodríguez, C., & de la, F. L. (1998). Population reference values of the Spanish version of the health questionnaire SF-36. Medicina Clínica (Barcelona), 111(11), 410–416.
24.
go back to reference Ferrer, M., & Alonso, J. (1998). The use of the short form (SF)-36 questionnaire for older adults. Age and Ageing, 27(6), 755–756.CrossRefPubMed Ferrer, M., & Alonso, J. (1998). The use of the short form (SF)-36 questionnaire for older adults. Age and Ageing, 27(6), 755–756.CrossRefPubMed
25.
go back to reference Alonso, J., Prieto, L., & Anto, J. M. (1995). The Spanish version of the SF-36 health survey (the SF-36 health questionnaire): An instrument for measuring clinical results. Medicina Clínica (Barcelona), 104(20), 771–776. Alonso, J., Prieto, L., & Anto, J. M. (1995). The Spanish version of the SF-36 health survey (the SF-36 health questionnaire): An instrument for measuring clinical results. Medicina Clínica (Barcelona), 104(20), 771–776.
26.
go back to reference Garcia, M., Rohlfs, I., Vila, J., Sala, J., Pena, A., Masia, R., et al. (2005). Comparison between telephone and self-administration of short form health survey questionnaire (SF-36). Gaceta Sanitaria, 19(6), 433–439.CrossRefPubMed Garcia, M., Rohlfs, I., Vila, J., Sala, J., Pena, A., Masia, R., et al. (2005). Comparison between telephone and self-administration of short form health survey questionnaire (SF-36). Gaceta Sanitaria, 19(6), 433–439.CrossRefPubMed
27.
go back to reference Garcia, E. L., Banegas, J. R., Perez-Regadera, A. G., Cabrera, R. H., & Rodriguez-Artalejo, F. (2005). Social network and health-related quality of life in older adults: A population-based study in Spain. Quality of Life Research, 14(2), 511–520.CrossRefPubMed Garcia, E. L., Banegas, J. R., Perez-Regadera, A. G., Cabrera, R. H., & Rodriguez-Artalejo, F. (2005). Social network and health-related quality of life in older adults: A population-based study in Spain. Quality of Life Research, 14(2), 511–520.CrossRefPubMed
28.
go back to reference Guallar-Castillon, P., Santa-Olalla, P. P., Banegas, J. R., Lopez, E., & Rodriguez-Artalejo, F. (2004). Physical activity and quality of life in older adults in Spain. Medicina Clínica (Barcelona), 123(16), 606–610.CrossRef Guallar-Castillon, P., Santa-Olalla, P. P., Banegas, J. R., Lopez, E., & Rodriguez-Artalejo, F. (2004). Physical activity and quality of life in older adults in Spain. Medicina Clínica (Barcelona), 123(16), 606–610.CrossRef
29.
go back to reference Guallar-Castillon, P., Sendino, A. R., Banegas, J. R., Lopez-Garcia, E., & Rodriguez-Artalejo, F. (2005). Differences in quality of life between women and men in the older population of Spain. Social Science and Medicine, 60(6), 1229–1240.CrossRefPubMed Guallar-Castillon, P., Sendino, A. R., Banegas, J. R., Lopez-Garcia, E., & Rodriguez-Artalejo, F. (2005). Differences in quality of life between women and men in the older population of Spain. Social Science and Medicine, 60(6), 1229–1240.CrossRefPubMed
30.
go back to reference Lopez-Garcia, E., Banegas, B., Jr., Gutierrez-Fisac, J. L., Perez-Regadera, A. G., Ganan, L. D., & Rodriguez-Artalejo, F. (2003). Relation between body weight and health-related quality of life among the elderly in Spain. International Journal of Obesity and Related Metabolic Disorders, 27(6), 701–709.CrossRefPubMed Lopez-Garcia, E., Banegas, B., Jr., Gutierrez-Fisac, J. L., Perez-Regadera, A. G., Ganan, L. D., & Rodriguez-Artalejo, F. (2003). Relation between body weight and health-related quality of life among the elderly in Spain. International Journal of Obesity and Related Metabolic Disorders, 27(6), 701–709.CrossRefPubMed
31.
go back to reference Gutierrez-Fisac, J. L., Lopez, E., Banegas, J. R., Graciani, A., & Rodriguez-Artalejo, F. (2004). Prevalence of overweight and obesity in elderly people in Spain. Obesity Research, 12(4), 710–715.CrossRefPubMed Gutierrez-Fisac, J. L., Lopez, E., Banegas, J. R., Graciani, A., & Rodriguez-Artalejo, F. (2004). Prevalence of overweight and obesity in elderly people in Spain. Obesity Research, 12(4), 710–715.CrossRefPubMed
32.
go back to reference Bush, T. L., Miller, S. R., Golden, A. L., & Hale, W. E. (1989). Self-report and medical record report agreement of selected medical conditions in the elderly. American Journal of Public Health, 79(11), 1554–1556.CrossRefPubMed Bush, T. L., Miller, S. R., Golden, A. L., & Hale, W. E. (1989). Self-report and medical record report agreement of selected medical conditions in the elderly. American Journal of Public Health, 79(11), 1554–1556.CrossRefPubMed
33.
go back to reference Harlow, S. D., & Linet, M. S. (1989). Agreement between questionnaire data and medical records. The evidence for accuracy of recall. American Journal of Epidemiology, 129(2), 233–248.PubMed Harlow, S. D., & Linet, M. S. (1989). Agreement between questionnaire data and medical records. The evidence for accuracy of recall. American Journal of Epidemiology, 129(2), 233–248.PubMed
34.
go back to reference Ware, J. E., Snow, K. K., Kosinski, M., & Gandek, B. (1993). SF-36 Health survey. Manual and interpretation guide. The Health Institute, New England Medical Center ed. Boston. Ware, J. E., Snow, K. K., Kosinski, M., & Gandek, B. (1993). SF-36 Health survey. Manual and interpretation guide. The Health Institute, New England Medical Center ed. Boston.
35.
go back to reference Vilagut, G., Ferrer, M., Rajmil, L., Rebollo, P., Permanyer-Miralda, G., Quintana, J. M., et al. (2005). The Spanish version of the short form 36 health survey: A decade of experience and new developments. Gaceta Sanitaria, 19(2), 135–150.CrossRefPubMed Vilagut, G., Ferrer, M., Rajmil, L., Rebollo, P., Permanyer-Miralda, G., Quintana, J. M., et al. (2005). The Spanish version of the short form 36 health survey: A decade of experience and new developments. Gaceta Sanitaria, 19(2), 135–150.CrossRefPubMed
36.
go back to reference Cain, K. C., Kronmal, R. A., & Kosinski, A. S. (1992). Analysing the relationship between change in a risk factor and risk of disease. Statistics in Medicine, 11(6), 783–797.CrossRefPubMed Cain, K. C., Kronmal, R. A., & Kosinski, A. S. (1992). Analysing the relationship between change in a risk factor and risk of disease. Statistics in Medicine, 11(6), 783–797.CrossRefPubMed
37.
go back to reference Cary, N. C. (2001). SAS/STAT Guide for personal computers version 8.2. Cary, N. C. (2001). SAS/STAT Guide for personal computers version 8.2.
38.
go back to reference Alonso, J., Ferrer, M., Gandek, B., Ware, J. E., Jr., Aaronson, N. K., Mosconi, P., et al. (2004). Health-related quality of life associated with chronic conditions in eight countries: Results from the international quality of life assessment (IQOLA) project. Quality of Life Research, 13(2), 283–298.CrossRefPubMed Alonso, J., Ferrer, M., Gandek, B., Ware, J. E., Jr., Aaronson, N. K., Mosconi, P., et al. (2004). Health-related quality of life associated with chronic conditions in eight countries: Results from the international quality of life assessment (IQOLA) project. Quality of Life Research, 13(2), 283–298.CrossRefPubMed
39.
go back to reference Cunningham, W. E., Nakazono, T. T., Tsai, K. L., & Hays, R. D. (2003). Do differences in methods for constructing SF-36 physical and mental health summary measures change their associations with chronic medical conditions and utilization? Quality of Life Research, 12(8), 1029–1035.CrossRefPubMed Cunningham, W. E., Nakazono, T. T., Tsai, K. L., & Hays, R. D. (2003). Do differences in methods for constructing SF-36 physical and mental health summary measures change their associations with chronic medical conditions and utilization? Quality of Life Research, 12(8), 1029–1035.CrossRefPubMed
Metagegevens
Titel
Change in health-related quality of life as a predictor of mortality in the older adults
Auteurs
Andrea Otero-Rodríguez
Luz María León-Muñoz
Teresa Balboa-Castillo
José R. Banegas
Fernando Rodríguez-Artalejo
Pilar Guallar-Castillón
Publicatiedatum
01-02-2010
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 1/2010
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-009-9561-4

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