Swipe om te navigeren naar een ander artikel
To compare HRQoL differences with CHD in generic indexes and a proxy CVD-specific score in a nationally representative sample of U.S. adults.
The National Health Measurement Study, a cross-sectional random-digit-dialed telephone survey of adults aged 35–89, administered the EQ-5D, QWB-SA, HUI2, HUI3, SF-36v2™ (yielding PCS, MCS, and SF-6D), and HALex. Analyses compared 3,350 without CHD (group 1), 265 with CHD not taking chest pain medication (group 2), and 218 with CHD currently taking chest pain medication (group 3), with and without adjustment for demographic variables and comorbidities. Data on 154 patients from heart failure clinics were used to construct a proxy score utilizing generic items probing CVD symptoms.
Mean scores differed between CHD groups for all indexes with and without adjustment (P < 0.0001 for all except MCS P = 0.018). Unadjusted group 3 versus 1 differences were about three times larger than for group 2 versus 1. Standardized differences for the proxy score were similar to those for generic indexes, and were about 1.0 for all except MCS for group 3 versus 1.
Generic indexes capture differences in HRQoL in population-based studies of CHD similarly to a score constructed from questions probing CVD-specific symptoms.
American Heart Association. (2008). Heart disease and stroke statistics 2008 http://www.americanheart.org. Accessed 30 March 2009.
Nowels, D., McGloin, J., Westfall, J. M., & Holcomb, S. (2005). Validation of the EQ-5D quality of life instrument in patients after myocardial infarction. Quality of Life Research, 31, 95–105. CrossRef
Kiebzak, G. M., Pierson, L. M., Campbell, M., & Cook, J. W. (2002). Use of the SF36 general health status survey to document health-related quality of life in patients with coronary artery disease: Effect of disease and response to coronary artery bypass graft surgery. Heart & Lung, 31(3), 207–213. CrossRef
Puhan, M. A., Gaspoz, J. M., Bridevaux, P. O., Schindler, C., Ackermann-Liebrich, U., Rochat, T., & Gerbase, M. W. (2008). Comparing a disease-specific and a generic health-related quality of life instrument in subjects with asthma from the general population. Health and Quality of Life Outcomes, 6(15).
Heo, S., Moser, D. K., Lennie, T. A., Zambroski, C. H., & Chung, M. L. (2007). A comparison of health-related quality of life between older adults with heart failure and healthy older adults. Heart & Lung, 36, 16–24. CrossRef
Thompson, D. R., & Roebuck, A. (2001). The measurement of health-related quality of life in patients with coronary heart disease. Journal of Cardiovascular Nursing, 16(1), 28–33. PubMed
Wolinsky, F. D., Wyrwich, K. W., Nienaber, N. A., & Tierney, W. M. (1998). Generic versus disease-specific health status measures. Evaluation & The Health Professions, 21(2), 216–243. CrossRef
Marra, C. A., Woolcott, J. C., Kopec, J. A., Shojania, K., Offer, R., Brazier, J. E., 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 & Medicine, 60, 1571–1582. CrossRef
Spertus, J. A., Winder, J. A., Dewhurst, T. A., Deyo, R. A., Prodzinski, J., McDonell, M., et al. (1995). Development and evaluation of the Seattle Angina Questionnaire: A new functional status measure for coronary artery disease. Journal of the American College of Cardiology, 25(2), 333–341. PubMedCrossRef
Thompson, D. R., & Yu, C. M. (2003). Quality of life in patients with coronary heart disease-I: Assessment tools. Health and Quality of Life Outcomes, 1(1).
Feeny, D., Torrance, G., & Furlong, W. (1996). Health utilities index. In B. Spilker (Ed.), Quality of life and pharmacoeconomics in clinical trials. Philadelphia, PA: Lippincott–Raven.
Rabin, R., & de Charro, F. (2001). EQ-5D: A measure of health status from the EuroQol Group. Annals of Internal Medicine, 33, 337–343.
Horsman, J., Furlong, W., Feeny, D., & Torrance, G. (2003). The health utilities index (HUI): Concepts, measurement properties and applications. Health and Quality of Life Outcomes, 1(54).
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Association.
Ware, J. E., Kosinski, M., & Keller, S. D. (1994). SF-36 Physical and Mental Health Summary Scales: A user’s manual. Boston, MA: Health Institute, New England Medical Center.
Heckbert, S. R., Kooperberg, C., Safford, M. M., Psaty, B. M., Hsia, J., McTiernan, A., et al. (2004). Comparison of self-report, hospital discharge codes, and adjudication of cardiovascular events in the Women’s Health Initiative. American Journal of Epidemiology, 160(12), 1152–1158. PubMed
- Measuring health-related quality of life in population-based studies of coronary heart disease: comparing six generic indexes and a disease-specific proxy score
Noelle C. Garster
Nancy K. Sweitzer
Robert M. Kaplan
Dennis G. Fryback
- Springer Netherlands