Comparison of howRU and EQ-5D measures of health-related quality of
life in an outpatient clinic

Benson, Tim; Potts, Henry W W; Whatling, Justin; Patterson, David

doi:10.14236/jhi.v21i1.9

Cited by 14 publications

(12 citation statements)

References 10 publications

(7 reference statements)

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“…In a previous paper, [ 14 ] we compared and discussed the differences between howRu and EQ-5D in a study of the same population. That study showed that howRu is shorter, has better readability statistics, a higher completion rate, used a wider range of states and has a smaller ceiling effect than EQ-5D.…”

Section: Discussionmentioning

confidence: 99%

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Performance of EQ-5D, howRu and Oxford hip & knee scores in assessing the outcome of hip and knee replacements

Benson¹,

Williams

Potts³

2016

BMC Health Serv Res

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BackgroundWe aimed to compare the performance of EQ-5D-3 L and howRu, which are short generic patient-reported outcome measures (PROMs), in assessing the outcome of hip and knee replacements, using the Oxford Hip Score (OHS) and the Oxford Knee Scores (OKS) for comparison.MethodsOutcome was assessed as the difference between pre-surgery and 6-month post-surgery scores. We used a large sample from the NHS PROMs database, which used EQ-5D-3 L, and a small cohort of patients having the same operations collected by MyClinicalOutcomes (MCO), which used howRu. Both cohorts completed the OHS (hips) or the OKS (knees).ResultsThe change (outcome) between pre-op and post-op scores as measured by howRu was greater than that measured by EQ-5D, relative to that measured by OHS or OKS.For hip replacements, the correlation for change measured by howRu and OHS was r = 0.77 (0.66–0.85). The corresponding correlation for change measured by EQ-5D Index and OHS was r = 0.64 (0.63–0.64).For knee replacements the correlation between change in howRu and OKS was r = 0.86 (0.75–0.92); between EQ-5D Index and OKS r = 0.59 (0.58–0.60).ConclusionsFor hip and knee replacement, the outcome measured by howRu was more highly correlated with that measured by the condition-specific Oxford Hip and Knee Scores than were EQ-5D Index or EQ-VAS. The magnitude of change before and after surgery was also greater.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1759-x) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…Previous studies have compared howRu with SF12 [ 6 ] and with EQ-5D [ 14 ], and show that howRu has comparable overall performance at a single point in time. HowRu is considerably shorter than EQ-5D with 37 words vs. 230 words and has been validated for use at the individual patient level [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Performance of EQ-5D, howRu and Oxford hip & knee scores in assessing the outcome of hip and knee replacements

Benson¹,

Williams

Potts³

2016

BMC Health Serv Res

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“…These assessments included the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) as a measure of current disease activity (Figure 2),16 healthrelated quality of life was monitored via howRu (; four components: pain or discomfort, feeling low or worried, limited in what you can do and require help from others) and physical activity via the validated short form of the International Physical Activity Questionnaire (IPAQ; ), which assesses physical activity frequency, intensity and duration. The howRu questions have better readability statistics and a similar overall performance when based on a single point in time compared with the longer SF1217 and EQ-5D 18. Additionally, an open text question was added to the IPAQ to capture the different activity types patients were undertaking.…”

Section: Methodsmentioning

confidence: 99%

Physical Activity in Ankylosing Spondylitis: evaluation and analysis of an eHealth tool

Tyrrell

Redshaw

2016

jhi

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“…In comparison with the EQ5D, the howRu is shorter, has a higher completion rate and a smaller ceiling effect [23]. However, relatively little is known about specific psychometric properties of this instrument, such as the minimal clinical important difference (MCID) which indicates clinically relevant differences.…”

Section: Discussionmentioning

confidence: 99%

Validation of the howRu and howRwe questionnaires at the individual patient level

Hendriks

Rutgers

Dijk

et al. 2015

BMC Health Serv Res

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BackgroundThe howRu and howRwe are new short questionnaires which are meant to measure health-related quality of life and patient experience. However, validation at the individual patient level has not yet taken place. We aimed to investigate the validity of both questionnaires at the individual patient level.MethodsIn this prospective validation study, patients were asked to complete both questionnaires and comment on their answers in a semi-structured in-depth interview. Based on the transcribed interviews, a panel of 45 general practitioners and 45 patients filled out the questionnaires as they thought the patients had completed them. The questionnaires were considered valid instruments when a reliable and acceptable level of agreement was reached between the patient’s score and the score of a review panel, defined as a concordance correlation coefficient (CCC) of ≥0.70. Bland-Altman plots were also made.ResultsNinety patients were included. The CCC of the howRu total score of the review panel and patients was 0.80 (95 % CI 0.73 to 0.86). Bland-Altman plots showed a mean difference of −0.96 and the limits of agreement ranged from −2.87 to 0.95. The CCC of the howRwe total score was 0.57 (95 % CI 0.42 to 0.69). The mean difference on the Bland-Altman plots was −0.54 and the limits of agreement ranged from −3.59 to 2.52.ConclusionsThe howRu seems to be a valid questionnaire for measuring health-related quality of life at the individual patient level. We do not advice to use the tested version of the howRwe questionnaire for assessing patient experience at the individual patient level.Trial registrationThe study was registered at clinicaltrials.gov NCT01830803.Registration date: 5 April 2013.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-015-1093-8) contains supplementary material, which is available to authorized users.

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Comparison of howRU and EQ-5D measures of health-related quality of life in an outpatient clinic

Cited by 14 publications

References 10 publications

Performance of EQ-5D, howRu and Oxford hip & knee scores in assessing the outcome of hip and knee replacements

Performance of EQ-5D, howRu and Oxford hip & knee scores in assessing the outcome of hip and knee replacements

Physical Activity in Ankylosing Spondylitis: evaluation and analysis of an eHealth tool

Validation of the howRu and howRwe questionnaires at the individual patient level

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