EuroQol©: health-related quality of life measurement. Results of the Swedish questionnaire exercise

Brooks, Richard; Jendteg, Stefan; Lindgren, Björn; Persson, Ulf; Björk, Stefan

doi:10.1016/0168-8510(91)90142-k

Cited by 178 publications

(110 citation statements)

References 1 publication

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“…The answers to the first five questions can be derived to produce an overall index of health status (EQ-5D). A validation of EuroQol in Sweden has shown a striking similarity to results from other European centres (Brooks et al, 1991).…”

Section: Questionnairesupporting

confidence: 57%

A population-based study of pain and quality of life during the year before death in men with prostate cancer

et al. 2004

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In order to explore how health-related quality of life changes towards the end of life, a questionnaire including the EuroQOl form and the Brief Pain Inventory form was sent to all men with prostate cancer in the county of Ö stergö tland, Sweden, in September 1999. Responders who had died prior to 1 January 2001 were later identified retrospectively. Of the 1442 men who received the questionnaire, 1243 responded (86.2%). In the group of responders, 167 had died within the study period, 66 of prostate cancer. In multivariate analysis, pain as well as death within the period of study were found to predict decreased quality of life significantly. Of those who died of prostate cancer, 29.0% had rated their worst pain the previous week as severe. The same figure for those still alive was 10.5%. On a visual analogue scale (range 0 -100), the mean rating of quality of life for those who subsequently died of prostate cancer was 54.0 (95% confidence interval 75.2) and those still alive was 70.0 (71.2). In conclusion, health-related quality of life gradually declines during the last year of life in men with prostate cancer. This decline may partly be avoided by an optimised pain management. (2004) In recent years, health-related quality of life has become one of the most important end points for studies on men with prostate cancer, especially men with cancer at an advanced stage. Caring for cancer patients in the last years of life requires a good understanding of how health-related quality of life can be improved when efforts to prolong life become increasingly futile. Adequate pain and symptom management, avoidance of inappropriate prolongation of the dying process, achievement of a sense of control, relief of burdens, and the strengthening of relations with loved ones have been found to be the most important domains from the patient's perspective of palliative treatment (Singer et al, 1999). Of all factors affecting health-related quality of life, however, pain is usually considered the most prominent factor for patients approaching death (Elliott, 1997). British Journal of CancerAlthough pain management is fundamental in terminal care (Steinhauser et al, 2000;Wrede-Seaman, 2001), it is often undertreated (Perron and Schonwetter, 2001). According to the World Health Organisation's guidelines for the stepwise management of pain in cancer, the potency of the analgesia provided, ranging from non-opioids and opioids for moderate pain (e.g. dextropropoxyphene, codeine and tramadol) to opioids for severe pain (e.g. morphine, cetobemidone and fentanyl), should be adjusted to the patient's experienced level of pain (WHO, 1986). If this is implemented consistently and proper palliative approaches are maximised, it has been claimed that effective pain control may be achieved in 80% of cancer patients (Perron and Schonwetter, 2001). However, despite the widespread acceptance of this strategy, more than 40% of prostate cancer patients in routine practice settings report the presence of pain (Greenwald et al, 1987;Portenoy, 1989;L...

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Section: Questionnairesupporting

confidence: 57%

A population-based study of pain and quality of life during the year before death in men with prostate cancer

et al. 2004

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“…2. The EuroQol-5 Dimension-3 level (EQ-5D-3L) [23] questionnaire is applicable to a wide range of health conditions and treatments, and provides a simple descriptive profile and a single index value for health status. The calculated index ranges from -0.59 to 1, where a higher score represents better health.…”

Section: Clinical Outcome and Baseline Variablesmentioning

confidence: 99%

Heterotopic ossification and clinical outcome in nonconstrained cervical arthroplasty 2 years after surgery: the Norwegian Cervical Arthroplasty Trial (NORCAT)

et al. 2016

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Purpose Heterotopic ossification is a phenomenon in cervical arthroplasty. Previous reports have mainly focused on various semiconstrained devices and only a few publications have focused on ossification around devices that are nonconstrained. The purpose of this study was to assess the occurrence of heterotopic ossification around a nonconstrained cervical device and how it affects clinical outcome 2 years after surgery. Methods Thirty-seven patients were included from a larger cohort of a randomized controlled trial (NORCAT) which compared single-level cervical arthroplasty with fusion. The occurrence of heterotopic ossification was assessed with a CT scan and two neuroradiologists determined its degree. For grading, we used the Mehren/Suchomel classification system (grade 0-4). The patients were divided by level of ossification, low grade (0-2) or high grade (3-4), and clinical outcomes were compared.Self-rated disability for neck and arm pain (Neck Disability Index), health-related quality of life (the Short Form-36 and EuroQol-5D), and pain (the Numeric Rating Scale 11) were used as clinical outcome measures. Results Heterotopic ossification was encountered in all patients 2 years after surgery. Complete fusion (grade 4) was found in 16 % of participants, and high-grade ossification (grade 3-4) occurred in 62 %. The remaining patients were classified as having low-grade ossification (grade 2). There were no differences in the clinical outcomes of patients with low-and high-grade ossification. Conclusion High-grade heterotopic ossification and spontaneous fusion 2 years after surgery were seen in a significant number of patients. However, the degree of ossification did not influence the clinical outcome.

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“…The EQ-5D index value ranges from −1 to +1, where +1 represents perfect health, 0 a state equivalent to death, and -1 worse than death (Dolan, 1997). The EQ-5D has been used in different diagnosis groups but also in a general population in Sweden (Brooks, Jendteg, Lindgren, Persson, & Björk, 1991). …”

Section: Data Collectionmentioning

confidence: 99%

Occupational Performance Problems in 85-Year-Old Women and Men in Sweden

Källdalen¹,

Marcusson²,

Nägga³

et al. 2011

OTJR: Occupation, Participation and Health

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An area of concern for occupational therapy is to increase preventive interventions among relatively healthy elderly individuals. The purpose was to explore occupational performance problems among 85-year-old women and men in relation to demographic data, mental health, and health-related quality of life. Participants completed a postal questionnaire including the EuroQoL health-related quality of life measurement. Instruments used during a home visit were the Canadian Occupational Performance Measure, the Mini Mental State Examination, and the Geriatric Depression scale. The sample comprised 380 individuals. Women experienced poorer health and more occupational performance problems than men. Women experienced more occupational performance problems in community management, household management, and quiet leisure compared to men. Impaired cognitive function, lower selfrated health, and higher risk of depression correlated with a larger number of occupational performance problems. Intervention planning should be based on individual perceptions of meaningful occupations and environmental considerations. Occupational performance in 853

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EuroQol©: health-related quality of life measurement. Results of the Swedish questionnaire exercise

Cited by 178 publications

References 1 publication

A population-based study of pain and quality of life during the year before death in men with prostate cancer

A population-based study of pain and quality of life during the year before death in men with prostate cancer

Heterotopic ossification and clinical outcome in nonconstrained cervical arthroplasty 2 years after surgery: the Norwegian Cervical Arthroplasty Trial (NORCAT)

Occupational Performance Problems in 85-Year-Old Women and Men in Sweden

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