Health-related quality of life associated with chronic conditions in eight countries: Results from the International Quality of Life Assessment (IQOLA) Project

Alonso, Jordi; Ferrer, Montse; Gandek, Barbara; Ware, John E.; Aaronson, Neil K.; Mosconi, Paola; Rasmussen, Niels K.; Bullinger, Monika; Fukuhara, Shunichi; Kaasa, Stein; Leplège, Alain

doi:10.1023/b:qure.0000018472.46236.05

Cited by 676 publications

(588 citation statements)

References 38 publications

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“…Postoperative quality of life was assessed by the validated psychometric questionnaire SF-36, which is based on the American short-form-36 health survey [36,37] and has been psychometrically validated [1,5,10]. As the SF-36 score considers 36 items in eight different scales of subjective physical and mental health as well as social and emotional aspects, it is generally considered to reliably assess disease-related quality of life.…”

Section: Oncological Outcomementioning

confidence: 99%

Primary malignant bone tumors and solitary metastases of the thoracolumbar spine: results by management with total en bloc spondylectomy

Melcher

Disch

Khodadadyan-Klostermann

et al. 2007

Eur Spine J

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Primary malignant spinal tumors and solitary vertebral metastases of selected tumor entities in the thoracolumbar spine are indications for total en bloc spondylectomy (TES). This study aimed to describe our oncological and surgical management and to analyze the treatment results by management with TES for extra-and intracompartmental solitary spinal metastases and primary malignant vertebral bone tumors. In 15 patients (3 malignant bone tumors and 12 solitary metastases), tumors were distributed in the thoracic (n = 8) and lumbar (n = 7) spine. Tumors were classified as intra-(n = 8) and extracompartmental (n = 7). All patients underwent TES via a laterally extended posterior approach followed by dorsoventral reconstruction. Function and quality of life were assessed by Oswestry disability index (ODI) and SF-36 score. At follow-up (100%; mean: 33 ± 22 months), 11 patients had no evidence of disease. Two patients were alive with the disease and two were dead of the disease (no primary bone tumors). Histology revealed negative margins (R0) in all patients with wide (n = 11) and marginal (n = 4) resections. Two patients developed pulmonal metastases of which they died at 4 and 16 months of survival. No local recurrence was observed. Major complications did not occur. TES resulted in an acceptable outcome in the quality of life and function. TES is a demanding procedure reaching wide to marginal resections in a curative approach. In conjunction with multimodal therapies, local recurrences can effectively be prevented while control of distant disease needs to be improved. Proper selection of adequate patients combined with careful surgical planning are prerequisites for low complication rates, acceptable function and improved overall prognosis.

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Section: Oncological Outcomementioning

confidence: 99%

Primary malignant bone tumors and solitary metastases of the thoracolumbar spine: results by management with total en bloc spondylectomy

Melcher

Disch

Khodadadyan-Klostermann

et al. 2007

Eur Spine J

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“…Heart failure considerably affects physical, psychological and social functions of the individual, often making normal daily life activity difficult [2][3][4]. Due to the frequent hospital admission, the costs for HF treatment is substantial and it is expected to rise [5].…”

Section: Introductionmentioning

confidence: 99%

Telephone Follow-Up of Self-Care Behaviour after a Single Session Education of Patients with Heart Failure in Primary Health Care

Holst

Willenheimer

Mårtensson

et al. 2007

European Journal of Cardiovascular Nursing

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Background: Improved self-care behaviour is a goal in educational programmes for patients with heart failure, especially in regard to daily self-weighing and salt and fluid restriction. Aims: The objectives of the present study were to: (1) describe self-care with special regard to daily self-weighing and salt and fluid restriction in patients with heart failure in primary health care, during one year of monthly telephone follow-up after a single session education, (2) to describe gender differences in regard to self-care and (3) to investigate if self-care was associated with health-related quality of life. Methods: The present analysis is a subgroup analysis of a larger randomised trial. After one intensive educational session, a primary health care nurse evaluated 60 patients (mean age 79 years, 52% males, 60% in New York Heart Association class III–IV) by monthly telephone follow-up during 12 months. Results: The intervention had no effect on quality of life measured by EuroQol 5D and no significant associations were found between quality of life and self-care behaviour. Self-care behaviour measured by The European Self-care Behaviour Scale remained unchanged throughout the study period. No significant gender differences were shown but women had a tendency to improve adherence to daily weight control between 3- and 12 months. Conclusion: The self-care behaviour and quality of life in patients with heart failure did not change during one year of monthly telephone follow-up after a single session education and this indicates a need for more extensive interventions to obtain improved self-care behaviour in these patients.

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“…Studies have shown that chronically ill patients have reduced health-related quality of life (HRQL) and are relatively more at risk for mental health problems than those without a chronic disease [1][2][3][4][5][6]. The combination of a distressing chronic disease with other stressful life events might increase this risk.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life and mental health problems after a disaster: Are chronically ill survivors more vulnerable to health problems?

et al. 2006

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Studies have shown that the chronically ill are at higher risk for reduced health-related quality of life (HRQL) and for mental health problems. A combination with traumatic events might increase this risk. This longitudinal study among 1216 survivors of a disaster examines whether chronically ill survivors had a different course of HRQL and mental health problems compared to survivors without chronic diseases. HRQL and mental health problems were measured 3 weeks, 18 months and 4 years post-disaster. Data on pre-disaster chronic diseases was obtained from the electronic medical records of general practitioners. Random coefficient analyses showed significant interaction effects for social functioning, bodily pain and emotional role limitations at T2 only. Chronically ill survivors did not consistently have a different course of general health, physical role limitations, and mental health problems. In conclusion, chronic diseases were not an important risk factor for impaired HRQL and mental health problems among survivors.

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Health-related quality of life associated with chronic conditions in eight countries: Results from the International Quality of Life Assessment (IQOLA) Project

Cited by 676 publications

References 38 publications

Primary malignant bone tumors and solitary metastases of the thoracolumbar spine: results by management with total en bloc spondylectomy

Primary malignant bone tumors and solitary metastases of the thoracolumbar spine: results by management with total en bloc spondylectomy

Telephone Follow-Up of Self-Care Behaviour after a Single Session Education of Patients with Heart Failure in Primary Health Care

Health-related quality of life and mental health problems after a disaster: Are chronically ill survivors more vulnerable to health problems?

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