Use of the WoundQoL instrument in routine practice: Feasibility, validity and development of an implementation tool

Augustin, Matthias; Baade, Katrin; Herberger, Katharina; Protz, Kerstin; Goepel, Lisa; Wild, T. Cameron; Blome, Christine

doi:10.1016/j.wndm.2014.04.001

Cited by 37 publications

(47 citation statements)

References 13 publications

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“…Compared to patients with chronic wounds investigated by Augustin et al (2014) and Blome et al (2014), the patients with STSG donor‐site wounds reported better overall health states (Table ) …”

Section: Discussioncontrasting

confidence: 71%

“…The Wound‐QoL global score in the STSG cohort were rated 0.8 ± 0.8 postsurgery and 0.4 ± 0.6 at the time of survey. Compared to previous studies with chronic wounds (1.3 ± 0.9 according to Augustin et al (2014) and 2.9 ± 0.9 according to Blome et al (2014)), our findings indicated low donor site‐related QoL impairments in the STSG cohort (Table ) …”

Section: Discussionmentioning

confidence: 99%

“…A low burden of the donor‐site wound is demonstrated in low pain, low strain, low willingness to pay and low Wound‐QoL scores compared to studies with patients suffering from chronic wounds. This could be influenced by higher EQ VAS and EQ‐5D levels compared to the other studies, which indicated better health states of this study population, and may be explained by the higher age and the high chronicity of the wounds in the latter studies …”

Section: Discussionmentioning

confidence: 99%

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Health‐related quality of life and patient burden in patients with split‐thickness skin graft donor site wounds

Humrich

Goepel

Gutknecht

et al. 2017

International Wound Journal

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Split-thickness skin grafting is a common procedure to treat different kinds of wounds. This systematic, multicentre, observational, cross-sectional study of adult patients with split-thickness skin graft (STSG) donor site wounds was conducted to evaluate quality of life (QoL) impairments caused by donor site wounds following split-thickness skin grafting. Therefore, 112 patients from 12 wound centres in Germany were examined based on patient and physician questionnaires as well as a physical examination of the donor site wound. Most indications for skin grafting were postsurgical treatment (n = 51; 42.5%) and chronic wounds (n = 47; 39.2%). European QoL visual analoque scale (EQ VAS) averaged 64.7 ± 23.3, European QoL 5 dimensions (EQ-5D) averaged 77.4 ± 30.0. Wound-QoL (range: 0-4) was rated 0.8 ± 0.8 post-surgery and 0.4 ± 0.6 at the time of survey (on average 21 weeks between the time points). Compared to averaged Wound-QoL scores of chronic wounds donor site-related QoL impairments in split-thickness skin-graft patients were less pronounced. There were significant differences in patient burden immediately after surgery compared to the time of the survey, with medium effect sizes. This supports the hypothesis that faster healing of the donor site wound leads to more favourable patient-reported outcomes.

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Section: Discussioncontrasting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Health‐related quality of life and patient burden in patients with split‐thickness skin graft donor site wounds

Humrich

Goepel

Gutknecht

et al. 2017

International Wound Journal

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“…Commonly used instruments are the “Freiburg Life Quality Assessment,” the “Cardiff Wound Impact Schedule,” and the “Würzburg Wound Scale.” Since these instruments have some limitations, such as length and a lack of subscales for examining different domains of HRQoL, a multidimensional instrument for measuring HRQoL in patients with chronic wounds that can be used in routine practice was needed. Therefore, the Wound‐QoL questionnaire has been developed by drawing on the three existing wound‐specific instruments . This validated questionnaire consists of 17 items, allocated to three subscales, namely “body,” “psyche,” and “everyday life.” The global score and the three subscales are scored on a 5‐point Likert scale ranging from 1 (not at all) to 5 (very much) with higher scores indicating worse HRQoL …”

mentioning

confidence: 99%

The Wound‐QoL questionnaire on quality of life in chronic wounds is highly reliable

Sommer

Augustin

Hampel‐Kalthoff³

et al. 2017

Wound Repair Regeneration

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The Wound-QoL questionnaire has been tested in a previous study, indicating that the instrument is a reliable and valid measurement for the assessment of HRQoL in chronic wounds. The aim of this study was to examine the test-retest reliability of the Wound-QoL. Patients were asked to complete the Wound-QoL twice within 3-7 days. Next to descriptive statistics, internal consistency was determined. Test-retest reliability was calculated with the intraclass correlation coefficient. The data showed ICCs between 0.79 and 0.86, which can be considered evidence of excellent reliability. Another indicator of very good reliability, high internal consistency of both global score, and subscale scores were found. The availability of the Wound-QoL provides a step forward in allowing measurement of the HRQoL in chronic wounds. The instrument is fit for use to measure outcomes in clinical trials and as well to assess treatment outcomes in routine practice.

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“…Most recommended is the Wound-QoL, a very recently validated new QoL tool derived from previous instruments which is particularly feasible for routine care [20]. For implementation of the Wound-QoL into practice, a diagnostic aid called ''WoundAct'' is available.…”

Section: Historymentioning

confidence: 99%

Patient-reported outcomes as diagnostic tools and clues in chronic wounds: Considerations for practice

et al. 2015

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Use of the WoundQoL instrument in routine practice: Feasibility, validity and development of an implementation tool

Cited by 37 publications

References 13 publications

Health‐related quality of life and patient burden in patients with split‐thickness skin graft donor site wounds

Health‐related quality of life and patient burden in patients with split‐thickness skin graft donor site wounds

The Wound‐QoL questionnaire on quality of life in chronic wounds is highly reliable

Patient-reported outcomes as diagnostic tools and clues in chronic wounds: Considerations for practice

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