TITLE

Examining the relationship between health-related quality of life and increasing numbers of diagnoses

AUTHOR(S)
Barra, Mathias; Augestad, Liv; Whitehurst, David; Rand-Hendriksen, Kim; Augestad, Liv Ariane; Whitehurst, David G T
PUB. DATE
December 2015
SOURCE
Quality of Life Research;Dec2015, Vol. 24 Issue 12, p2823
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Purpose: Little is known about estimating utilities for comorbid (or 'joint') health states. Several joint health state prediction models have been suggested (for example, additive, multiplicative, best-of-pair, worst-of-pair, etc.), but no general consensus has been reached. The purpose of the study is to explore the relationship between health-related quality of life (HRQoL) and increasing numbers of diagnoses.Methods: We analyzed a large dataset containing respondents' ICD-9 diagnoses and preference-based HRQoL (EQ-5D and SF-6D). Data were stratified by the number of diagnoses, and mean HRQoL values were estimated. Several adjustments, accounting for the respondents' age, sex, and the severity of the diagnoses, were carried out. Our analysis fitted additive and multiplicative models to the data and assessed model fit using multiple standard model selection methods.Results: A total of 39,817 respondents were included in the analyses. Average HRQoL values were represented well by both linear and multiplicative models. Although results across all analyses were similar, adjusting for severity of diagnoses, age, and sex strengthened the linear model's performance measures relative to the multiplicative model. Adjusted R (2) values were above 0.99 for all analyses (i.e., all adjusted analyses, for both HRQoL instruments), indicating a robust result.Conclusions: Additive and multiplicative models perform equally well within our analyses. A practical implication of our findings, based on the presumption that a linear model is simpler than an additive model, is that an additive model should be preferred unless there is compelling evidence to the contrary.
ACCESSION #
110483419

 

Related Articles

  • Costs of injury in New Zealand: Accident Compensation Corporation spending, personal spending and quality-adjusted life years lost. Wilson, Ross; Derrett, Sarah; Hansen, Paul; Langley, John Desmond // Injury Prevention (1353-8047);Apr2013, Vol. 19 Issue 2, p124 

    Background New Zealand offers a unique opportunity for cost-of-injury research due to its comprehensive, no-fault injury compensation insurance scheme, which is managed by the government-controlled Accident Compensation Corporation (ACC).Objectives To estimate the costs of injury in New Zealand...

  • Incidence and prognosticators for injuries in belgian soccer player: evolution over the past decade. Vanlommel, L.; Bollars, P.; Claes, S.; Corten, K.; Bellemans, J. // Muscles, Ligaments & Tendons Journal (MLTJ);2012 Supplement, p45 

    Introduction: football is the world's most popular sport with approximately 265 million active players. With ever growing athletic and financial expectations, the nature of the football game may have become more intense with an associated increased risk for injuries. This large retrospective...

  • Outcome Moderators of a Fatigue Management Program for People With Multiple Sclerosis. Finlayson, Marcia; Preissner, Katharine; Chi Cho // American Journal of Occupational Therapy;Mar/Apr2012, Vol. 66 Issue 2, p187 

    OBJECTIVE. We determined whether age, gender, work status, or impairment moderated fatigue management program outcomes for people with multiple sclerosis (MS). METHOD. We conducted a secondary analysis of longitudinal data from a randomized controlled trial using mixed-effects models (N 5 181)...

  • Factors Affecting Quality of Life of the Homebound Elderly Hemiparetic Stroke Patients. SEIICHI TAKEMASA; RYOMA NAKAGOSHI; MASAHITO MURAKAMI; MASAYUKI UESUGI; YURI INOUE; MAKOTO GOTOU; HIDEKI KOEDA; SUSUMU NARUSE // Journal of Physical Therapy Science;Feb2014, Vol. 26 Issue 2, p301 

    [Purpose] This study examined the quality of life (QOL) of homebound elderly hemiparetic stroke patients and factors that affect it. [Subjects] The subjects of the study were 21 homebound elderly hemiparetic stroke patients who were 65 years old or over and required care for daily living (12...

  • Impact of diabetes mellitus on life expectancy and health-adjusted life expectancy in Canada. Loukine, Lidia; Waters, Chris; Choi, Bernard C.K.; Ellison, Joellyn // Population Health Metrics;2012, Vol. 10, p7 

    The objectives of this study were to estimate life expectancy (LE) and health-adjusted life expectancy (HALE) for Canadians with and without diabetes and to evaluate the impact of diabetes on population health using administrative and survey data. Mortality data from the Canadian Chronic Disease...

  • Calidad de vida relacionada con la salud de adolescentes latinoamericanos. Pinto Guedes, Dartagnan; Villagra Astudillo, Hermán Ariel; Moya Morales, José María; del Campo Vecino, Juan; Pires Júnior, Raymundo // Revista Panamericana de Salud Publica;2014, Vol. 35 Issue 1, p46 

    Objective. The objective of the present study was to find out if there are differences in terms of sex, age, or country of origin for the components of health- related quality of life (HRQL) in samples of adolescents from three cities—in Argentina, Brazil, and Chile,...

  • The National Practitioner Data Bank and CRNA Anesthesia-Related Malpractice Payments. Jordan, Lorraine M.; Quraishi, Jihan A.; Liao, Jason // AANA Journal;Jun2013, Vol. 81 Issue 3, p178 

    A retrospective analysis of the National Practitioner Data Bank (NPDB) Public Use Data File was performed on anesthesia-related malpractice payments from 2004 to 2010. Anesthesia-related allegations, malpractice act or omission codes, severity of injury, and cost were assessed. The NPDB captured...

  • Tuberculosis, AIDS and tuberculosis-AIDS co-infection in a large city. Saita, Nanci Michele; Bosco de Oliveira, Helenice // Revista Latino-Americana de Enfermagem (RLAE);Jul/Aug2012, Vol. 20 Issue 4, p769 

    This study aimed to analyze the incidence of tuberculosis (TB), AIDS and tuberculosis- AIDS co-infection in the municipality of Campinas, in the state of São Paulo, Brazil, in the period 2001 - 2009. A historical trend study, it uses secondary data from the Tuberculosis Surveillance Database...

  • General Health-Related Quality of Life and Oral Health Impact Among Australians With Cleft Compared With Population Norms; Age and Gender Differences. Foo, Peter; Sampson, Wayne; Roberts, Rachel; Jamieson, Lisa; David, David // Cleft Palate-Craniofacial Journal;Jul2012, Vol. 49 Issue 4, p406 

    Objective: To evaluate general health-related quality of life (HRQoL) and oral health impact among adults treated for cleft to determine age and gender differences, and to compare against population norms. Design: Cross-sectional prospective study. Participants/setting: Nonsyndromic cleft...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics