S2) Health-related Quality of Life Flashcards Preview

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Flashcards in S2) Health-related Quality of Life Deck (17)
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Identify 4 reasons for measuring health

- Target resources where they are most needed 

- Monitor patients' progress 

- Indication of the need for healthcare 

- Evaluate the quality of health services


Identify 3 commonly used measurements of health

- Mortality 

- Morbidity 

- Patient-based outcomes


What are patient based outcomes?

Patient-based outcomes are an attempt to assess well-being from the patient's point of view

E.g. health-related quality of life, health status, functional abilities 


When are patient based outcomes used?

Used in conditions where the aim is managing rather than curing


What are patient-reported outcome measures?

Patient-reported outcome measures (PROMs) are measures of health that come directly from patients

- They work by comparing scores before and after treatment or over longer-periods


Which four clinical procedures are covered by PROMs?

- Hip replacements 

- Knee replacements 

- Groin hernia

- Varicose vein 


Identify 4 challenges of PROMs

- Time and cost of collection, analysis, and presentation of data

- Achieving high rates of patient participation

- Providing appropriate output to different audiences

- Avoiding misuse of PROMs


What is quality of life?

Quality of life in clinical medicine represents the functional effect of an illness and its consequent therapy upon a patient, as perceived by the patient


Identify 5 criteria used when measuring HRQoL

- Physical function 

- Symptoms 

- Psychological well-being 

- Social well-being 

- Satisfaction with care


Describe the use of generic instruments

- Can be used with any population 

- Generally cover perceptions of overall health (social, emotional and physical functioning, pain and self-care)


Identify 3 advantages of generic instruments

- Used for broad range of health problems

- Used if no disease-specific instrument

- Enable comparisons across treatment groups


Identify 3 disadvantages of generic instruments

- Less detailed 

- Loss of relevance 

- Less acceptable to patients


Identify 2 examples of generic measures

- The Short-Form 36-item questionnaire (SF-36)

- The EuroQol EQ-5D


What do specific instruments do?

Specific instruments evaluates a series of health dimensions specific to a disease, site or dimension


Identify 3 types of specific instruments and provide examples for each

Disease specifice.g. Asthma Quality of Life Questionnaire

- Site specifice.g. Oxford Hip Score

- Dimension specifice.g. Beck Depression Inventory


Identify 3 advantages of specific instruments

- Very relevant content

- Sensitive to change 

- Acceptable to patient


Identify 3 disadvantages of specific instruments

- Comparison is limited 

- May not detect unexpected effects

- Cannot be used on any population