S2) Health-related Quality of Life Flashcards

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1
Q

Identify 4 reasons for measuring health

A
  • Target resources where they are most needed
  • Monitor patients’ progress
  • Indication of the need for healthcare
  • Evaluate the quality of health services
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2
Q

Identify 3 commonly used measurements of health

A
  • Mortality
  • Morbidity
  • Patient-based outcomes
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3
Q

What are patient based outcomes?

A

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

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4
Q

When are patient based outcomes used?

A

Used in conditions where the aim is managing rather than curing

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5
Q

What are patient-reported outcome measures?

A
  • 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
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6
Q

Which four clinical procedures are covered by PROMs?

A
  • Hip replacements
  • Knee replacements
  • Groin hernia
  • Varicose vein
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7
Q

Identify 4 challenges of PROMs

A
  • 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
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8
Q

What is quality of life?

A

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

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9
Q

Identify 5 criteria used when measuring HRQoL

A
  • Physical function
  • Symptoms
  • Psychological well-being
  • Social well-being
  • Satisfaction with care
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10
Q

Describe the use of generic instruments

A
  • Can be used with any population
  • Generally cover perceptions of overall health (social, emotional and physical functioning, pain and self-care)
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11
Q

Identify 3 advantages of generic instruments

A
  • Used for broad range of health problems
  • Used if no disease-specific instrument
  • Enable comparisons across treatment groups
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12
Q

Identify 3 disadvantages of generic instruments

A
  • Less detailed
  • Loss of relevance
  • Less acceptable to patients
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13
Q

Identify 2 examples of generic measures

A
  • The Short-Form 36-item questionnaire (SF-36)
  • The EuroQol EQ-5D
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14
Q

What do specific instruments do?

A

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

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15
Q

Identify 3 types of specific instruments and provide examples for each

A
  • Disease specifice.g. Asthma Quality of Life Questionnaire

- Site specifice.g. Oxford Hip Score

- Dimension specifice.g. Beck Depression Inventory

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16
Q

Identify 3 advantages of specific instruments

A
  • Very relevant content
  • Sensitive to change
  • Acceptable to patient
17
Q

Identify 3 disadvantages of specific instruments

A
  • Comparison is limited
  • May not detect unexpected effects
  • Cannot be used on any population