우수사례 | Best Practice and Cases in Lottery and Gambling | 最佳实践
- date : 2015-05-20 01:10|hit : 2572
-
- Article] Effect of experience of severe stroke on subjective valuations of quality of life after stroke
-
DocNo of ILP: 6522
Doc. Type: Article
Title: Effect of experience of severe stroke on subjective valuations of quality of life after stroke
Authors: Murphy, R; Sackley, CM; Miller, P; Harwood, RH
Full Name of Authors: Murphy, R; Sackley, CM; Miller, P; Harwood, RH
Keywords by Author: cerebrovascular disorders; quality of life; standard gamble
Keywords Plus: HEALTH; STATES
Abstract: Previous work suggests that the quality of life associated with severe disability after stroke is rated very poorly by members of the public, often as being worse than death. Other evidence suggests that experience of illness alters perceptions of its severity. This was tested for severe stroke. Eleven patients with severely disabling stroke, but able to complete a standard gamble interview, 22 age and sex matched controls, and 20 health professionals participated. A standard gamble interview was carried out to determine the quality of life (utility) associated with three hypothetical scenarios representing mild, moderate, and severe stroke, and current health. A sample was retested for reliability, and comparisons were made with other measures of health status. All three subject groups showed wide variation in the utilities they attached to each of the scenarios. The control subjects' valuations were lower than those of either patients or staff members, especially for moderate stroke (median 0.30, 0.73, and 0.68 respectively). There were weak to moderate correlations between utilities and other measures of health status including the Barthel index (r=0.51) and Rivermead mobility score (r=0.24). Test retest-reliability was modest (reliability coefficient 0.75), but indicators of the internal validity of the results were good. In conclusion, it cannot be assumed that general population valuations are valid for patient groups. In clinical practice it is unsafe to make any assumption about subjective quality of life after stroke, due to the wide range of valuations given, although many people rate severe and moderate stroke at least as bad as death.
Cate of OECD: Clinical medicine
Year of Publication: 2001
Business Area: gamble
Detail Business: gamble
Country: England
Study Area: culture, quality of life, utility, utility, Standardization, interview, interview, patient, stroke
Name of Journal: JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY
Language: English
Country of Authors: Univ Nottingham, Trent Inst Hlth Serv Res, Nottingham NG7 2RD, England
Press Adress: Harwood, RH (reprint author), Queens Med Ctr, Dept Hlth Care Elderly, A Floor East Block, Nottingham NG7 2UH, England.
Email Address:
Citaion:
Funding:
Lists of Citation: BLAND JM, 1986, LANCET, V1, P307; *BRIT MED ASS, 1999, DEC REL CARD MON RES; EBRAHIM S, 1991, AGE AGEING, V20, P37, DOI 10.1093/ageing/20.1.37; Ebrahim S, 1999, STROKE EPIDEMIOLOGY; EuroQol Group, 1990, HLTH POLICY, V16, P199; Gage BF, 1996, ARCH INTERN MED, V156, P1829, DOI 10.1001/archinte.156.16.1829; HODKINSON H M, 1972, Age and Ageing, V1, P233, DOI 10.1093/ageing/1.4.233; LLEWELLYNTHOMAS HA, 1991, MED DECIS MAKING, V11, P180, DOI 10.1177/0272989X9101100307; LLEWELLYNTHOMAS HA, 1993, MED CARE, V31, P1002, DOI 10.1097/00005650-199311000-00003; MAHONEY F I, 1965, Md State Med J, V14, P61; ROBINSON AH, 1998, J EPIDEMIOL COMMUNIT, V52, P690; SACKETT DL, 1978, J CHRON DIS, V31, P697, DOI 10.1016/0021-9681(78)90072-3; SOLOMON NA, 1994, STROKE, V25, P1721; Streiner DL, 1989, HLTH MEASUREMENT SCA; Syder D, 1993, SHEFFIELD SCREENING; Thomson R, 2000, LANCET, V355, P956, DOI 10.1016/S0140-6736(00)90012-6
Number of Citaion: 16
Publication: BRITISH MED JOURNAL PUBL GROUP
City of Publication: LONDON
Address of Publication: BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND
ISSN: 0022-3050
29-Character Source Abbreviation: J NEUROL NEUROSUR PS
ISO Source Abbreviation: J. Neurol. Neurosurg. Psychiatry
Volume: 70
Version: 5
Start of File: 679
End of File: 681
DOI: 10.1136/jnnp.70.5.679
Number of Pages: 3
Web of Science Category: Clinical Neurology; Psychiatry; Surgery
Subject Category: Neurosciences & Neurology; Psychiatry; Surgery
Document Delivery Number: 426AE
Unique Article Identifier: WOS:000168326200019
[이 게시물은 HyeJung Mo…님에 의해 2015-05-20 20:27:31 GAMBLING에서 이동 됨]
- reply : 0
-
- list
-
- prev
- next