Defining quality of life

Price, P.; Harding, Keith

doi:10.12968/jowc.1993.2.5.304

Cited by 21 publications

(10 citation statements)

References 10 publications

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“…In the absence of disease specific measures,13 four measures of self perceived health status were used to cover all relevant dimensions of health: the 36 item short form health survey (SF-36),14 the EuroQol (EQ),15 the McGill short form pain questionnaire (SF-MPQ),16 and the Frenchay activities index 17. Questionnaires were posted 12 weeks and 12 months after recruitment to collect data on health status and satisfaction.…”

Section: Methodsmentioning

confidence: 99%

Cost effectiveness of community leg ulcer clinics: randomised controlled trial

Morrell

Walters

Dixon

et al. 1998

BMJ

165

106

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Satisfaction with care, use of services, and personal costs were also monitored. Results:The ulcers of patients in the clinic group tended to heal sooner than those in the control group over the whole 12 month follow up (log rank P = 0.03). At 12 weeks, 34% of patients in the clinic group were healed compared with 24% in the control. The crude initial healing rate of ulcers in intervention compared with control patients was 1.45 (95% confidence interval 1.04 to 2.03). No significant differences were found between the groups in health status. Mean total NHS costs were £878.06 per year for the clinic group and £859.34 for the control (P = 0.89). Conclusions: Community based leg ulcer clinics with trained nurses using four layer bandaging is more effective than traditional home based treatment. This benefit is achieved at a small additional cost and could be delivered at reduced cost if certain service configurations were used.

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Section: Methodsmentioning

confidence: 99%

Cost effectiveness of community leg ulcer clinics: randomised controlled trial

Morrell

Walters

Dixon

et al. 1998

BMJ

165

106

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“…The 'health-related quality of life' focuses on those areas of living which affect individual health. As a construct, QoL cannot be directly measured but is assessed by means of recording partial areas, especially psychological, social and physical well-being of the individual [4,5,21]. There is no doubt that many inflammatory skin diseases may considerably affect the QoL of the patient [10,16,22].…”

Section: Introductionmentioning

confidence: 99%

Predictors of the Quality of Life in Patients with Atopic Dermatitis

Lange¹,

Zschocke²,

Seidenglanz³

et al. 2000

Dermatol Psychosom

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Background: Quality of Life (QoL) is an all-encompassing term which includes all factors influencing the person’s well-being, especially the psychological, social and physical aspects. The QoL of patients with chronic skin diseases may be limited to a great extent. This applies particularly for patients with atopic dermatitis. Usable predictor models for QoL have been tested for clinical use in various diseases (e.g. coronary bypass patients, COPD). However, no studies have been performed on predictors for QoL of patients with skin diseases so far. Objective: Study of the factors influencing QoL of patients with atopic dermatitis. Methods: 254 patients with atopic dermatitis were recruited. The internationally applied disease-specific questionnaire Dermatology Life Quality Index (DLQI) was used as the parameter of QoL. The Questionnaire on Coping with Skin Dis-ease (QCSD) and the Freiburger Questionnaire on Coping with Disease (FQCD) were used as psychometric instruments. The following factors were applied as independent variables: age, sex, age at first diagnosis, duration of disease, clinical score, FQCD total score, and the QCSD scales ‘Social anxieties,’ ‘Itching.’, ‘Helplessness’ and ‘Anxious-depressive mood’. Bivariate correlations and a multiple regression analysis were calculated to determine the influence factors. Results: The QCSD scale ‘Social anxieties’ and the SCORAD contributed most to the variance elucidation of the DLQI total score (T value: 14.81 and 5.71, respectively). The total FQCD score and the QCSD scale ‘Itching’ were also predictors. Overall, a variance elucidation of 64% resulted from the independent variables. Conclusion: Identification of specific predictive factors in QoL could help in designing differentiated therapies for patients with atopic dermatitis and in improving the QoL of these patients.

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“…Health-related quality of life (HRQoL) measurement assesses burden of illness and allows assessment of the outcomes of medical treatments (Calman, 1984;Price and Harding, 1993;Finlay, 1997). It can be defined as the subjective perception of the impact of health status, including disease and treatment, on physical, psychological, and social well-being.…”

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confidence: 99%

Translating the Science of Quality of Life into Practice: What Do Dermatology Life Quality Index Scores Mean?

Huang

Thomas

Harrison

et al. 2005

Journal of Investigative Dermatology

710

720

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This study's aim was to determine the relationship between Dermatology Life Quality Index (DLQI) scores and a Global Question (GQ) concerning patients' views of the overall impairment of their skin-related quality of life (QoL), and to express this relationship by identifying bands of DLQI scores equivalent to each GQ descriptor. A DLQI questionnaire and the GQ were mailed to 3834 adult general dermatology outpatients. There were 1993 (52%) responses: male 841; female 1152. Mean DLQI score = 4.86 (range 0-30, standard deviation (SD) = 5.83). Mean GQ score = 1.22 (range 0-4, SD = 1.20). The mean, mode, and median of the GQ scores for each DLQI score were used to devise several sets of bands of DLQI scores, and kappa coefficients of agreement calculated. The set proposed for adoption is: DLQI scores 0-1 = no effect on patient's life (GQ = 0, n = 754); DLQI scores 2-5 = small effect on patient's life (GQ = 1, n = 611); DLQI scores 6-10 = moderate effect on patient's life (GQ = 2, n = 327); DLQI scores 11-20 = very large effect on patient's life (GQ = 3, n = 242); DLQI scores 21-30 = extremely large effect on patient's life (GQ = 4, n = 59); kappa coefficient 0.489. Banding of the DLQI will aid the clinical interpretation of an individual's DLQI score and allow DLQI scores to inform clinical decisions.

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Defining quality of life

Abstract: A discussion of the concept of quality of life and an Examination of the tools used in its measurement.

Cited by 21 publications

References 10 publications

Cost effectiveness of community leg ulcer clinics: randomised controlled trial

Cost effectiveness of community leg ulcer clinics: randomised controlled trial

Predictors of the Quality of Life in Patients with Atopic Dermatitis

Translating the Science of Quality of Life into Practice: What Do Dermatology Life Quality Index Scores Mean?

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