Long-term QALY-weights among spouses of dependent and independent midlife stroke survivors.
Purpose: The aim of this study was to investigate whether the dependency of midlife stroke survivors had any long-term impact on their spouses' QALY-weights.Method: Data on stroke survivors, controls, and spouses were collected from the 7-year follow-up of the Sahlgrenska Academy Study on Ischemic S...
| Publicado en: | Quality of Life Research Vol. 26; no. 11; pp. 3059 - 3069 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Nov2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125840224&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 125840224 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09629343 GPQ jtl: Quality of Life Research issn: 09629343 maglogo: N pubinfo: dt: Nov2017 vid: 26 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 125840224 125840224 143914987 NLM28664459 125840224 10.1007/s11136-017-1636-z NLM28664459 125840224 ppf: 3059 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Long-term QALY-weights among spouses of dependent and independent midlife stroke survivors. aug: au: Persson, Josefine Aronsson, Mattias Holmegaard, Lukas Redfors, Petra Stenlöf, Kaj Jood, Katarina Jern, Christina Blomstrand, Christian Forsberg-Wärleby, Gunilla Levin, Lars-Åke affil: Department of Medical and Health Science , Linköping University , Linköping Sweden sug: subj: Spouses Psychosocial Factors Quality-Adjusted Life Years Stroke Psychosocial Factors Survivors Female Male Middle Age Stroke Mortality Scales Short Form-36 Health Survey (SF-36) Questionnaires Human Middle Aged: 45-64 years Female Male ab: Purpose: The aim of this study was to investigate whether the dependency of midlife stroke survivors had any long-term impact on their spouses' QALY-weights.Method: Data on stroke survivors, controls, and spouses were collected from the 7-year follow-up of the Sahlgrenska Academy Study on Ischemic Stroke. Health-related quality of life was assessed by the SF-36, and the preference-based health state values were assessed with the SF-6D. Spouses of dependent and independent stroke survivors were categorized according to their scores on the modified Rankin Scale. An ordinary least squares regression analysis was used to evaluate whether the dependency of the stroke survivors had any impact on the spouses' QALY-weights.Result: Cohabitant dyads of 247 stroke survivors aged <70 at stroke onset and 245 dyads of controls were included in the study. Spouses of dependent stroke survivors (n = 50) reported a significant lower mean QALY-weight of 0.69 in comparison to spouses of independent stroke survivors (n = 197) and spouses of controls, (n = 245) who both reported a mean QALY-weight of 0.77. The results from the regression analysis showed that higher age of the spouse and dependency of the stroke survivor had a negative association with the spouses' QALY-weights.Conclusion: The QALY-weights for spouses of dependent midlife stroke survivors were significantly reduced compared to spouses of independent midlife stroke survivors. This indicates that the inclusion of spouses' QALYs in evaluations of early treatment and rehabilitation efforts to reduce stroke patients' dependency would capture more of the total effect in dyads of stroke survivors. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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