Assessing quality of life in patients with hard-to-heal ulcers using the EQ-5D questionnaire.

Objective: To assess health-related quality of life (HRQoL) in an unselected patient population with hard-to-heal ulcers from baseline through healing and at follow-up 6 months after healing. Method: Fifty patients were recruited and the sex and age of the patient and the ulcer aetiology,duration, a...

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Publicado en:Journal of Wound Care Vol. 22; no. 8; pp. 442 - 447
Autores principales: Öien, R.F., Åkesson, N., Forssell, H.
Formato: research tables/charts Journal Article
Publicado: Mark Allen Holdings Limited Aug2013
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Assessing quality of life in patients with hard-to-heal ulcers using the EQ-5D questionnaire.
      aug:
        au:
          Öien, R.F.
          Åkesson, N.
          Forssell, H.
        affil: General Practitioner, Blekinge Wound Healing Center, Karlskrona, Sweden
      sug:
        subj:
          Quality of Life
          Wounds and Injuries Psychosocial Factors
          Wound Healing
          Skin Diseases Psychosocial Factors
          Questionnaires
          Human
          Sweden
          Prospective Studies
          Visual Analog Scaling
          Registries, Disease
          Data Analysis Software
          Descriptive Statistics
          T-Tests
          Chi Square Test
          Linear Regression
          Wilcoxon Rank Sum Test
          Mann-Whitney U Test
          Male
          Female
          Adult
          Middle Age
          Aged
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objective: To assess health-related quality of life (HRQoL) in an unselected patient population with hard-to-heal ulcers from baseline through healing and at follow-up 6 months after healing. Method: Fifty patients were recruited and the sex and age of the patient and the ulcer aetiology,duration, and size were recorded. The generic instrument EQ-5D was used for two purposes. The first was to investigate the feasibility of this instrument for assessing HRQoL in this patient group. The second was to see if the EQ-5D results would add information to the Swedish Registry of Ulcer Treatment (RUT), a national quality registry which includes variables for pain, disturbed sleep, and mobility. Results: We found a significant difference in HRQoL between patients with an open ulcer and those with a healed ulcer (p=0.02), but no significant difference between patients with a just-healed ulcer and patients at follow-up six months after ulcer healing (p=0.08). Sex, age, and length of ulcer duration at inclusion did not influence HRQoL (p=0.55, p=0.4, and p=0.9, respectively). Ulcer size seemed to influence HRQoL, though not significantly (p=0.07). Conclusion: This study confirms that HRQoL was improved after ulcer healing. Pain, as one of the five constructs measured by the EQ-5D, was significantly associated with open ulcers. The results from the EQ-5D questionnaire were hard to interpret in terms of capturing HRQoL in this unselected patient population. Despite some limitations, we consider that the simplicity of EQ-5D could make it feasible touse in the clinical setting. However, the results from EQ-5D did not add consistent information to RUT; therefore, this questionnaire will not be included in the registry. Declaration of interest: This study was partly funded by Blekinge County Council and by the Council of Sciences in Blekinge County. The authors have no conflicts of interest to declare.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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