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Health-Related Quality of Life Measurement in Public Health
Annual Review of Public Health ( IF 20.8 ) Pub Date : 2022-04-05 , DOI: 10.1146/annurev-publhealth-052120-012811
Robert M Kaplan 1 , Ron D Hays 2
Affiliation  

Patient-reported outcomes are recognized as essential for the evaluation of medical and public health interventions. Over the last 50 years, health-related quality of life (HRQoL) research has grown exponentially from 0 to more than 17,000 papers published annually. We provide an overview of generic HRQoL measures used widely in epidemiological studies, health services research, population studies, and randomized clinical trials [e.g., Medical Outcomes Study SF-36 and the Patient-Reported Outcomes Measurement Information System (PROMIS®)-29]. In addition, we review methods used for economic analysis and calculation of the quality-adjusted life year (QALY). These include the EQ-5D, the Health Utilities Index (HUI), the self-administered Quality of Well-being Scale (QWB-SA), and the Health and Activities Limitation Index (HALex). Furthermore, we consider hybrid measures such as the SF-6D and the PROMIS-Preference (PROPr). The plethora of HRQoL measures has impeded cumulative science because incomparable measures have been used in different studies. Linking among different measures and consensus on standard HRQoL measurement should now be prioritized. In addition, enabling widespread access to common measures is necessary to accelerate future progress.

中文翻译:


公共卫生中与健康相关的生活质量测量

患者报告的结果被认为对于评估医疗和公共卫生干预措施至关重要。在过去 50 年中,与健康相关的生活质量 (HRQoL) 研究呈指数增长,从 0 篇论文增长到每年发表的 17,000 多篇论文。我们概述了在流行病学研究、卫生服务研究、人口研究和随机临床试验中广泛使用的通用 HRQoL 测量方法 [例如,医学结果研究 SF-36 和患者报告结果测量信息系统 (PROMIS ®)-29]。此外,我们回顾了用于经济分析和质量调整生命年 (QALY) 计算的方法。其中包括 EQ-5D、健康实用指数 (HUI)、自我管理的幸福质量量表 (QWB-SA) 以及健康和活动限制指数 (HALex)。此外,我们考虑了混合措施,例如 SF-6D 和 PROMIS-Preference (PROPr)。过多的 HRQoL 措施阻碍了累积科学,因为在不同的研究中使用了无与伦比的措施。现在应该优先考虑不同措施之间的联系和对标准 HRQoL 测量的共识。此外,有必要让人们广泛使用共同措施,以加速未来的进展。

更新日期:2022-04-05
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