The assessment of health status among patients with COPD

被引:96
作者
Curtis, JR
Patrick, DL
机构
[1] Univ Washington, Harborview Med Ctr, Div Pulm & Crit Care Med, Dept Med, Seattle, WA 98104 USA
[2] Univ Washington, Social & Behav Sci Dept Hlth Serv, Seattle, WA 98104 USA
关键词
disease-specific instruments; health outcomes; health status; health-status instruments; generic instruments; quality of life;
D O I
10.1183/09031936.03.00078102
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Survival and physiological measures alone do not represent the full experiences of patients with chronic obstructive pulmonary disease. Reducing the personal and social burden of disease by improving patients' symptoms, functional status and quality of life are also important goals. There has been a substantial increase in the use of newly developed tools that measure health status and it is important for clinicians and researchers to understand these instruments' strengths and weaknesses in providing insight into a patient's condition and experience. Relying only on mortality and physiological outcomes could blind a clinician to significant benefits patients may receive from a treatment. A growing body of research utilises; end-points assessed directly by patients whose self-reported health status includes health-related quality of life and functional status. This article reviews major concepts and methods in health-status assessments for patients with chronic obstructive pulmonary disease, which will have an important role in assessing the efficacy and effectiveness of new treatments.
引用
收藏
页码:36S / 45S
页数:10
相关论文
共 111 条
[11]   IMPROVEMENT IN MOOD, PHYSICAL SYMPTOMS, AND FUNCTION WITH NORTRIPTYLINE FOR DEPRESSION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY-DISEASE [J].
BORSON, S ;
MCDONALD, GJ ;
GAYLE, T ;
DEFFEBACH, MPHM ;
LAKSHMINARAYAN, S ;
VANTUINEN, C .
PSYCHOSOMATICS, 1992, 33 (02) :190-201
[12]   Deriving a preference-based single index from the UK SF-36 Health Survey [J].
Brazier, J ;
Usherwood, T ;
Harper, R ;
Thomas, K .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1998, 51 (11) :1115-1128
[13]   Randomised, double blind, placebo controlled study of fluticasone propionate in patients with moderate to severe chronic obstructive pulmonary disease: the ISOLDE trial [J].
Burge, PS ;
Calverley, PMA ;
Jones, PW ;
Spencer, S ;
Anderson, JA ;
Maslen, TK .
BMJ-BRITISH MEDICAL JOURNAL, 2000, 320 (7245) :1297-1303
[14]   The effects of a community-based pulmonary rehabilitation programme on exercise tolerance and quality of life: A randomized controlled trial [J].
Cambach, W ;
ChadwickStraver, RVM ;
Wagenaar, RC ;
vanKeimpema, ARJ ;
Kemper, HCG .
EUROPEAN RESPIRATORY JOURNAL, 1997, 10 (01) :104-113
[15]  
Carone M, 1997, Monaldi Arch Chest Dis, V52, P525
[16]  
Carone M, 2001, Monaldi Arch Chest Dis, V56, P17
[17]  
CARONE M, 2000, EUR RESP MON, V13, P22
[18]  
Clancy C M, 1998, Science, V282, P245
[19]   The Italian multicentre study on noninvasive ventilation in chronic obstructive pulmonary disease patients [J].
Clini, E ;
Sturani, C ;
Rossi, A ;
Viaggi, S ;
Corrado, A ;
Donner, CF ;
Ambrosino, N .
EUROPEAN RESPIRATORY JOURNAL, 2002, 20 (03) :529-538
[20]  
Cohen J., 1998, Statistical Power Analysis for the Behavioral Sciences, V2nd