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
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共 111 条
[71]  
Maille A R, 1994, Monaldi Arch Chest Dis, V49, P76
[72]   The development of the 'quality-of-life for respiratory illness questionnaire (QOL-RIQ)': A disease-specific quality-of-life questionnaire for patients with mild to moderate chronic non-specific lung disease [J].
Maille, AR ;
Koning, CJM ;
Zwinderman, AH ;
Willems, LNA ;
Dijkman, JH ;
Kaptein, AA .
RESPIRATORY MEDICINE, 1997, 91 (05) :297-309
[73]   EXERTIONAL OXYGEN OF LIMITED BENEFIT IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY-DISEASE AND MILD HYPOXEMIA [J].
MCDONALD, CF ;
BLYTH, CM ;
LAZARUS, D ;
MARSCHNER, I ;
BARTER, CE .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1995, 152 (05) :1616-1619
[74]  
MCSWEENY A J, 1980, Chest, V77, P309, DOI 10.1378/chest.77.2.309
[75]   LIFE QUALITY OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY-DISEASE [J].
MCSWEENY, AJ ;
GRANT, I ;
HEATON, RK ;
ADAMS, KM ;
TIMMS, RM .
ARCHIVES OF INTERNAL MEDICINE, 1982, 142 (03) :473-478
[76]   Quality of life in severe chronic obstructive pulmonary disease: correlation with lung and muscle function [J].
Monso, E ;
Fiz, JM ;
Izquierdo, J ;
Alonso, J ;
Coll, R ;
Rosell, A ;
Morera, J .
RESPIRATORY MEDICINE, 1998, 92 (02) :221-227
[77]   EXPERIENCE OF USING THE CRQ (CHRONIC RESPIRATORY QUESTIONNAIRE) [J].
MORGAN, MDL .
RESPIRATORY MEDICINE, 1991, 85 :23-24
[78]   Health-related quality of life improves following pulmonary rehabilitation and lung volume reduction surgery [J].
Moy, ML ;
Ingenito, EP ;
Mentzer, SJ ;
Evans, RB ;
Reilly, JJ .
CHEST, 1999, 115 (02) :383-389
[79]   Quality of life in patients with chronic obstructive pulmonary disease and severe hypoxaemia [J].
Okubadejo, AA ;
Jones, PW ;
Wedzicha, JA .
THORAX, 1996, 51 (01) :44-47
[80]   Home assessment of activities of daily living in patients with severe chronic obstructive pulmonary disease on long-term oxygen therapy [J].
Okubadejo, AA ;
OShea, L ;
Jones, PW ;
Wedzicha, JA .
EUROPEAN RESPIRATORY JOURNAL, 1997, 10 (07) :1572-1575