Comparison of Generic (SF-36) vs. Disease-Specific (GERD-HRQL) Quality-Of-Life Scales for Gastroesophageal Reflux Disease

被引：166

作者：

Velanovich V. ^{[1
,2
]}

机构：

[1] Division of General Surgery, Department of Surgery, Henry Ford Hospital, Detroit, MI

[2] Division of General Surgery, Detroit, MI 48202-2689, K-8

来源：

Journal of Gastrointestinal Surgery | 1998年 / 2卷 / 2期

关键词：

Reflux Disease; Bodily Pain; Inguinal Hernia Repair; Gastroesophageal Reflux Disease; Gastrointestinal Symptom Rate Scale;

D O I：

10.1016/S1091-255X(98)80004-8

中图分类号：

学科分类号：

摘要：

The Gastroesophageal Reflux Disease-Health-Related Quality-of-Life (GERD-HRQL) scale was developed to objectively quantify symptom severity. It was compared to a "gold standard" health survey, the SF-36. Forty-three patients treated either medically or surgically for gastroesophageal reflux disease were asked to complete both the GERD-HRQL and the SF-36. They were asked the following: (1) Which questionnaire do you like best? (2) Which questionnaire was easier to understand? (3) Which questionnaire was more reflective of the problems you have with reflux disease? (4) Given the choice, which questionnaire would you rather fill out? Patients were asked to state their overall satisfaction with their present reflux symptom conditions. Multivariate analysis showed that the only significant predictor of patient satisfaction was the total GERD-HRQL score (P <0.00001). There were differences in the SF-36 domains of physical function (88.7 vs. 65.3; P = 0.004) and general health (68 vs. 46.5; P = 0.006). There were no correlations between the total GERD-HRQL scores and the SF-36 domain scores. Fifty-nine percent of patients preferred the GERD-HRQL questionnaire, 62% felt it was easier to understand, 86% felt it was more reflective of their symptoms, and 67% said they would rather use it over the SF-36. The GERD-HRQL better assesses symptom severity for gastroesophageal reflux disease than the generic SF-36.

引用

页码：141 / 145

页数：4

共 21 条

[1]

Rutkow I.M., The importance of socioeconomic issues in surgical outcomes: What is a relevant end point?, Eur J Surg, 161, pp. 545-548, (1995)

[2]

Kreder H.J., Wright J.G., McLeod R., Outcome studies in surgical research, Surgery, 121, pp. 223-225, (1997)

[3]

Temple P.C., Travis B., Sachs L., Strassers S., Choban P., Flancbaum L., Functioning and well-being of patients before and after elective surgical procedures, J Am Coll Surg, 181, pp. 17-25, (1995)

[4]

Velanovich V., The use of a generic quality of life scale (SF-36) in a general surgical practice, Sixty-Fifth Annual Scientific Meeting of the Southeastern Surgical Congress, (1997)

[5]

Velanovich V., Vallance S.R., Gusz J.R., Tapia F.V., Harkabus M.A., Quality of life scale for gastroesophageal reflux disease, J Am Coll Surg, 183, pp. 217-224, (1996)

[6]

The SF-36 Health Survey, (1992)

[7]

Hunter J.G., Trus T.L., Branum G.D., Waring J.P., Wood W.C., A physiologic approach to laparoscopic fundoplication for gastroesophageal reflux disease, Ann Surg, 223, pp. 673-687, (1996)

[8]

McHorney C.A., Kosinski M., Ware J.E. Jr., Comparisons of the costs and quality of norms for the SF-36 health survey collected by mail versus telephone interview: Results from a national survey, Med Care, 32, pp. 551-567, (1994)

[9]

Guyatt G.H., Feeny D.H., Patrick D.L., Measuring health-related quality of life, Ann Intern Med, 118, pp. 622-629, (1993)

[10]

Wilson I.B., Cleary P.D., Linking clinical variables with health-related quality of life: A conceptual model of patient outcomes, JAMA, 273, pp. 59-65, (1995)

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