A questionnaire to assess the generic and disease-specific health outcomes of patients with chronic hepatitis C

被引:14
作者
Bayliss M.S. [1 ,6 ]
Gandek B. [1 ]
Bungay K.M. [1 ]
Sugano D. [2 ]
Hsu M.-A. [3 ]
Ware Jr. J.E. [1 ,4 ,5 ]
机构
[1] Health Institute, New England Medical Center, Boston, MA
[2] Tufts University, School of Medicine
[3] New England Medical Center, Health Institute, Box 345, Boston, MA 02111
关键词
Health status; Hepatitis C; Questionnaire; SF-36 Health Survey;
D O I
10.1023/A:1008884805251
中图分类号
学科分类号
摘要
A 69-item questionnaire measuring generic functioning and well-being and disease-specific health outcomes was developed and tested using the pre- treatment data from patients with chronic hepatitis C (CHC) participating in two randomized trials of interferon α-2b (n = 157). The questionnaire included all eight scales from the SF-36 and measures of nine other generic and disease-specific health concepts. Psychometric tests confirmed the assumptions underlying the construction and scoring of all generic and disease-specific scales. Cross-sectional tests of 'known groups' validity showed that CHC patients scored worse on the generic scales than patients with other chronic conditions and worse than a healthy general population. The generic and disease-specific scale scores were lower in the presence of physical findings of CHC, as hypothesized, but only the physical functioning and bodily pain scales were linked to cirrhosis or extreme alanine aminotransferase (ALT) ratios. This instrument will be useful in studies of health outcome among patients with CHC, a condition whose health burden appears to have been underestimated in studies to date.
引用
收藏
页码:39 / 55
页数:16
相关论文
共 57 条
[31]  
McHorney C.A., Ware J.E., Raczek A.E., The MOS 36-Item Short-form Health Status Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs, Med Care, 31, pp. 247-263, (1993)
[32]  
Brazier J.E., Harper R., Jones N.M.B., Et al., Validating the SF-36 health survey questionnaire: New outcome measure for primary care, BMJ, 305, pp. 160-164, (1992)
[33]  
Katz J.N., Larson M.G., Phillips C.B., Et al., Comparative measurement sensitivity of short and longer health status instruments, Med Care, 30, pp. 917-925, (1992)
[34]  
Garratt A.M., Ruta D.A., Abdalla M.I., Et al., The SF-36 health survey questionnaire: An outcome measure suitable for routine use within the NHS?, BMJ, 306, pp. 1440-1444, (1993)
[35]  
Phillips R.C., Lansky D.J., Outcomes management in heart valve replacement surgery: Early experience, J Heart Valve Dis, 1, (1992)
[36]  
Kurtin P.S., Davies A.R., Meyer K.B., Et al., Patient-based health status measures in outpatient dialysis: Early experiences in developing an outcomes assessment program, Med Care, 30, (1992)
[37]  
Sherbourne C.D., Social functioning: Social activity limitations measures, Measuring Functioning and Well-being: The Medical Outcomes Study Approach, pp. 173-181, (1992)
[38]  
Stewart A.L., Hays R.D., Ware J.E., Health perceptions, energy/fatigue, and health distress measures, Measuring Functioning and Well-being: the Medical Outcomes Study Approach, pp. 143-172, (1992)
[39]  
Stewart A.L., Ware J.E., Sherbourne C.D., Wells K.B., Psychological distress/well-being and cognitive functioning measures, Measuring Functioning and Well-being: The Medical Outcomes Study Approach, pp. 102-142, (1992)
[40]  
Hays R.D., Stewart A.L., Sleep measures, Measuring Functioning and Well-being: The Medical Outcomes Study Approach, pp. 235-259, (1992)