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Longitudinal study ...
Longitudinal study of patients' health-related quality of life using EQ-5D-3L in 11 Swedish National Quality Registers
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- Teni, Fitsum Sebsibe (author)
- Karolinska Institutet
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- Rolfson, Ola, 1973 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Devlin, Nancy (author)
- 4Health Economics, The University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia; Office of Health Economics, London, UK
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- Parkin, David (author)
- Office of Health Economics, London, UK; City University of London, London, UK
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- Nauclér, Emma (author)
- Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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- Burström, Kristina (author)
- Karolinska Institutet
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- Schmitt-Egenolf, Marcus, 1966- (contributor)
- Umeå universitet,Dermatologi och venereologi
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- Abbott, Allan, 1978- (contributor)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Ortopedkliniken i Linköping,The Swedish Quality Register (SWEQR) Study Group
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(creator_code:org_t)
- 2022-01-06
- 2022
- English.
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In: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 12:1
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Abstract
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- OBJECTIVE: To compare problems reported in the five EQ-5D-3L dimensions and EQ VAS scores at baseline and at 1-year follow-up among different patient groups and specific diagnoses in 11 National Quality Registers (NQRs) and to compare these with the general population.DESIGN: Longitudinal, descriptive study.PARTICIPANTS: 2 66 241 patients from 11 NQRs and 49 169 participants from the general population were included in the study.PRIMARY AND SECONDARY OUTCOME MEASURES: Proportions of problems reported in the five EQ-5D-3L dimensions, EQ VAS scores of participants' own health and proportions of participants and mean/median EQ VAS score in the Paretian Classification of Health Change (PCHC) categories.RESULTS: In most of the included registers, and the general population, problems with pain/discomfort were the most frequently reported at baseline and at 1-year follow-up. Mean EQ VAS score (SD) ranged from 45.2 (22.4) among disc hernia patients to 88.1 (15.3) in wrist and hand fracture patients at baseline. They ranged from 48.9 (20.9) in pulmonary fibrosis patients to 83.3 (17.4) in wrist and hand fracture patients at follow-up. The improved category of PCHC, improvement in at least one dimension without deterioration in any other, accounted for the highest proportion in several diagnoses, corresponding with highest improvement in mean EQ VAS score.CONCLUSIONS: The study documented self-reported health of several different patient groups using the EQ-5D-3L in comparing with the general population. This demonstrated the important role of patient-reported outcomes in routine clinical care, to assess and follow-up health status and progress within different groups of patients. The EQ-5D-3L descriptive system and EQ VAS have an important role in providing a 'common denominator', allowing comparisons across NQRs and specific diagnoses.TRIAL REGISTRATION NUMBER: ClinicalTrials.gov (NCT04359628).
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Keyword
- health economics
- internal medicine
- orthopaedic & trauma surgery
- health economics
- internal medicine
- orthopaedic & trauma surgery
Publication and Content Type
- ref (subject category)
- art (subject category)
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BMJ Open
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- By the author/editor
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Teni, Fitsum Seb ...
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Rolfson, Ola, 19 ...
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Devlin, Nancy
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Parkin, David
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Nauclér, Emma
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Burström, Kristi ...
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Schmitt-Egenolf, ...
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Abbott, Allan, 1 ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Orthopaedics
- Articles in the publication
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BMJ Open
- By the university
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Umeå University
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Linköping University
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Karolinska Institutet
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University of Gothenburg