Document Detail

Assessing quality of life in patients with hard-to-heal ulcers using the EQ-5D questionnaire.
MedLine Citation:
PMID:  23924845     Owner:  NLM     Status:  In-Data-Review    
Objective: To assess health-related quality of life (HRQoL) in an unselected patient population with hard-to-heal ulcers from baseline through healing and at follow-up 6 months after healing. Method: Fifty patients were recruited and the sex and age of the patient and the ulcer aetiology, duration, and size were recorded. The generic instrument EQ-5D was used for two purposes. The first was to investigate the feasibility of this instrument for assessing HRQoL in this patient group. The second was to see if the EQ-5D results would add information to the Swedish Registry of Ulcer Treatment (RUT), a national quality registry which includes variables for pain, disturbed sleep, and mobility. l Results: We found a significant difference in HRQoL between patients with an open ulcer and those with a healed ulcer (p=0.02), but no significant difference between patients with a just-healed ulcer and patients at follow-up six months after ulcer healing (p=0.08). Sex, age, and length of ulcer duration at inclusion did not influence HRQoL (p=0.55, p=0.4, and p=0.9, respectively). Ulcer size seemed to influence HRQoL, though not significantly (p=0.07). l Conclusion: This study confirms that HRQoL was improved after ulcer healing. Pain, as one of the five constructs measured by the EQ-5D, was significantly associated with open ulcers. The results from the EQ-5D questionnaire were hard to interpret in terms of capturing HRQoL in this unselected patient population. Despite some limitations, we consider that the simplicity of EQ-5D could make it feasible to use in the clinical setting. However, the results from EQ-5D did not add consistent information to RUT; therefore, this questionnaire will not be included in the registry. l Declaration of interest: This study was partly funded by Blekinge County Council and by the Council of Sciences in Blekinge County. The authors have no conflicts of interest to declare.
R F Oien; N Akesson; H Forssell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of wound care     Volume:  22     ISSN:  0969-0700     ISO Abbreviation:  J Wound Care     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-08-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9417080     Medline TA:  J Wound Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  442-7     Citation Subset:  N    
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