Health-related quality of life: implications for critical care interventional studies and why we need to collaborate with patients.

Abstract:

PURPOSE OF REVIEW:Health-related quality of life (HRQoL) is an important patient-reported outcome measure following critical illness. 'Validated' and professionally endorsed generic measures are widely used to evaluate critical care intervention and guide practice, policy and research. Although recognizing that they are 'here to stay', leading QoL researchers are beginning to question their 'fitness for purpose'. It is therefore timely to review critiques of their limitations in the wider healthcare and social science literatures and to examine the implications for critical care research including, in particular, emerging interventional studies in which HRQoL is the primary outcome of interest. RECENT FINDINGS:Generic HRQoL measures have provided important yet limited insights into HRQoL among survivors of critical illness. They are rarely developed or validated in collaboration with patients and cannot therefore be assumed to reflect their experiences and perspectives. SUMMARY:Collaboration with patients is advocated in order to improve the interpretation and utility of such data. Failure to do so may result in important study effects being overlooked and the dismissal of potentially useful interventions.

journal_name

Curr Opin Crit Care

authors

Ramsay P

doi

10.1097/MCC.0b013e32834a4bd4

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

510-4

issue

5

eissn

1070-5295

issn

1531-7072

pii

00075198-201110000-00015

journal_volume

17

pub_type

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