Abstract:
BACKGROUND AND OBJECTIVE:The level of agreement between index and proxy respondents on assessment of health status of clinical cohorts is variable. There is limited information regarding agreement between cardiac surgery patients and their proxies, and levels of agreement examined across repeated measures. This study examined the level of agreement between index and proxy respondents' perceptions of the patient's health status prior to and following cardiac surgery. METHODS:A prospective, paired-respondent, repeated measures observational study of elective cardiac surgical patients and their next of kin, from the cardiac surgical unit of a tertiary hospital in Sydney, Australia. Health status domains were examined using the15D and SF-36 instruments at three points: prior to surgery, at hospital discharge, and at 6 months post discharge. RESULTS:Moderate to good level of agreement was noted for physical function (physical functioning, role functioning-physical, mobility, breathing, speech, hearing, usual activities, sexual activities) and some psychosocial dimensions (role functioning-emotional, sleeping, depression, mental health). Agreement was highest for presurgery and 6 months post discharge. Differences in scores were not clinically important. CONCLUSION:Proxy respondents can reliably assess the quality of life of a cardiac surgical patient using 15D or SF-36, particularly for domains reflecting physical function.
journal_name
J Clin Epidemioljournal_title
Journal of clinical epidemiologyauthors
Elliott D,Lazarus R,Leeder SRdoi
10.1016/j.jclinepi.2005.06.010subject
Has Abstractpub_date
2006-02-01 00:00:00pages
153-9issue
2eissn
0895-4356issn
1878-5921pii
S0895-4356(05)00329-Xjournal_volume
59pub_type
杂志文章abstract::The duration of protection offered by Pap screening for cervical cancer was examined using data on 101 cases of invasive cervical cancer and 396 controls from a Maryland case-control study. Receipt of a Pap test up to 4 years ago afforded significant protection, compared to women screened 11 or more years ago, or neve...
journal_title:Journal of clinical epidemiology
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journal_title:Journal of clinical epidemiology
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journal_title:Journal of clinical epidemiology
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journal_title:Journal of clinical epidemiology
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journal_title:Journal of clinical epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
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更新日期:2009-06-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章,评审
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更新日期:2006-04-01 00:00:00
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更新日期:2009-04-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章,meta分析,评审
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更新日期:2004-08-01 00:00:00
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journal_title:Journal of clinical epidemiology
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journal_title:Journal of clinical epidemiology
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journal_title:Journal of clinical epidemiology
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更新日期:2005-03-01 00:00:00
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更新日期:2003-02-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2008-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00