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  1. Health status versus quality of life in older patients : Does the distinction matter ?

    Article - En anglais

    PURPOSE 

    Although health-related quality of life in older people is generally assessed by measuring specific domains of health status, such as activities of daily living or pain, the association between health-status measures and patients'perceptions of their quality of life is not clear.

    Indeed, it is controversial whether these health-status measures should be considered measures ofquality oflife at all.

    Our objective was to determine the association between health-status measures and older patients'perceptions of their global quality of life.

    SUBJECTS AND METHODS 

    We performed a cross-sectional study of 493 cognitively intact patients 80 years of age and older, interviewed 2 months after a hospitalization.

    We measured patients'self-assessed global quality of life and four domains of health status : physical capacity, limitations in performing activities of daily living, psychological distress, and pain.

    RESULTS 

    Each of the four scales was significantly correlated with patients'global perceptions of their quality of life (P<0.001).

    The ability of the health-status scales to discriminate between patients with differing global quality of life was generally good, especially for the physical capacity (c statistic=0.72) and psychological distress scales (c statistic=0.70).

    However, for a substantial minority of patients, scores on the health-status scales did not accurately reflect their global quality of life. (...)

    Mots-clés Pascal : Santé, Personne âgée, Homme, Perception, Qualité vie, Etude transversale, Caractéristique fonctionnement, Base donnée, Evaluation, Organisation santé, Informatique

    Mots-clés Pascal anglais : Health, Elderly, Human, Perception, Quality of life, Cross sectional study, Performance characteristic, Database, Evaluation, Public health organization, Computer science

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0234881

    Code Inist : 002B30A03B. Création : 16/11/1999.