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

    Article - En anglais


    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.


    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.


    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.