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Health-related quality of life after myocardial infarction, does choice of method make a difference?
- Source :
- Scandinavian Cardiovascular Journal; Aug2014, Vol. 48 Issue 4, p216-222, 7p
- Publication Year :
- 2014
-
Abstract
- Objectives. The aim of this study was to compare health-related quality of life (HRQoL) scores obtained from the instrument Short Form (SF)-36 through the so-called SF-6D utilities, and those obtained from 15D, in patients with ST-elevation myocardial infarction (STEMI), and to evaluate the consequences in estimation of quality adjusted life years (QALYs). Design. This was a sub-study of the Norwegian District Treatment of STEMI, in which patients with STEMI treated with tenecteplase, were randomized to early angioplasty or standard management ( n = 266). HRQoL data were collected at all visits (0, 1, 3, 7 and 12 months). All patients with complete data were included ( n = 248). Results. The score range was 0.33-1.0 for SF-6D and 0.49-1.0 for 15D. Mean utility scores from 15D were higher and had different distribution compared to scores from SF-6D. Mean QALY for the whole group was higher using 15D than SF-6D (0.89 vs. 0.77). The incremental number of QALYs with early angioplasty compared to standard treatment was 0.005 (95% CI: − 0.018 to 0.028) using SF-6D, and 0.004 (95% CI: − 0.010 to 0.018) using the 15D instrument. Conclusions. Choice of instrument may influence HRQoL scores, but not necessarily the gain in QALYs. [ABSTRACT FROM AUTHOR]
- Subjects :
- QUALITY of life
MYOCARDIAL infarction treatment
ANGIOPLASTY
VISITATION in hospitals
Subjects
Details
- Language :
- English
- ISSN :
- 14017431
- Volume :
- 48
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Scandinavian Cardiovascular Journal
- Publication Type :
- Academic Journal
- Accession number :
- 97113152
- Full Text :
- https://doi.org/10.3109/14017431.2014.923581