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Long-term QALY-weights among spouses of dependent and independent midlife stroke survivors
- Source :
- Quality of Life Research
- Publication Year :
- 2017
- Publisher :
- Linköpings universitet, Avdelningen för hälso- och sjukvårdsanalys, 2017.
-
Abstract
- The aim of this study was to investigate whether the dependency of midlife stroke survivors had any long-term impact on their spouses QALY-weights. Data on stroke survivors, controls, and spouses were collected from the 7-year follow-up of the Sahlgrenska Academy Study on Ischemic Stroke. Health-related quality of life was assessed by the SF-36, and the preference-based health state values were assessed with the SF-6D. Spouses of dependent and independent stroke survivors were categorized according to their scores on the modified Rankin Scale. An ordinary least squares regression analysis was used to evaluate whether the dependency of the stroke survivors had any impact on the spouses QALY-weights. Cohabitant dyads of 247 stroke survivors aged amp;lt; 70 at stroke onset and 245 dyads of controls were included in the study. Spouses of dependent stroke survivors (n = 50) reported a significant lower mean QALY-weight of 0.69 in comparison to spouses of independent stroke survivors (n = 197) and spouses of controls, (n = 245) who both reported a mean QALY-weight of 0.77. The results from the regression analysis showed that higher age of the spouse and dependency of the stroke survivor had a negative association with the spouses QALY-weights. The QALY-weights for spouses of dependent midlife stroke survivors were significantly reduced compared to spouses of independent midlife stroke survivors. This indicates that the inclusion of spouses QALYs in evaluations of early treatment and rehabilitation efforts to reduce stroke patients dependency would capture more of the total effect in dyads of stroke survivors. Funding Agencies|Swedish Research Council [K2014-64X-14605-12-5]; Sahlgrenska University hospital [ALFGBG-429981, ALFGBG-71890]; Swedish Heart and Lung Foundation [20130315]; Swedish Stroke Association; Rune and Ulla Amlovs Foundation for Neurological Research; John and Brit Wennerstroms Foundation for Neurological Research; Gothenburg Foundation for Neurological Research; Stroke-Riksforbundet
- Subjects :
- Male
Gerontology
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
SF-36
Neurologi
Health-related quality of life
medicine.medical_treatment
Article
03 medical and health sciences
0302 clinical medicine
Quality of life
Modified Rankin Scale
medicine
Humans
Survivors
030212 general & internal medicine
cardiovascular diseases
Spouses
Stroke
Rehabilitation
business.industry
030503 health policy & services
Quality adjusted life years
Public Health, Environmental and Occupational Health
SF-6D
Regression analysis
social sciences
Health Care Service and Management, Health Policy and Services and Health Economy
Middle Aged
medicine.disease
humanities
Quality-adjusted life year
Neurology
Spouse
Female
Quality-Adjusted Life Years
0305 other medical science
business
human activities
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Quality of Life Research
- Accession number :
- edsair.doi.dedup.....5a8f949a4616745ece0402f4756b530b