Brütt Anna Levke, Sandberg David E, Chaplin John, Wollmann Hartmut, Noeker Meinolf, Kołtowska-Häggström Maria, Bullinger Monika
Institute for Medical Psychology, University Hospital Hamburg Eppendorf, Hamburg, Germany.
Horm Res. 2009;72(2):65-73. doi: 10.1159/000232158. Epub 2009 Aug 18.
The concept of health-related quality of life (HrQoL) reflects the subjective perception of health and includes aspects of well-being and functioning in physical, emotional, mental and social life domains. Nowadays, HrQoL has become a relevant treatment outcome from epidemiological and clinical perspectives and is also broadly employed in health economic analyses. To assess HrQoL generic as well as condition-specific instruments are used. The former are applicable to a wide range of health conditions and aim at measuring HrQoL across different conditions. The latter focus on capturing the impact of a specific disease. Although HrQoL research in adults is now well-advanced, there are still open questions regarding how to assess HrQoL in pediatric conditions, such as short stature. Eight generic (one chronic-generic) and seven condition-specific (one treatment-specific) instruments used in HrQoL research in short stature of youth are described. Additionally, this mini review identifies a need for further research and indicates potential directions.
健康相关生活质量(HrQoL)的概念反映了对健康的主观认知,包括身体、情感、心理和社会生活领域的幸福和功能方面。如今,从流行病学和临床角度来看,HrQoL已成为一个相关的治疗结果,并且在健康经济分析中也被广泛应用。为了评估HrQoL,使用了通用型以及特定疾病型工具。前者适用于广泛的健康状况,旨在测量不同状况下的HrQoL。后者则专注于捕捉特定疾病的影响。尽管目前成人的HrQoL研究已经很先进,但在如何评估儿科疾病(如身材矮小)的HrQoL方面仍存在未解决的问题。本文描述了用于青少年身材矮小的HrQoL研究中的8种通用型(1种慢性通用型)和7种特定疾病型(1种治疗特定型)工具。此外,本综述指出了进一步研究的必要性并指明了潜在方向。