Kaplan Robert M, Hays Ron D
Clinical Excellence Research Center, Department of Medicine, Stanford University, Stanford, California, USA; email:
Division of General Internal Medicine and Health Services Research, Department of Medicine, University of California, Los Angeles, California, USA.
Annu Rev Public Health. 2022 Apr 5;43:355-373. doi: 10.1146/annurev-publhealth-052120-012811. Epub 2021 Dec 9.
Patient-reported outcomes are recognized as essential for the evaluation of medical and public health interventions. Over the last 50 years, health-related quality of life (HRQoL) research has grown exponentially from 0 to more than 17,000 papers published annually. We provide an overview of generic HRQoL measures used widely in epidemiological studies, health services research, population studies, and randomized clinical trials [e.g., Medical Outcomes Study SF-36 and the Patient-Reported Outcomes Measurement Information System (PROMIS)-29]. In addition, we review methods used for economic analysis and calculation of the quality-adjusted life year (QALY). These include the EQ-5D, the Health Utilities Index (HUI), the self-administered Quality of Well-being Scale (QWB-SA), and the Health and Activities Limitation Index (HALex). Furthermore, we consider hybrid measures such as the SF-6D and the PROMIS-Preference (PROPr). The plethora of HRQoL measures has impeded cumulative science because incomparable measures have been used in different studies. Linking among different measures and consensus on standard HRQoL measurement should now be prioritized. In addition, enabling widespread access to common measures is necessary to accelerate future progress.
患者报告的结果被认为是评估医疗和公共卫生干预措施的关键。在过去50年中,与健康相关的生活质量(HRQoL)研究呈指数级增长,从每年发表0篇论文增长到超过17000篇。我们概述了在流行病学研究、卫生服务研究、人群研究和随机临床试验中广泛使用的通用HRQoL测量方法[例如医学结局研究简表36(SF-36)和患者报告结局测量信息系统(PROMIS)-29]。此外,我们还回顾了用于经济分析和质量调整生命年(QALY)计算的方法。这些方法包括欧洲五维健康量表(EQ-5D)、健康效用指数(HUI)、自我管理的幸福感量表(QWB-SA)和健康与活动受限指数(HALex)。此外,我们还考虑了混合测量方法,如SF-6D和PROMIS偏好量表(PROPr)。大量的HRQoL测量方法阻碍了累积科学的发展,因为不同的研究使用了不可比的测量方法。现在应该优先考虑不同测量方法之间的联系以及对标准HRQoL测量的共识。此外,为了加速未来的进展,必须使人们能够广泛使用通用测量方法。