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不同原发性诊断患者中EQ-5D与HRQ-6D测量指标的同时效度

Concurrent Validity Between EQ-5D and HRQ-6D Measures in Patients with Different Primary Diagnoses.

作者信息

Bujang Mohamad Adam, Hon Yoon Khee, Lai Wei Hong, Yap Eileen Pin Pin, Tiong Xun Ting, Ratnasingam Selvasingam, Kim Alex Ren Jye, Husin Masliyana, Jee Yvonne Yih Huan, Ahmad Nurul Fatma Diyana, Chew Cheng Hoon, Tan Clare Hui Hong, Khoo Sing Yee, Johari Fazalena, Fong Alan Yean Yip

机构信息

Clinical Research Centre, National Institutes of Health, Sarawak General Hospital, Ministry of Health Malaysia, Kuching 93586, Sarawak, Malaysia.

Institute for Clinical Research, Ministry of Health Malaysia, Shah Alam 40170, Selangor, Malaysia.

出版信息

J Clin Med. 2024 Dec 26;14(1):64. doi: 10.3390/jcm14010064.

Abstract

The HRQ-6D is a newly developed instrument to measure Health-related quality of life (HRQOL) and EQ-5D is the gold standard for measuring HRQOL. This study aims to test the concurrent validity between EQ-5D and HRQ-6D measures among patients with different primary diagnoses. : This cross-sectional study uses two HRQOL measurement instruments, EQ-5D-3L and HRQ-6D. Data collection was performed between January 2023 and May 2023. All the necessary data for this study were collected from actual patients who presented with any one of the four different types of primary diagnoses: heart disease, cancer, depressive disorders, and end-stage renal disease (ESRD). They were recruited from the four specialist clinics that cater to the treatment of each of the four different types of primary diagnoses in a tertiary hospital. : There were 149 patients who participated in the study wherein 40 (26.8%) of them were ESRD patients, 39 (26.2%) of them were cancer patients, 38 (25.5%) of them were mentally depressed, and the remaining were patients with heart diseases. The domains in HRQ-6D, except for the perception of future health, are significantly associated with domains in EQ-5D-3L after having controlled for patients' primary diagnoses (i.e., < 0.001). The HRQ-6D replaces the domain "Usual activities" with "Physical energy," and the association between these two domains is significant ( < 0.001). The correlation between the overall HRQ-6D and EQ-VAS scores is also significant (coefficient = 0.445, < 0.001). : The HRQ-6D is demonstrated to have concurrent validity with EQ-5D. Therefore, clinicians and researchers can use HRQ-6D to measure patient outcomes for interventional and observational studies. (Total word count = 265 words).

摘要

HRQ - 6D是一种新开发的用于测量健康相关生活质量(HRQOL)的工具,而EQ - 5D是测量HRQOL的金标准。本研究旨在检验不同原发性诊断患者中EQ - 5D与HRQ - 6D测量方法之间的同时效度。:这项横断面研究使用了两种HRQOL测量工具,即EQ - 5D - 3L和HRQ - 6D。数据收集于2023年1月至2023年5月期间进行。本研究的所有必要数据均从患有四种不同类型原发性诊断(心脏病、癌症、抑郁症和终末期肾病(ESRD))中任何一种的实际患者中收集。他们是从一家三级医院中专门治疗这四种不同类型原发性诊断的四个专科诊所招募的。:共有149名患者参与了该研究,其中40名(26.8%)为ESRD患者,39名(26.2%)为癌症患者,38名(25.5%)患有精神抑郁症,其余为心脏病患者。在控制了患者的原发性诊断后(即,<0.001),HRQ - 6D中除未来健康感知外的领域与EQ - 5D - 3L中的领域显著相关。HRQ - 6D用“身体能量”取代了“日常活动”领域,这两个领域之间的关联显著(<0.001)。总体HRQ - 6D与EQ - VAS评分之间的相关性也显著(系数 = 0.445,<0.001)。:结果表明HRQ - 6D与EQ - 5D具有同时效度。因此,临床医生和研究人员可以使用HRQ - 6D来测量干预性和观察性研究的患者结局。(总字数 = 265字)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fa4/11722335/39faa1960fec/jcm-14-00064-g001.jpg

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