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Quality of Life Research
Gepubliceerd in:

01-10-2016

The relative impact of chronic conditions and multimorbidity on health-related quality of life in Ontario long-stay home care clients

Auteurs: Luke Mondor, Colleen J. Maxwell, Susan E. Bronskill, Andrea Gruneir, Walter P. Wodchis

Gepubliceerd in: Quality of Life Research | Uitgave 10/2016

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Abstract

Purpose

To examine the relative impact of 16 common chronic conditions and increasing morbidity on health-related quality of life (HRQL) in a population-based sample of home care clients in Ontario, Canada.

Methods

Participants were adult clients assessed with the Resident Assessment Instrument for Home Care (RAI-HC) between January and June 2009 and diagnosed with one (or more) of 16 common chronic conditions. HRQL was evaluated using the Minimum Data Set-Health Status Index (MDS-HSI), a preference-based measure derived from items captured in the RAI-HC. Multivariable linear regression models assessed the relative impact of each condition, and increasing number of diagnoses, on MDS-HSI scores.

Results

Mean (SD) MDS-HSI score in the study population (n = 106,159) was 0.524 (0.213). Multivariable analysis revealed a statistically significant (p < 0.05) and clinically important (difference ≥ 0.03) decrease in MDS-HSI scores associated with stroke (−0.056), osteoarthritis (−0.036), rheumatoid arthritis (−0.033) and congestive heart failure (CHF, −0.030). Differences by age and sex were observed; most notably, the negative impact associated with dementia was greater among men (−0.043) than among women (−0.019). Further, HRQL decreased incrementally with additional diagnoses. In all models, chronic conditions and number of diagnoses accounted for a relatively small proportion of the variance observed in MDS-HSI.

Conclusion

Clinically important negative effects on HRQL were observed for clients with a previous diagnosis of stroke, osteo- and rheumatoid arthritis, or CHF, as well as with increasing levels of multimorbidity. Findings provide baseline preference-based HRQL scores for home care clients with different diagnoses and may be useful for identifying, targeting and evaluating care strategies toward populations with significant HRQL impairments.
vorige artikel Assessing long-term QALYs gain from averting and reversing overweight and obesity in childhood
volgende artikel Comprehending the impact of low vision on the lives of children and adolescents: a qualitative approach
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Metagegevens
Titel
The relative impact of chronic conditions and multimorbidity on health-related quality of life in Ontario long-stay home care clients
Auteurs
Luke Mondor
Colleen J. Maxwell
Susan E. Bronskill
Andrea Gruneir
Walter P. Wodchis
Publicatiedatum
01-10-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 10/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1281-y

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