scholarly journals The Association of Depression and Pain with Health-Related Quality of Life, Disability, and Health Care Use in Cancer Patients

2010 ◽  
Vol 40 (3) ◽  
pp. 327-341 ◽  
Author(s):  
Kurt Kroenke ◽  
Dale Theobald ◽  
Jingwei Wu ◽  
Julie K. Loza ◽  
Janet S. Carpenter ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Cancer Patients ◽  
Health Care Use ◽  
Health Related Quality ◽  
Disability And Health ◽  
Related Quality ◽  
Health Related

Implementation of an ePRO Application for Health-Related Quality of Life (HrQoL) in Breast Cancer Patients: Evaluation and Usability Analysis (Preprint)

2019 ◽  
Author(s):  
Joachim Graf ◽  
Nina Sickenberger ◽  
Katharina Brusniak ◽  
Lina Matthies ◽  
Thomas M. Deutsch ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Health Care ◽  
Cancer Patients ◽  
Technical Skills ◽  
Health Related Quality ◽  
Breast Cancer Patients ◽  
Related Quality ◽  
Health Related

BACKGROUND One in eight women is diagnosed with breast cancer in the course of her life. As systematic palliative treatment has an only limited effect on survival rates, the concept of Health-related Quality of Life (HRQoL). Various studies have already demonstrated the reliability of paper-based PRO (pPRO) and ePRO and that the two means of assessment are equally valid. OBJECTIVE The aim of this study was to analyze the acceptance and evaluation of a tablet-based ePRO applica-tion for breast cancer patients and to examine its suitability, effort, and difficulty in the context of HRQoL and sociodemographic factors. METHODS In all, 106 women with adjuvant or advanced breast cancer were included in a two-center study at two major university hospitals in Germany. Patients were asked to answer HRQoL (EORTC QLQ-C 30, FACT-B) and PRO questionnaires both on a tablet on-site using a specific eHealth assessment website and on paper. The suitability, effort, and difficulty of the application and self-reported technical skills were also assessed. Only the results of the electronically acquired data are presented here, results of reliability to pPRO data have already been published elsewhere. RESULTS Patients regarded the ePRO assessment as more suitable (74.8%), less stressful (69.8%), and less difficult than pPRO (65.2%). The majority of patients stated that ePRO improves health care in hospitals (82.1%). However, evaluation of ePRO depends on the level of education (p=0.003) and patients’ experience in using a computer (p=0.041). The application was rated highly in all categories. HRQoL data did not show significant correlations to the application’s evaluation parameters. CONCLUSIONS The results indicate that ePRO surveys are also feasible for measuring HRQoL in breast cancer pa-tients and that those patients prefer ePRO to pPRO assessment. It can also be seen that patients consider ePRO to be improve hospital health care. However, studies with larger numbers of patients are needed to develop applications that address the needs of patients with lower levels of education and technical skills.

scholarly journals Health-related quality of life and health care use in cancer survivors compared with patients with chronic diseases

Cancer ◽  
2016 ◽  
Vol 122 (6) ◽  
pp. 962-970 ◽  
Author(s):  
Marianne J. Heins ◽  
Joke C. Korevaar ◽  
Petra E.P.C. Hopman ◽  
Gé A. Donker ◽  
François G. Schellevis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Cancer Survivors ◽  
Chronic Diseases ◽  
Health Care Use ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Health-Related Quality of Life Issues in Adolescents and Young Adults with Cancer: Discrepancies with the Perceptions of Health Care Professionals

2021 ◽  
Vol 10 (9) ◽  
pp. 1833
Author(s):  
Suzanne Kaal ◽  
Emma Lidington ◽  
Judith Prins ◽  
Rosemarie Jansen ◽  
Eveliene Manten-Horst ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Health Care Professionals ◽  
Physical Symptoms ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

This study aimed to identify health-related quality of life (HRQoL) issues of relevance for adolescent and young adult (AYA) cancer patients, the perception of relevant HRQoL issues for AYA in generalby the health care professionals (HCP), and discrepancies between issues identified by AYAs and HCP. Dutch AYAs aged 18–35 years at the time of cancer diagnosis (N = 83) and HCPs (N = 34) involved in AYA oncology were invited to complete the Quality of Life for Cancer Survivors questionnaire. HCPs rated physical symptoms such as fatigue, appetite, pain, constipation, sleep disorders, nausea and neuropathy among AYA cancer patients significantly higher (i.e., more problems) than AYA cancer patients. AYA cancer patients rated overall physical health and quality of life, happiness, satisfaction, usefulness and support from others, all positively formulated questions, significantly higher (i.e., more positive) than HCPs. The most highly rated issues (negative and positive combined) for AYAs were: perceived support from others, distress about initial cancer diagnosis, distress for family and overall quality of life. HCPs identified distress about diagnosis, treatment, family and interference of illness with employment/study as the most problematic issues (all negative) for AYAs. Five of the ten most common issues listed by patients and HCPs were the same. Male AYAs, patients treated with curative intent and those with a partner rated positive HRQoL issues higher than their counterparts. The discrepancy between the perception of patients and HCPs illustrates the importance of patient involvement in organizing physical and psychosocial care.

scholarly journals Determinants of health care use among homeless individuals: evidence from the Hamburg survey of homeless individuals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
André Hajek ◽  
Franziska Bertram ◽  
Fabian Heinrich ◽  
Victoria van Rüth ◽  
Benjamin Ondruschka ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Insurance ◽  
Health Care Use ◽  
Health Related Quality ◽  
Physician Visits ◽  
Related Quality ◽  
Health Related ◽  
Lower Health

Abstract Background To identify the determinants of health care use among homeless individuals. Methods Data were taken from the Hamburg survey of homeless individuals (n = 100 individuals in the here used model, mean age 44.8 years, SD 12.5) focusing on homeless individuals in Hamburg, Germany. The number of physician visits in the past 3 months and hospitalization in the preceding 12 months were used as outcome measures. Drawing on the Andersen model of health care use as a conceptual framework, predisposing characteristics, enabling resources and need factors as well as psychosocial variables were included as correlates. Results Negative binomial regressions showed that increased physician visits were associated with being female (IRR: 4.02 [95% CI: 1.60–10.11]), absence of chronic alcohol consume (IRR: 0.26 [95% CI: 0.12–0.57]) and lower health-related quality of life (IRR: 0.97 [95% CI: 0.96–0.98]). Furthermore, logistic regressions showed that the likelihood of hospitalization was positively associated with lower age (OR: 0.93 [95% CI: 0.89–0.98]), having health insurance (OR: 8.11 [2.11–30.80]) and lower health-related quality of life (OR: 0.97 [95% CI: 0.94–0.99]). Conclusions Our study showed that predisposing characteristics (both age and sex), enabling resources (i.e., health insurance) and need factors in terms of health-related quality of life are main drivers of health care use among homeless individuals. This knowledge may assist in managing health care use.

scholarly journals Prevalence of Post-Concussion-Like Symptoms in the General Injury Population and the Association with Health-Related Quality of Life, Health Care Use, and Return to Work

2021 ◽  
Vol 10 (4) ◽  
pp. 806
Author(s):  
Marjolein van der Vlegel ◽  
Suzanne Polinder ◽  
Hidde Toet ◽  
Martien J.M. Panneman ◽  
Juanita A. Haagsma
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care Utilization ◽  
Return To Work ◽  
Health Care Use ◽  
Care Utilization ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Little is known about post-concussion-like symptoms in the general injury population and the association of these symptoms with outcome after injury. This study aimed to assess the prevalence of post-concussion-like symptoms in a general injury population and describe the association between post-concussion syndrome (PCS) and health-related quality of life (HRQL), health care use, and return to work. In this longitudinal study of a cohort of injury patients, data were collected 6 and 12 months after their Emergency Department visit. Questionnaires included socio-demographics, health care utilization, return to work and the five-level version of the EuroQol five-dimensional descriptive system (EQ-5D-5L) to measure HRQL. The 12-month questionnaire included the Rivermead Post-Concussion Symptoms Questionnaire (RPQ). In total, 282 (22.0%) of the 1282 patients met the criteria for PCS. Apart from the high prevalence of PCS in patients with head injuries (29.4%), a considerable proportion of non-head injury patients also had PCS (20.6%) a year after injury. Patients with PCS had lower HRQL, lower return to work rates, and higher health care utilization, compared to patients without PCS. This underlines the importance of developing strategies to prevent post-concussion-like symptoms among injury patients, raising awareness among patients and physicians on the occurrence of PCS, early detection of PCS in the general injury population, and development of strategies to optimize recovery in this group of injury patients, ultimately leading to lower the individual and economic burden of injury.

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