Health-related quality of life (HRQoL) after stroke: Positive relationship between lower extremity and balance recovery

Abstract Background Patients with lower extremity problems (LEP) commonly experience functional loss, pain, decreased range of motion, inadequacy in daily living activities, and structural change in radiographic evaluations. However, the traditional patient-reported outcome measurement which focused on symptoms, had a limited scope of applicability. This study aimed to validate the psychometric properties of the Korean version of PROMIS-29 Profile v2.1 (K-PROMIS-29 V2.1), a multi-dimensional measure for assessing generic profile health-related quality-of-life (HRQoL) in a sample of patients with lower extremity problems (LEP). Methods Participants were recruited from the orthopedic outpatient clinics at the Samsung Medical Center in Seoul, South Korea from September to October 2018. Participants completed a survey questionnaire that included the K-PROMIS-29 V2.1 and the SF-36v2. Principal component analysis (PCA) and confirmatory factor analysis (CFA) and Pearson’s correlations were used to evaluate the reliability and validity of the K-PROMIS-29 V2.1. Results A total of 299 participants were enrolled in the study and 258 (86%) completed the study questionnaire. The mean age (SD) of the participants was 56.6 (14.5) and 32.3%, 29.8, and 25.2% of the study participants visited outpatient clinics for foot, knee, and hip problems respectively. The Cronbach’s alpha coefficients of 7 sub-domains in K-PROMIS-29 V2.1 ranged from 0.80 to 0.95, indicating satisfactory internal consistency. In CFA, the goodness-of-fit indices were high (CFI = 0.937 and SRMR = 0.061). High to moderate correlations were found between comparable subscales of the K-PROMIS-29 V2.1 and subscales of the SF-36v2 (r = 0.55–0.70). Conclusions The K-PROMIS-29 V2.1 is a reliable and valid measure for assessing a broad range of health-related quality-of-life domains in patients with LEP. It would reflect the real-life symptoms experienced by patients with LEP.

Download Full-text

Assessment of health-related quality of life among patients undergoing peripheral percutaneous intervention: The ALEVE Aassessment of Lower Extremity reVascularization outcomEs) study

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(03)82811-5 ◽

2003 ◽

Vol 41 (6) ◽

pp. 522 ◽

Cited By ~ 1

Author(s):

Roberto A. Corpus ◽

John A. House ◽

William C. Daniels ◽

Steven B. Laster ◽

John A. Spertus ◽

...

Keyword(s):

Quality Of Life ◽

Lower Extremity ◽

Percutaneous Intervention ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Outcomes Study ◽

Lower Extremity Revascularization

Download Full-text

The relationship between resilience and quality of life in patients with a drainage enterostomy

Journal of Health Psychology ◽

10.1177/1359105318761555 ◽

2018 ◽

Vol 25 (10-11) ◽

pp. 1483-1497 ◽

Cited By ~ 1

Author(s):

María Dolores Temprado Albalat ◽

Pedro García Martínez ◽

Rafa Ballester Arnal ◽

Eladio J Collado-Boira

Keyword(s):

Quality Of Life ◽

Positive Relationship ◽

Prospective Observational Study ◽

Health Indicators ◽

Health Related Quality ◽

General Quality ◽

Related Quality ◽

Health Related ◽

The Relationship

Impact and adjustment to a drainage enterostomy are measured mainly through health indicators. To investigate the relationship between resilience and adaptation to the placement of a drainage enterostomy. Prospective observational study with a sample of 125 patients (64 men/36 women) with a temporary or permanent drainage enterostomy and a mean age of 66.72 years. High quality of life (mean, 80.5) and resilience (mean, 79.57) scores and a positive relationship between both were found. There seems to be a positive relationship with general quality of life and health-related quality of life. The logistic regression model shows that the main predictor as regards health-related quality of life is resilience.

Download Full-text

Health-related quality-of-life improvement with lumbar fusion in patients with lower-extremity arthritis

Journal of Neurosurgery Spine ◽

10.3171/2020.6.spine20759 ◽

2021 ◽

Vol 34 (1) ◽

pp. 60-65

Author(s):

Mladen Djurasovic ◽

Steven Glassman ◽

Jeffrey L. Gum ◽

Charles H. Crawford ◽

R. Kirk Owens ◽

...

Keyword(s):

Quality Of Life ◽

Lower Extremity ◽

Lumbar Fusion ◽

Low Back ◽

Health Related Quality ◽

Meaningful Improvement ◽

Patient Reported ◽

Related Quality ◽

Health Related

OBJECTIVELumbar fusion can lead to significant improvements in patient-reported outcomes (PROs) in patients with degenerative conditions. It is unknown whether the presence of hip or knee arthritis confounds the responses of patients to low-back–specific PROs. This study examined PROs with lumbar fusion in patients with concomitant lower-extremity arthritis. The purpose of the current study was to examine whether patients with significant lower-extremity arthritis who undergo lumbar fusion achieve similar improvements in low-back–specific PROs compared to patients without lower-extremity arthritis.METHODSPatients were identified from a prospectively enrolled multicenter registry of patients undergoing lumbar fusion surgery for degenerative conditions. Two hundred thirty patients identified with lumbar fusion and who also had concomitant lower-extremity arthritis were propensity matched to 233 patients who did not have lower-extremity arthritis based on age, BMI, sex, smoking status, American Society of Anesthesiologists grade, number of levels fused, and surgical approach. One-year improvement in PROs, numeric rating scales (0–10) for back and leg pain, and the Oswestry Disability Index and EuroQol-5D scores were compared for patients with and without lower-extremity arthritis.RESULTSBaseline demographics and preoperative outcome measures did not differ between the two propensity-matched groups with 110 cases each. Patients with concomitant lower-extremity arthritis achieved similar improvement in health-related quality-of-life measures to patients without lower-extremity arthritis, with no significant differences between the groups (p > 0.10).CONCLUSIONSThe presence of lower-extremity arthritis does not adversely affect the results of lumbar fusion in properly selected patients. Patients with lower-extremity arthritis who undergo lumbar fusion can achieve meaningful improvement in PROs similar to patients without arthritis.

Download Full-text