Health-related quality of life and palliative care issues in neurotrauma

Author(s):  
Suparna Bharadwaj ◽  
Lashmi Venkatraghavan
2016 ◽  
Vol 30 (10) ◽  
pp. 935-949 ◽  
Author(s):  
Lucy H Coombes ◽  
Theresa Wiseman ◽  
Grace Lucas ◽  
Amrit Sangha ◽  
Fliss EM Murtagh

Background: The number of children worldwide requiring palliative care services is increasing due to advances in medical care and technology. The use of outcome measures is important to improve the quality and effectiveness of care. Aim: To systematically identify health-related quality-of-life outcome measures that could be used in paediatric palliative care and examine their feasibility of use and psychometric properties. Design: A systematic literature review and analysis of psychometric properties. Data sources: PsychInfo, Medline and EMBASE were searched from 1 January 1990 to 10 December 2014. Hand searches of the reference list of included studies and relevant reviews were also performed. Results: From 3460 articles, 125 papers were selected for full-text assessment. A total of 41 articles met the eligibility criteria and examined the psychometric properties of 22 health-related quality-of-life measures. Evidence was limited as at least half of the information on psychometric properties per instrument was missing. Measurement error was not analysed in any of the included articles and responsiveness was only analysed in one study. The methodological quality of included studies varied greatly. Conclusion: There is currently no ‘ideal’ outcome assessment measure for use in paediatric palliative care. The domains of generic health-related quality-of-life measures are not relevant to all children receiving palliative care and some domains within disease-specific measures are only relevant for that specific population. Potential solutions include adapting an existing measure or developing more individualized patient-centred outcome and experience measures. Either way, it is important to continue work on outcome measurement in this field.


2009 ◽  
Vol 23 (5) ◽  
pp. 432-440 ◽  
Author(s):  
M Ahlner-Elmqvist ◽  
K Bjordal ◽  
MS Jordhøy ◽  
S Kaasa ◽  
M Jannert

2012 ◽  
Vol 15 (7) ◽  
pp. 790-797 ◽  
Author(s):  
Caprice Knapp ◽  
Vanessa Madden ◽  
Dennis Revicki ◽  
David Feeny ◽  
Hua Wang ◽  
...  

Author(s):  
Elissa G. Miller

Quality of life is an important part of health, health care, and disease management. As disease progresses, health-related quality of life often declines and may decline significantly. Patients with a poor prognosis for survival may choose to limit disease-directed therapy based on quality of life considerations. In pediatrics, parents are often asked to determine their child’s quality of life, and in palliative care, the quality of life assessment may be used to help establish goals of care and determine the medical plan of care. This chapter discusses quality of life, how to assess it, and how to combine quality of life with patient prognosis in order to determine a plan of care.


2006 ◽  
Vol 9 (3) ◽  
pp. 716-728 ◽  
Author(s):  
Ross M. Hays ◽  
Jeanette Valentine ◽  
Gerri Haynes ◽  
J. Russel Geyer ◽  
Nanci Villareale ◽  
...  

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