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https://hdl.handle.net/2440/114988
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dc.contributor.author | Ratcliffe, J. | - |
dc.contributor.author | Flint, T. | - |
dc.contributor.author | Easton, T. | - |
dc.contributor.author | Killington, M. | - |
dc.contributor.author | Cameron, I. | - |
dc.contributor.author | Davies, O. | - |
dc.contributor.author | Whitehead, C. | - |
dc.contributor.author | Kurrle, S. | - |
dc.contributor.author | Miller, M. | - |
dc.contributor.author | Liu, E. | - |
dc.contributor.author | Crotty, M. | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Applied Health Economics and Health Policy, 2017; 15(3):399-412 | - |
dc.identifier.issn | 1175-5652 | - |
dc.identifier.issn | 1179-1896 | - |
dc.identifier.uri | http://hdl.handle.net/2440/114988 | - |
dc.description | Published online: 23 November 2016 | - |
dc.description.abstract | Objective: To empirically compare the measurement properties of the DEMQOL-U and DEMQOL-Proxy-U instruments to the EQ-5D-5L and its proxy version (CEQ-5D-5L) in a population of frail older people living in residential aged care in the post-hospitalisation period following a hip fracture. Methods: A battery of instruments to measure health-related quality of life (HRQoL), cognition, and clinical indicators of depression, pain and functioning were administered at baseline and repeated at 4 weeks’ follow-up. Descriptive summary statistics were produced and psychometric analyses were conducted to assess the levels of agreement, convergent validity and known group validity between clinical indicators and HRQoL measures. Results: There was a large divergence in mean (SD) utility scores at baseline for the EQ-5D-5L and DEMQOL-U [EQ-5D-5L mean 0.21 (0.19); DEMQOL-U mean 0.79 (0.14)]. At 4 weeks’ follow-up, there was a marked improvement in EQ-5D-5L scores whereas DEMQOL-U scores had deteriorated. [EQ-5D-5L mean 0.45 (0.38); DEMQOL-U mean 0.58 (0.38)]. The EQ-5D and CEQ-5D-5L were more responsive to the physical recovery trajectory experienced by frail older people following surgery to repair a fractured hip, whereas the DEMQOL-U and DEMQOL-Proxy-U appeared more responsive to the changes in delirium and dementia symptoms often experienced by frail older people in this period. Conclusions: This study presents important insights into the HRQoL of a relatively under-researched population of post-hospitalisation frail older people in residential care. Further research should investigate the implications for economic evaluation of self-complete versus proxy assessment of HRQoL and the choice of preference-based instrument for the measurement and valuation of HRQoL in older people exhibiting cognitive decline, dementia and other co-morbidities. | - |
dc.description.statementofresponsibility | Julie Ratcliffe, Thomas Flint, Tiffany Easton, Maggie Killington, Ian Cameron, Owen Davies, Craig Whitehead, Susan Kurrle, Michelle Miller, Enwu Liu, Maria Crotty | - |
dc.language.iso | en | - |
dc.publisher | Springer International Publishing | - |
dc.rights | © Springer International Publishing Switzerland 2016 | - |
dc.source.uri | http://dx.doi.org/10.1007/s40258-016-0293-7 | - |
dc.subject | Hip Fractures | - |
dc.title | An empirical comparison of the EQ-5D-5L, DEMQOL-U and DEMQOL-Proxy-U in a post-hospitalisation population of frail older people living in residential aged care | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1007/s40258-016-0293-7 | - |
dc.relation.grant | http://purl.org/au-research/grants/nhmrc/9100000 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Ratcliffe, J. [0000-0001-7365-1988] | - |
Appears in Collections: | Aurora harvest 8 Public Health publications |
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