If EQ-5D-5L Mobility Dimension Ratings Are High, Is Life-Space Assessment a Clinically Sensible Next Step? Data from a Population Survey.

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Journal of palliative medicine Pub Date : 2024-11-01 Epub Date: 2024-10-04 DOI:10.1089/jpm.2024.0193
Slavica Kochovska, Sungwon Chang, Jane L Phillips, David C Currow
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Abstract

Background: Impaired health states can limit a person's mobility, often progressively for people with life-limiting illnesses. Quantifying mobility changes is crucial for individual clinical care and service planning. Objective: To explore any correlation between EQ-5D-5L's mobility dimension ratings and Life-Space Assessment (LSA) from a population sample. Methods: An online population survey of Australian adults, nationally-representative by key demographics. An analysis of variance examined each level of the EQ-5D-5L mobility dimension rating against its LSA scores; Kendall's Tau assessed correlation. Results: Participants (n = 6366) were 53% women, mean age 46.1 years (SD 18.6), and mean LSA score 78.0 (SD = 27.5; possible range 0-120). At each EQ-5D-5L mobility dimension level there was a significant difference between LSA scores (p < 0.001), and a moderate negative correlation (Kendall's tau b = -0.342) between the two measures. Conclusion: Given the relationship defined, EQ-5D-5L mobility dimension ratings may prompt clinicians to consider further evaluation with the more detailed Life-Space Assessment. .

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如果 EQ-5D-5L 移动性维度评分很高,那么生活空间评估是否是临床上合理的下一步?来自人口调查的数据。
背景:健康受损会限制人的行动能力,对于患有局限生命的疾病的人来说,这种限制往往是渐进的。量化行动能力的变化对个人临床护理和服务规划至关重要。研究目的从人口样本中探讨 EQ-5D-5L 的行动能力维度评分与生命空间评估(LSA)之间的相关性。方法:对澳大利亚成年人进行在线人口调查:对澳大利亚成年人进行在线人口调查,主要人口统计数据在全国范围内具有代表性。方差分析研究了 EQ-5D-5L 移动能力维度评级的各个级别与 LSA 分数之间的关系;Kendall's Tau 评估了相关性。结果参与者(n = 6366)中 53% 为女性,平均年龄 46.1 岁(SD 18.6),平均 LSA 得分 78.0(SD = 27.5;可能范围 0-120)。在每个 EQ-5D-5L 移动能力维度水平上,LSA 分数之间都存在显著差异(p < 0.001),并且这两个测量值之间存在中度负相关(Kendall's tau b = -0.342)。结论鉴于所定义的关系,EQ-5D-5L 移动性维度评分可能会促使临床医生考虑使用更详细的生命空间评估进行进一步评估。.
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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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