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Health-Related Quality of Life in Pain Medicine: A Review of Theory and Practice

  • T. R. Vetter
Reference work entry

Abstract:

 Health-related quality of life (HRQOL) represents a valid means by which to assess the patient's own subjective yet vital perspective on the adverse impact of his or her  pain and its treatment. Routinely assessing HRQOL in adult and pediatric  health care can facilitate patient-physician communication, improve patient/parent satisfaction, identify hidden morbidities, and assist in clinical decision-making. Unique instruments exist to measure HRQOL within and across various cultures in adults as well as in children and adolescents. HRQOL is founded primarily on functionalism and reflects the currently recognized importance of assessing and treating not only the biological but also the psychological and social factors contributing to a patient's  chronic pain condition. The primary HRQOL domains are physical functioning, psychological functioning, social functioning and role activities, and individuals' overall life satisfaction and perceptions of their health status. HRQOL instruments fall into three basic categories: generic measures, condition-specific measures, and preference-based measures, with each category serving a specific pain-related clinical practice and clinical research purpose.  Generic Health-Related Quality of Life measures provide a common metric for comparisons across pain treatments, conditions, or populations, whereas  condition-specific Health-Related Quality of Life measures can identify small baseline differences and incremental changes in the unique and often most relevant aspects of a specific pain condition. Condition-specific HRQOL instruments thus serve as complements to rather than substitutes for generic measures. Further attention needs to be focused on measuring HRQOL in the pediatric setting, as well as in the palliative care and postoperative settings.

Keywords

Chronic Pain Health Utility Score Pediatric Health Care Generic HRQOL Measure Core Outcome Domain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:

CHIP

child health and illness profile

CHQ

child health questionnaire

COOP

Dartmouth primary care cooperative information charts

EQ-5D

euro quality of life-5D

HIT-6

headache impact test

HRQOL

health related quality of life

HUI

health utilities index

IMMPACT

 initiative on methods, measurement, and pain assessment in clinical trials

IRT

 item response theory

NHP

Nottingham health profile

PedsQL

pediatric quality of life inventory

QALY

quality adjusted life year

QOL

 quality of life

QWB

quality of well-being scale

SF-36

36-item short-form health survey

SF-6D

short form-6D

SIP

sickness impact profile

VAS

visual analogue scale

WHO

world health organization

WHOQOL

World Health Organization Quality of Life Instrument

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  • T. R. Vetter

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