Comparison of Quality of Life Scales after Stroke in Hungarian and International Practice

Author(s)

Keresztesy V1, Karádi ZN2, Boncz I3, Kajos L4, Molics B4
1University of Pécs, Pécs, Hungary, 2University of Pécs Clinical Centre, Pécs, Hungary, Hungary, 3University of Pécs, BUDAPEST, PE, Hungary, 4University of Pécs, Pécs, BA, Hungary

OBJECTIVES: The results of quality-of-life measurements can contribute to the organization of optimal patient pathways, the formulation of acceptable quality-of-life goals for the patient, and the evaluation and improvement of the effectiveness and efficiency of care. In Hungary and globally, rehabilitation after stroke is one of the leading public health problems. Stroke patients' quality of life needs to measured with adequate tools to get adequat feedback of the rehabilitation process.

METHODS: Our review is based on the keywords "quality-of-life", "measuring" and "stroke" in PubMed and Google Scholar. To detect the applied scales in Hungary, researchers from stroke rehabilitation institutions were interviewed using the snowball method, and we collected the current professional protocols and their recommended scales. We aimed to provide a literature summary of the generic and stroke-specific quality-of-life questionnaires in use internationally and to compare them with generic and stroke-specific quality-of-life questionnaires in use in Hungary.

RESULTS: We found 44 stroke-specific questionnaires in international use, 2 of which are quality-of-life questionnaires (Stroke Specific Quality of Life and Stroke Impact Scale). In Hungary, we found a total of 54 scales and tests in rehabilitation care programs, but these are suitable for functional status assessment. We identified 3 generic questionnaires for measuring the quality of life (EQ5D, Q15D, and SF-36). No stroke-specific quality of life questionnaire was found in Hungarian practice.

CONCLUSIONS: In the literature summary study, we discovered a methodological gap: no disease-specific quality of life questionnaire was found in the Hungarian research toolkit. Among the questionnaires used in international practice, the Stroke Impact Scale was found to be more valid and reliable according to the reviewed comparative publications.

Conference/Value in Health Info

2024-05, ISPOR 2024, Atlanta, GA, USA

Value in Health, Volume 27, Issue 6, S1 (June 2024)

Code

PCR248

Topic

Methodological & Statistical Research, Patient-Centered Research, Study Approaches

Topic Subcategory

Instrument Development, Validation, & Translation, Literature Review & Synthesis, Patient-reported Outcomes & Quality of Life Outcomes, PRO & Related Methods

Disease

Cardiovascular Disorders (including MI, Stroke, Circulatory), No Additional Disease & Conditions/Specialized Treatment Areas

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