INVESTIGATING THE CONSTRUCT VALIDITY OF A DISEASE SPECIFIC AND A GENERAL QUALITY OF LIFE INSTRUMENTS OF PATIENTS WITH RHEUMATOID ARTHRITIS
Author(s)
Lovas K1, Szende A2, Bàlint G3, Szebenyi B3, Héjj G3, 1Semmelweis University, Budapest, Hungary; 2AstraZeneca, Torokbalint, Hungary; 3National Institute of Rheumatology and Physiotherapy, Budapest, Hungary
OBJECTIVES: Quality of life is a key parameter in describing the health status patients of rheumatoid arthritis. Construct validity of a generic (EQ-5D) and a disease specific (RAQoL) quality of life instrument was tested with the intention of further use in clinical and health economic trials and burden of disease studies in Hungary. METHODS: RAQoL and EQ-5D have been recently adapted into Hungarian. Authors analysed the demographic and QoL data from a cross-sectional postal survey of patient with rheumatoid arthritis. The convergent validity of EQ-5D, RAQoL scores has been compared to functional measurement scores from the Health Assessment Questioner (HAQ). Pearson correlation coefficients were used to assess the level of association. RESULTS: 81 patients participated in the study. Mean age of the sample was 57.3 (SD=10.1) years, 89% (n=72) were female. The average disease duration among patients was 14.5 (SD=10.6) years. RAQoL scores were relatively strongly correlated (Pearson coefficient=0.662) with HAQ scores. The EQ-5D index scores showed higher correlation (0.627) with HAQ than the Visual Analogue Scale of EQ-5D (0.463). The Pearson Correlation Coefficient between RAQoL and EQ-5D index scores was 0.515, and between RAQoL and EQ-5D VAS scores was 0.396. CONCLUSIONS: Results suggest that the Hungarian RAQoL is a valid instrument of measuring QoL of rheumatoid arthritis patients. The EQ-5D index provides also appropriate results, and can be proposed for cost-utility analyses. However EQ-5D VAS scores are not recommended to describe the QoL of patients with rheumatoid arthritis.
Conference/Value in Health Info
2001-05, ISPOR 2001, Arlington, VA, USA
Value in Health, Vol. 4, No. 2 (March/April 2001)
Code
PAM5
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Musculoskeletal Disorders