Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8257406 | Archives of Gerontology and Geriatrics | 2018 | 6 Pages |
Abstract
This study aimed to estimate the loss of health-related quality of life (HRQOL) associated with common chronic conditions in older Chinese population.Weitang Geriatric Diseases Study is a community-based health survey on 5557 Chinese aged 60 years or older. The study population was measured with EQ-5D-3L for HRQOL assessment. We also assessed the coexisting chronic conditions of depression, cognitive dysfunction, stroke, heart disease, diabetes, hypertension, obesity, hyperlipidemia and visual impairment based on self-completed questionnaires, biomarkers and medical records. Ordinary Least Square regression was performed to model the relationship between the conditions and the EQ-5D-3L index scores. The robust standard error (RSE) estimator was adopted to calculate 95% confidence interval (CI) for coefficients. The mean EQ-5D-3L representing overall HRQOL was 0.954 (standard deviation: 0.081) with 70% of participants reporting full health. After controlling for socio-demographic characteristics and comorbidities, depression, stroke, heart disease and cognitive dysfunction had significantly adverse impact on the EQ-5D index score. The respective coefficients (95% CI) of each condition were â0.191 (â0.233, â0.150), â0.052 (â0.086, â0.019), â0.019 (â0.029, â0.010), and â0.016 (â0.024, â0.008). Chronic conditions were found to contribute to HRQOL loss in older Chinese population. The utility and utility decrement estimated can be used for quality-adjusted life-year calculation.
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Authors
Chen-Wei Pan, Xiao-Ling Cong, Hui-Jun Zhou, Xing-Zhi Wang, Hong-Peng Sun, Yong Xu, Pei Wang,