우리나라 성인에서 일부 질환과 연관된 건강관련 삶의 질 감소

길선령; 이상일; 윤성철; 안형미; 조민우

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자료유형: 학술저널

저자정보: 길선령 이상일 윤성철 안형미 조민우

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제41권 제6호

발행연도: 2008.1

수록면: 434 - 441 (8page)

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Objectives : This study was conducted to measure the decline in the health-related quality of life (HRQoL) associated with some diseases in South Korean adults. Methods : The EQ-5D health states in the 2005 National Health and Nutrition Examination Survey (NHNES) and the Korean EQ-5D valuation set were used to obtain the EQ-5D indexes of the study subjects. Each disease group was defined when the subjects reported to the NHNES that they were diagnosed with the corresponding disease during the previous 1 year by physicians. Since the distributions of the EQ-5D indexes in each subgroup were negatively skewed, median regression analysis was used to estimate the effects of specific diseases on the HRQoL. Median regression analysis produced estimates that approximated the median of the EQ-5D indexes and there are more robust for analyzing data with many outliers. Results : A total of 16,692 subjects (6,667 patients and 10,025 people without any disease) were included in the analysis. As a result of the median regression analysis, stroke had the strongest impact on the HRQoL for both males and females, followed by osteoporosis, osteoarthritis, rheumatic arthritis, and herniation of an intervertebral disc. While asthma had a significant impact on the HRQoL only in men, cataract, temporo-mandibular dysfunction, and peptic ulcer significantly affected the HRQoL only in women. Conclusions : Stroke and musculoskeletal diseases were associated with the largest losses of the HRQoL in Korean adults.

#EQ-5D #Health-related quality of life #Summary measure of population health

참고문헌 (27)

참고문헌 신청

Badia X / 1998 / Using the EuroQoI 5-D in the Catalan general population: feasibility and construct validity / Qual Life Res 7 (4) : 311 ~ 322

Bharmal M / 2006 / Comparing the EQ-5D and the SF-6D descriptive systems to assess their ceiling effects in the US general population / Value Health 9 (4) : 262 ~ 271

Centers for Disease Control and Prevention / 2000 / Measuring Healthy Days / CDC

Charlson ME / 1987 / A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation / J Chron Dis 40 (5) : 373 ~ 383

Charro FD / 2008 / Developing an improved measure of health outcomes: EQ-5D in transition. ISPOR 13th Annual International Meeting; 2008 May 3-7; Sheraton Centre Toronto, Canada / ISPOR

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