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Commentary on Jack Dowie, “Decision validity should determine whether a generic or condition-specific HRQOL measure is used in health care decisions”

✍ Scribed by Gordon Guyatt

Publisher: John Wiley and Sons
Year: 2002
Tongue: English
Weight: 74 KB
Volume: 11
Category: Article
ISSN: 1057-9230
DOI: 10.1002/hec.666

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✦ Synopsis

A perfect health related quality of life (HRQL) measure would tap all aspects of HRQL, would be anchored to death and full health in a manner that allowed integration of quality and quantity of life, and would be able to detect any important differences in HRQL. The lack of a perfect measure necessitates the use of generic and specific health status measures in clinical trials.

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When a HRQOL measure is needed in health care decision making should it be a generic measure (a GEN), intended to cover the entire domain of health, a condition-specific measure (a CSM) intended to embrace those aspects of health associated with the condition concerned, or both? This paper proposes