Evidence map›Paper›PMID 16285884›Full record

ArticleHealth and quality of life outcomes2005

The Visual Analog rating Scale of health-related quality of life: an examination of end-digit preferences.

Amir Shmueli

2 registry-linked trialsAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02463734 unknown statusnot on this mapstarted 2015, after this paper: background citation

Development of the Dementia Quality of Life Scale for Older Family Carers of People With Dementia (DQoL-OC) and Evaluation of Its Psychometric Properties

TypeobservationalSponsorUniversity of NottinghamRan2015 to 2016Enrolled300ConditionsQuality of Life
NCT07458841 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effectiveness of the Nurse-led Discharge Interventions in Promoting Hospital Patients' Primary Health Care Outcomes on Discharge: A Proof-of-concept Cluster Randomized Controlled Trial

TypeinterventionalSponsorThe University of Hong KongRan2026 to 2027Enrolled120ConditionsPrimary HealthcareArmsPrimary healthcare discharge education, specially-designed health education leaflet, Patient discharge package, usual hospital discharge practice
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Co-Morbidity Clusters in Post-COVID-19 Syndrome.Journal of clinical medicine · 2024
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  16. CHECKLIST USE FOR ASSESSMENT OF SATISFACTION WITH TRANS-TIBIAL PROSTHESES.Journal of rehabilitation medicine. Clinical communications · 2021
    Article
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  20. Using EQ-5D Data to Measure Hospital Performance: Are General Population Values Distorting Patients' Choices?Medical decision making : an international journal of the Society for Medical Decision Making · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Amir ShmueliDepartment of Health Management, The Hebrew University, POB 12272 Jerusalem, Israel. ashmueli@md.huji.ac.il

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Visual Analog Scale (VAS) has been extensively used in the valuation of health-related quality of life (HRQL). The objective of this paper is to examine the measurement error (rounding) explanation for the higher prevalence of VAS scores ending with a zero, and to provide an alternative interpretation.

methodsThe analysis is based on more than 4,500 reported VAS valuations of own HRQL, included in two Israeli health surveys (1993 and 2000). Bivariate and logistic regression analyses are used.

resultsThe results show that reporting VAS scores ending with a 0 (...-20, ..0,10,20.....) decreases and scores ending with a 5 (...-15,-5,5,15,25,...) and with any other integer (...-12, -11,...1,2,...,92,..99) increases as VAS scores depart from 50, particularly when increasing up to 100. This pattern remains after controlling for personal characteristics determining the level of VAS. DISCUSSION: Rounding true HRQL to the nearest 10's or 5's cannot explain the specific pattern found. It is suggested that this pattern corresponds to a S-shaped value function, where individuals tend to evaluate their HRQL as "gains" or "losses" relative to a reference point evaluated at 50. This particular reference score originates from being a traditional "passing threshold" and the scale's midpoint. Several implications of this interpretation to the measurement of HRQL are discussed.

Indexed as

Health Status IndicatorsQuality of LifeStatistical DistributionsAgedAttitude to HealthFemaleHumansIsraelMaleMiddle AgedPain MeasurementPsychometricsSurveys and Questionnaires

Identifiers

PMID16285884
PMCPMC1308843

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.