Trial reportHealth and quality of life outcomes2010
Reference bias: presentation of extreme health states prior to EQ-VAS improves health-related quality of life scores. a randomised cross-over trial.
Trial report in Health and quality of life outcomes, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- Population norms for the EQ-5D-3L and EQ-5D-5L in Romania.Health and quality of life outcomes · 2023Article
- Accuracy of post-operative recall by degenerative cervical myelopathy patients using the modified Japanese Orthopaedic Association scale.Journal of clinical and translational research · 2022Article
- The pathways from perceived discrimination to self-rated health among the Chinese diaspora during the COVID-19 pandemic: investigation of the roles of depression, anxiety, and social support.International journal for equity in health · 2021Article
- Head-to-head comparison of health-state values derived by a probabilistic choice model and scores on a visual analogue scale.The European journal of health economics : HEPAC : health economics in prevention and care · 2017Article
- Multimorbidity in chronic disease: impact on health care resources and costs.Risk management and healthcare policy · 2016Review
- A survey investigating the associations between self-management practices and quality of life in cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015Article
- Physical activity and health-related quality of life among physiotherapists: a cross sectional survey in an Australian hospital and health service.Journal of occupational medicine and toxicology (London, England) · 2014Article
- Visual analogue scales: scale recalibration by patients with dementia and their proxies.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2013Article
- Physiotherapists have accurate expectations of their patients' future health-related quality of life after first assessment in a subacute rehabilitation setting.BioMed research international · 2013Article
- Patients undergoing subacute rehabilitation have accurate expectations of their health-related quality of life at discharge.Health and quality of life outcomes · 2012Article
- Use of Condition-Specific Patient-Reported Outcome Measures in Clinical Trials among Patients with Wrist Osteoarthritis: A Systematic Review.Advances in orthopedics · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClinical practice and clinical research has made a concerted effort to move beyond the use of clinical indicators alone and embrace patient focused care through the use of patient reported outcomes such as health-related quality of life. However, unless patients give consistent consideration to the health states that give meaning to measurement scales used to evaluate these constructs, longitudinal comparison of these measures may be invalid. This study aimed to investigate whether patients give consideration to a standard health state rating scale (EQ-VAS) and whether consideration of good and poor health state descriptors immediately changes their self-report.
methodsA randomised crossover trial was implemented amongst hospitalised older adults (n = 151). Patients were asked to consider descriptions of extremely good (Description-A) and poor (Description-B) health states. The EQ-VAS was administered as a self-report at baseline, after the first descriptors (A or B), then again after the remaining descriptors (B or A respectively). At baseline patients were also asked if they had considered either EQ-VAS anchors.
resultsOverall 106/151 (70%) participants changed their self-evaluation by ≥ 5 points on the 100 point VAS, with a mean (SD) change of +4.5 (12) points (p < 0.001). A total of 74/151 (49%) participants did not consider the best health VAS anchor, of the 77 who did 59 (77%) thought the good health descriptors were more extreme (better) then they had previously considered. Similarly 85/151 (66%) participants did not consider the worst health anchor of the 66 who did 63 (95%) thought the poor health descriptors were more extreme (worse) then they had previously considered.
conclusionsHealth state self-reports may not be well considered. An immediate significant shift in response can be elicited by exposure to a mere description of an extreme health state despite no actual change in underlying health state occurring. Caution should be exercised in research and clinical settings when interpreting subjective patient reported outcomes that are dependent on brief anchors for meaning.
trial registrationAustralian and New Zealand Clinical Trials Registry (#ACTRN12607000606482) http://www.anzctr.org.au.
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