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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2017

In support of an individualized approach to assessing quality of life: comparison between Patient Generated Index and standardized measures across four health conditions.

Nancy E Mayo, Ala' Aburub, Marie-Josée Brouillette, Ayse Kuspinar, Carolina Moriello, Ana Maria Rodriguez, Susan Scott

Abstract read
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In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
  2. Patient-reported Outcome Measures in Pediatric Orthopaedics.Journal of the Pediatric Orthopaedic Society of North America · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Commentary on Quigley et al.Physiotherapy Canada. Physiotherapie Canada · 2024
    Article
  7. Article
  8. Adaptation and content validation of measure yourself medical outcomes profile (MYMOP) for 7-11 year-old children.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  9. Article
  10. The Patient Generated Index (PGI) as an early-warning system for predicting brain health challenges: a prospective cohort study for people living with Human Immunodeficiency Virus (HIV).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  11. Review
  12. Article
  13. The prototype of a preference-based index of weight-related quality of life: demonstrating the possibilities.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  14. A longitudinal view of successful aging with HIV: role of resilience and environmental factors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  15. Article
  16. Article
  17. What is QOL in children and adolescents with physical disabilities? A thematic synthesis of pediatric QOL literature.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Review
  18. Article
  19. Development and validation of a voice-of-the-patient measure of cognitive concerns experienced by people living with HIV.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  20. Article
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

7 authors.

Nancy E MayoDepartment of Medicine, School of Physical and Occupational Therapy, McGill University, Royal Victoria Hospital Site, Ross Pavilion R4.29, 687 Pine Ave W, Montreal, QC, H3A 1A1, Canada. nancy.mayo@mcgill.ca.
Ala' AburubDepartment of Medicine, School of Physical and Occupational Therapy, McGill University, Royal Victoria Hospital Site, Ross Pavilion R4.29, 687 Pine Ave W, Montreal, QC, H3A 1A1, Canada.
Marie-Josée BrouilletteDepartment of Psychiatry, McGill University, Vancouver, BC, Canada.
Ayse KuspinarSchool of Rehabilitation Sciences, McMaster University, Room 403, 1400 Main St. W., Hamilton, ON, L8S 1C7, Canada.
Carolina MorielloDivision of Clinical Epidemiology, Division of Geriatrics, McGill University Health Center, Royal Victoria Hospital Site, Ross Pavilion R4.29, 687 Pine Ave W, Montreal, QC, H3A 1A1, Canada.
Ana Maria RodriguezSchool of Physical and Occupational Therapy, McGill University, 3654 William Osler, Montreal, QC, Canada.
Susan ScottDivision of Clinical Epidemiology, Division of Geriatrics, McGill University Health Center, Royal Victoria Hospital Site, Ross Pavilion R4.29, 687 Pine Ave W, Montreal, QC, H3A 1A1, Canada.

Funding

CIHR
6 · The paper itself

Abstract

backgroundIndividualized measures of health-related quality life (HRQL) have been used for decades and shown to provide unique information, but little work has been done to explain this uniqueness particularly across health conditions.

aimsTo estimate, across four health conditions, the magnitude of the association between scores derived from the Patient Generated Index (PGI) and those from fully standardized generic and disease-specific measures of the HRQL; to identify the extent to which the areas generated from the PGI are covered by the content of the fully standardized measures.

methodsThe PGI and other generic and disease-specific measures had been used in four different samples of people: stroke (n = 222), multiple sclerosis (MS; n = 185); advanced cancer (n = 173), and HIV+ (n = 690). Areas nominated on the PGI were harmonized to a standard nomenclature. Pearson correlations were estimated between PGI and other measures.

resultsData from 1263 people indicated that PGI provided the lowest rating for HRQL across all health conditions. The areas nominated differed across conditions with walking/mobility: the most common for stroke (42%), work/school for MS (62%), health for HIV+ (97%), and fatigue for cancer (39%). Many of the aspects of health included in generic measures were not nominated using the PGI and vice versa. The highest correlations between the PGI and other measures were observed for people with MS, with correlations between 0.53 and 0.59; lowest correlations were observed for people with HIV and cancer, ≤0.33. DISCUSSION: The PGI scores reflect those aspects of quality of life that are important to patients in which they would most value an improvement. Heterogeneity in HRQL across health conditions is poorly discriminated using standardized measures. A "one-size-fits-all" approach to HRQL assessment may not provide the most useful representation of this important construct.

Indexed as

Health StatusAdultDiseaseFemaleHumansMaleMiddle AgedQuality of LifeSurveys and QuestionnairesCancerHuman immunodeficiency virusIndividualized measuresMultiple sclerosisQuality of lifeStroke

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.