Evidence map›Paper›PMID 32605559›Full record

ArticleBMC musculoskeletal disorders2020

Is retrospective assessment of health-related quality of life valid?

Andrew Lawson, Aidan C Tan, Justine Naylor, Ian A Harris

Abstract readValidation Study
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
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  7. Distress as a Function of Social Exclusion and Assertiveness among Homosexual/Bisexual People.International journal of environmental research and public health · 2024
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  16. Work intensity and quality of life can be restored following double-level osteotomy in varus knee osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  17. Review
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  19. Article
  20. Quality of Life in Patients with Pancreatic Cancer before and during the COVID-19 Pandemic.International journal of environmental research and public health · 2022
    Observational
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

4 authors.

Andrew LawsonWhitlam Orthopaedic Research Centre, Level 2, Ingham Institute for Applied Medical Research South Western Sydney Clinical School, UNSW Sydney, 1 Campbell St, Liverpool, Sydney, NSW, AUS 2170, Australia. aalawson@tpg.com.au.ORCID http://orcid.org/0000-0002-1367-6443
Aidan C TanWhitlam Orthopaedic Research Centre, Level 2, Ingham Institute for Applied Medical Research South Western Sydney Clinical School, UNSW Sydney, 1 Campbell St, Liverpool, Sydney, NSW, AUS 2170, Australia.
Justine NaylorWhitlam Orthopaedic Research Centre, Level 2, Ingham Institute for Applied Medical Research South Western Sydney Clinical School, UNSW Sydney, 1 Campbell St, Liverpool, Sydney, NSW, AUS 2170, Australia.
Ian A HarrisWhitlam Orthopaedic Research Centre, Level 2, Ingham Institute for Applied Medical Research South Western Sydney Clinical School, UNSW Sydney, 1 Campbell St, Liverpool, Sydney, NSW, AUS 2170, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth-related quality of life (HRQoL) is a commonly used health outcome. For many acute conditions (e.g. fractures), retrospective measurement of HRQoL is necessary to establish pre-morbid health status. However, the validity of retrospective measurement of HRQoL following an intervening significant health event has not been established. The aim of this study was to test the validity of retrospective measurement (recall) of HRQoL by using a test-retest design to measure reliability and agreement between prospective and retrospective patient-reported HRQoL before and after an intervening health event (elective orthopaedic surgery).

methodParticipants were recruited from the pre-admission clinic of a metropolitan hospital. Participants were assessed for their HRQoL using the EQ-5D-5L at two time-points; prospectively at 2 weeks prior to their date of surgery and then retrospectively (recalling their pre-operative health) following elective hip or knee joint replacement surgery. Prospective measurements were compared with retrospective measurements for the five domain scores (nominal data) using intra-class correlation and for the EQ-Index score and EQ-Visual Analogue Scale (VAS) score (continuous data), using Pearson's correlation. Agreement was tested in continuous variables using Lin's coefficient of concordance (p

resultsOne hundred seventy-four patients consented to participate. Eighty-eight paired prospective and retrospective scores were collected and there was a median between-test period of 15 days. At a group level, the prospective measurements were similar to the retrospective measurements; the modes and means of the five domain scores were not different and the mean differences (MD) between the scores for EQ-Index (MD = 0.02, on a scale of 0-1) and EQ-VAS (MD = 0.53, on a scale of 1-100) were negligible. However, the correlation of paired scores was varied; the range of domain score correlations was 0.52 to 0.74, the concordance was substantial for the EQ-Index scores (p

conclusionAgreement between prospective and retrospective measurements was high at a group level and moderate to substantial at an individual level. Retrospective measurement of HRQoL using the EQ-5D-5L in an orthopaedic clinical context is a valid alternative to using reference data to estimate baseline or pre-morbid health status.

Indexed as

Health StatusQuality of LifeAdultAgedAged, 80 and overArthroplasty, Replacement, HipArthroplasty, Replacement, KneeFemaleHumansMaleMiddle AgedReproducibility of ResultsRetrospective StudiesSurveys and QuestionnairesEQ-5DProspectiveQuality of lifeReproducibility of resultsRetrospectiveSurveys and questionnairesTest-retest reliabilityValidity

Identifiers

PMID32605559
PMCPMC7329482

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Registered trials

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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.