Evidence map›Paper›PMID 41620990›Full record

Observational studyQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2026

Changes in health-related quality of life during outpatient rehabilitation: a prospective observational cohort study in four patient groups.

Daniëlla M Oosterveer, Maud E H Ophelders, Bianca M P Mourits, Eline W M Scholten, Johanna M A Visser-Meily, Joris A de Graaf

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Daniëlla M OosterveerBasalt, Leiden, The Netherlands.ORCID http://orcid.org/0000-0003-1540-6903
Maud E H OpheldersDepartment of Rehabilitation, Physical Therapy Science and Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands.
Bianca M P MouritsCenter of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht, PO Box 85500, 3508GA , Utrecht, The Netherlands.ORCID http://orcid.org/0009-0000-1051-9031
Eline W M ScholtenDepartment of Rehabilitation, Physical Therapy Science and Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-3846-0419
Johanna M A Visser-MeilyDepartment of Rehabilitation, Physical Therapy Science and Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-5955-8012
Joris A de GraafDepartment of Rehabilitation, Physical Therapy Science and Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands. j.a.degraaf-5@umcutrecht.nl.ORCID http://orcid.org/0000-0001-8036-1508

Funding

ZonMw 630000004
6 · The paper itself

Abstract

purposeTo evaluate changes in health-related quality of life (HRQoL) of different patient groups, as measured using the EuroQoL (EQ5D) during outpatient multidisciplinary rehabilitation.

methodsPatients with acquired brain injury, chronic pain, neurodegenerative diseases or oncological diagnoses, who received outpatient multidisciplinary rehabilitation, were included in a multi-center prospective observational cohort study. They completed the EQ5D, consisting of an index and a Visual Analogue Scale (VAS), at the start of outpatient rehabilitation (T0) and 6 months thereafter (T1), and two perceived change questions (about quality of life and about general health) at T1.

resultsBoth EQ5D index and VAS improved for the total sample (n = 419, 68.8% females, mean age 54.5 years) and for each patient group, with the exception of the EQ5D VAS in patients with neurodegenerative diseases. The latter group showed less improvement, as measured on the EQ5D index, than patients with chronic pain (p = 0.004), and less on VAS compared to the other patient groups (all p < 0.05). At an individual level, 76.8% (304/396) of all patients reported improvement on the perceived change question about quality of life and 279/419 (66.6%) on the perceived change question about general health. Again, patients with neurodegenerative diseases had the lowest percentages (49/83 (59.0%) and 39/85 (47.0%), respectively).

conclusionAll patient groups improved on HRQoL during outpatient multidisciplinary rehabilitation, both at group and individual level. However, patients with neurodegenerative diseases showed slightly less improvement than other patient groups, which may reflect the progressive nature of their disease rather than lower rehabilitation effectiveness.

Indexed as

Brain InjuriesNeoplasmsNeurodegenerative DiseasesOutpatientsQuality of LifeAdultAgedAmbulatory CareChronic PainCohort StudiesFemaleHealth StatusHumansMaleMiddle AgedProspective StudiesBrain injuriesChronic painNervous system diseasesQuality of lifeRehabilitation

Identifiers

PMID41620990
PMCPMC12862015

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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.