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Health-Related Quality of Life in Neurology
Allan R. Meyers, PhD;
Heather Gage, MSc;
Ann Hendricks, PhD
Arch Neurol. 2000;57:1224-1227.
Context In a climate of growing concern about costs of health care, professional accountability, and the effectiveness and efficiency of treatment, neurologists should understand measures of health-related quality of life (HRQoL) and appreciate both their values and their limits.
Objective To provide a critical review of current concepts in the measurement of HRQoL, with particular emphasis on those pertaining to neurologic conditions.
Design A selective overview of measurement strategies and specific instruments.
Setting Clinical and research settings.
Participants Special attention to people with such conditions as multiple sclerosis and Parkinson disease.
Main Outcome Measures The utility and relevance to neurologists of available measures of HRQoL.
Results There are both generic and condition- or disease-specific measures of HRQoL. Though many measures do not elicit response or are even offensive to people with such conditions as multiple sclerosis and Parkinson disease, other measures pertain directly to their circumstances and needs.
Conclusions Measures of HRQoL are both meaningful and relevant to neurologists. However, they must be refined—enabled—and used in combinations to address the clinical and existential realities of many neurologic conditions.
From the Department of Health Services (Drs Meyers and Hendricks), Boston University Schools of Public Health and Medicine, Boston, Mass; Department of Economics, University of Surrey, Guildford, England (Ms Gage); and Economics Section, Center for Health Quality, Outcomes, and Economic Research, Veterans Affairs Medical Center, Bedford, Mass (Dr Hendricks).
Dr Meyers is deceased.
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