Skip to main content
Top
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Health related quality of life of Canary Island citizens

Authors: Juan Oliva-Moreno, Julio Lopez-Bastida, Melany Worbes-Cerezo, Pedro Serrano-Aguilar

Published in: BMC Public Health | Issue 1/2010

Login to get access

Abstract

Background

The aim of the study was to describe the health-related quality of life of Canarian population using information from the Canary Island Health Survey and three observational studies developed in the Canary Islands.

Methods

A descriptive analysis was carried out on a sample of 5.549 Canarian citizens using information from 2004 Canary Island Health Survey and three observational studies on Alzheimer's disease, Stroke and HIV. EQ-5 D was the generic tool used for revealing quality of life of people surveyed. Besides the rate of people reporting moderate or severe decrease in quality of life, TTO-index scores and visual analogue scale were used for assessing health related quality of life of people that suffer a specific diseases and general population.

Results

Self-perceived health status of citizens that suffer chronic diseases of high prevalence, identifies by the Canary Island Health Survey and other diseases such Alzheimer's disease, Stroke and HIV, independently examined in observational studies, are worse than self-perceived health of general population. Depression/anxiety and pain/discomfort were identified as the dimensions of the EQ-5 D with highest prevalence of problems. Alzheimer's disease and stroke were the illnesses with greater loss of quality of life.

Conclusions

Health related quality of life should be integrated into a set of information along with expectancy of life, incidence and prevalence of chronic diseases for developing health policy and planning health care activities The combination of information on health related quality of life from population health surveys with data from observational studies enlarges the sources of relevant information for setting health priorities and assessing the impact of health policies.
Literature
1.
go back to reference Sullivan M: The new subjective medicine: taking the patient's point of view on health care and health. Social Science & Medicine. 2003, 56: 1595-1604.CrossRef Sullivan M: The new subjective medicine: taking the patient's point of view on health care and health. Social Science & Medicine. 2003, 56: 1595-1604.CrossRef
2.
go back to reference Wood-Dauphine S: Assessing quality of life in clinical research: From where have we come and where are we going?. Journal of Clinical Epidemiology. 1999, 52: 355-363. 10.1016/S0895-4356(98)00179-6.CrossRef Wood-Dauphine S: Assessing quality of life in clinical research: From where have we come and where are we going?. Journal of Clinical Epidemiology. 1999, 52: 355-363. 10.1016/S0895-4356(98)00179-6.CrossRef
3.
go back to reference World Health Organization: The constitution of the World Health Organization. 1947, WHO Chronicle, 1: 6-24. World Health Organization: The constitution of the World Health Organization. 1947, WHO Chronicle, 1: 6-24.
4.
go back to reference Testa MA, Simonson DC: Assessment of Quality-of-Life Outcomes. N Eng J Med. 1996, 334: 835-840. 10.1056/NEJM199603283341306.CrossRef Testa MA, Simonson DC: Assessment of Quality-of-Life Outcomes. N Eng J Med. 1996, 334: 835-840. 10.1056/NEJM199603283341306.CrossRef
5.
go back to reference Testa MA: Interpretation of quality-of-life outcomes. Medical Care. 2000, 38: II166-II174. 10.1097/00005650-200009002-00026.CrossRefPubMed Testa MA: Interpretation of quality-of-life outcomes. Medical Care. 2000, 38: II166-II174. 10.1097/00005650-200009002-00026.CrossRefPubMed
6.
go back to reference Idler EL, Benyamini Y: Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behaviour. 1997, 38: 21-37. 10.2307/2955359.CrossRef Idler EL, Benyamini Y: Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behaviour. 1997, 38: 21-37. 10.2307/2955359.CrossRef
7.
go back to reference Ries A, Kaplan RM, Limbreg TM, Prewitt LM: Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Annals of Internal Medicine. 1995, 122: 823-832.CrossRefPubMed Ries A, Kaplan RM, Limbreg TM, Prewitt LM: Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Annals of Internal Medicine. 1995, 122: 823-832.CrossRefPubMed
8.
go back to reference Rodriguez-Artalejo F, Guallar-Castillon P, Pascual CR, Otero CM, Montes AO, Garcia AN, Conthe P, Chiva MO, Banegas JR, Herrera MC: Health-related quality of life as a predictor of hospital readmission and death among patients with heart failure. Arch Intern Med. 2005, 165 (11): 1274-9. 10.1001/archinte.165.11.1274.CrossRefPubMed Rodriguez-Artalejo F, Guallar-Castillon P, Pascual CR, Otero CM, Montes AO, Garcia AN, Conthe P, Chiva MO, Banegas JR, Herrera MC: Health-related quality of life as a predictor of hospital readmission and death among patients with heart failure. Arch Intern Med. 2005, 165 (11): 1274-9. 10.1001/archinte.165.11.1274.CrossRefPubMed
9.
go back to reference Kaplan MS, Berthelot JM, Feeny D, McFarland BH, Khan S, Orpana H: The predictive validity of health-related quality of life measures: mortality in a longitudinal population-based study. Qual Life Res. 2007, 16 (9): 1539-1546. 10.1007/s11136-007-9256-7.CrossRefPubMed Kaplan MS, Berthelot JM, Feeny D, McFarland BH, Khan S, Orpana H: The predictive validity of health-related quality of life measures: mortality in a longitudinal population-based study. Qual Life Res. 2007, 16 (9): 1539-1546. 10.1007/s11136-007-9256-7.CrossRefPubMed
10.
go back to reference Conelli JE, Philbrick JT, Smith GR, Kaiser DL, Wymer A: Health perceptions of primary care patients and the influence on health care utilization. Medical Care. 1989, 27: S99-S109. 10.1097/00005650-198903001-00009.CrossRef Conelli JE, Philbrick JT, Smith GR, Kaiser DL, Wymer A: Health perceptions of primary care patients and the influence on health care utilization. Medical Care. 1989, 27: S99-S109. 10.1097/00005650-198903001-00009.CrossRef
11.
go back to reference Siu AL, Reuben DB, Ouslander JB, Osterweil D: Using multidimensional health measures in older persons to identify the risk of hospitalization and skilled nursing placement. Quality of Life Research. 1993, 2: 253-261. 10.1007/BF00434797.CrossRefPubMed Siu AL, Reuben DB, Ouslander JB, Osterweil D: Using multidimensional health measures in older persons to identify the risk of hospitalization and skilled nursing placement. Quality of Life Research. 1993, 2: 253-261. 10.1007/BF00434797.CrossRefPubMed
12.
go back to reference Saarni SI, Sintonen H, Suvisaari J, Koskinen S, Aromaa A, Lönnqvist J: The impact of 29 chronic conditions on health-related quality of life: a general population survey in Finland using 15 D and EQ-5D. Qual Life Res. 2006, 15 (8): 1403-14. 10.1007/s11136-006-0020-1.CrossRefPubMed Saarni SI, Sintonen H, Suvisaari J, Koskinen S, Aromaa A, Lönnqvist J: The impact of 29 chronic conditions on health-related quality of life: a general population survey in Finland using 15 D and EQ-5D. Qual Life Res. 2006, 15 (8): 1403-14. 10.1007/s11136-006-0020-1.CrossRefPubMed
13.
go back to reference Hisashige A, Mikasa H, Katayama T: Description and valuation of health-related quality of life among the general public in Japan by the EuroQoL. The Journal of Medical Investigation. 1998, 45: 123-9.PubMed Hisashige A, Mikasa H, Katayama T: Description and valuation of health-related quality of life among the general public in Japan by the EuroQoL. The Journal of Medical Investigation. 1998, 45: 123-9.PubMed
14.
go back to reference Johnson JA, Coons SJ, Ergo A, Szava-Kovats G: Valuation of EuroQoL (EQ-5D) health states in an adult US sample. Pharmacoeconomics. 1998, 13: 421-33. 10.2165/00019053-199813040-00005.CrossRefPubMed Johnson JA, Coons SJ, Ergo A, Szava-Kovats G: Valuation of EuroQoL (EQ-5D) health states in an adult US sample. Pharmacoeconomics. 1998, 13: 421-33. 10.2165/00019053-199813040-00005.CrossRefPubMed
15.
go back to reference Kind P, Dolan P, Gudex C, Williams A: Variations in population health status: results from a United Kingdom national questionnaire survey. British Medical Journal. 1998, 316: 736-41.CrossRefPubMedPubMedCentral Kind P, Dolan P, Gudex C, Williams A: Variations in population health status: results from a United Kingdom national questionnaire survey. British Medical Journal. 1998, 316: 736-41.CrossRefPubMedPubMedCentral
16.
go back to reference Rabin R, de Charro F: EQ-5D: A measure of health status from the EuroQol Group. Annals of Medicine. 2001, 33 (5): 337-343. 10.3109/07853890109002087.CrossRefPubMed Rabin R, de Charro F: EQ-5D: A measure of health status from the EuroQol Group. Annals of Medicine. 2001, 33 (5): 337-343. 10.3109/07853890109002087.CrossRefPubMed
17.
go back to reference Shaw JW, Johnson JA, Coons SJ: US valuation of the EQ-5 D health states: Development and testing of the D1 valuation model. Medical Care. 2005, 43 (3): 203-220. 10.1097/00005650-200503000-00003.CrossRefPubMed Shaw JW, Johnson JA, Coons SJ: US valuation of the EQ-5 D health states: Development and testing of the D1 valuation model. Medical Care. 2005, 43 (3): 203-220. 10.1097/00005650-200503000-00003.CrossRefPubMed
18.
go back to reference López-Bastida J, Perestelo L, Serrano P, Oliva-Moreno J: Socioeconomic costs and quality of life of people with Alzheimer disease in Canary Island. Neurology. 2006, 67: 2186-2191. 10.1212/01.wnl.0000249311.80411.93.CrossRefPubMed López-Bastida J, Perestelo L, Serrano P, Oliva-Moreno J: Socioeconomic costs and quality of life of people with Alzheimer disease in Canary Island. Neurology. 2006, 67: 2186-2191. 10.1212/01.wnl.0000249311.80411.93.CrossRefPubMed
19.
go back to reference López-Bastida J, Oliva J, Perestelo L, Serrano P: Direct and Indirect Costs in Ambulatory patients living with HIV/AIDS. BMC Health Serv Res. 2009, 9: 55-10.1186/1472-6963-9-55.CrossRefPubMedPubMedCentral López-Bastida J, Oliva J, Perestelo L, Serrano P: Direct and Indirect Costs in Ambulatory patients living with HIV/AIDS. BMC Health Serv Res. 2009, 9: 55-10.1186/1472-6963-9-55.CrossRefPubMedPubMedCentral
20.
go back to reference Lopez-Bastida J, Serrano Aguilar P, Monton Alvarez F: The economic burden of stroke in Spain. Value Health. 2003, 6: 615-CrossRef Lopez-Bastida J, Serrano Aguilar P, Monton Alvarez F: The economic burden of stroke in Spain. Value Health. 2003, 6: 615-CrossRef
21.
go back to reference Brooks R: EuroQol: the current state of play. Health Policy. 1996, 37: 53-72. 10.1016/0168-8510(96)00822-6.CrossRefPubMed Brooks R: EuroQol: the current state of play. Health Policy. 1996, 37: 53-72. 10.1016/0168-8510(96)00822-6.CrossRefPubMed
22.
go back to reference Badia X, Schiaffino A, Alonso J, Herdman M: Using the EuroQol 5 D in the Catalan general population: feasibility and construct validity. Qual Life Res. 1998, 7: 311-322. 10.1023/A:1008894502042.CrossRefPubMed Badia X, Schiaffino A, Alonso J, Herdman M: Using the EuroQol 5 D in the Catalan general population: feasibility and construct validity. Qual Life Res. 1998, 7: 311-322. 10.1023/A:1008894502042.CrossRefPubMed
23.
go back to reference Badia X, Roset M, Herdman M, Kind P: A comparison of United Kingdom and Spanish general population time trade-off values for EQ-5 D health states. Medical Decision Making. 2001, 21 (1): 7-16. 10.1177/0272989X0102100102.CrossRefPubMed Badia X, Roset M, Herdman M, Kind P: A comparison of United Kingdom and Spanish general population time trade-off values for EQ-5 D health states. Medical Decision Making. 2001, 21 (1): 7-16. 10.1177/0272989X0102100102.CrossRefPubMed
24.
go back to reference Dolan P, Sutton M: Mapping visual analogue scale health state valuations onto standard gamble and time trade-off values. Social Science & Medicine. 1997, 44 (19): 1519--1530.CrossRef Dolan P, Sutton M: Mapping visual analogue scale health state valuations onto standard gamble and time trade-off values. Social Science & Medicine. 1997, 44 (19): 1519--1530.CrossRef
25.
go back to reference Bleichrodt H, Johannesson M: Standard gamble, time trade-off and rating scale: experimental results on the ranking properties of QALYs. Journal of Health Economics. 1997, 16: 155-175. 10.1016/S0167-6296(96)00509-7.CrossRefPubMed Bleichrodt H, Johannesson M: Standard gamble, time trade-off and rating scale: experimental results on the ranking properties of QALYs. Journal of Health Economics. 1997, 16: 155-175. 10.1016/S0167-6296(96)00509-7.CrossRefPubMed
26.
go back to reference Arnesen T, Trommald M: Are QALYs based on time trade-off comparable? A systematic review of TTO methodologies. Health Economics. 2005, 14: 39-53. 10.1002/hec.895.CrossRefPubMed Arnesen T, Trommald M: Are QALYs based on time trade-off comparable? A systematic review of TTO methodologies. Health Economics. 2005, 14: 39-53. 10.1002/hec.895.CrossRefPubMed
27.
go back to reference Nordlund A, Ekberg K, Kristenson M: EQ-5 D in a general population survey--a description of the most commonly reported EQ-5 D health states using the SF-36. Qual Life Res. 2005, 14 (4): 1099-109. 10.1007/s11136-004-3062-2.CrossRefPubMed Nordlund A, Ekberg K, Kristenson M: EQ-5 D in a general population survey--a description of the most commonly reported EQ-5 D health states using the SF-36. Qual Life Res. 2005, 14 (4): 1099-109. 10.1007/s11136-004-3062-2.CrossRefPubMed
28.
go back to reference Schwartz CE, Sprangers MAG: Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research. Social Science & Medicine. 1999, 48: 1531-1548.CrossRef Schwartz CE, Sprangers MAG: Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research. Social Science & Medicine. 1999, 48: 1531-1548.CrossRef
29.
go back to reference Kind P, Dolan P, Gudex C, Williams A: Variations in population health status:results from a United Kingdom national questionnaire survey. BMJ. 1998, 316 (7133): 736-41.CrossRefPubMedPubMedCentral Kind P, Dolan P, Gudex C, Williams A: Variations in population health status:results from a United Kingdom national questionnaire survey. BMJ. 1998, 316 (7133): 736-41.CrossRefPubMedPubMedCentral
30.
go back to reference Gold MR, Siegel JE, Russell LB, Weinstein MC: Cost-Effectiveness in Health and Medicine. Report of the Panel on Cost-Effectiveness in Health and Medicine. 1996, New York: Oxford University Press Gold MR, Siegel JE, Russell LB, Weinstein MC: Cost-Effectiveness in Health and Medicine. Report of the Panel on Cost-Effectiveness in Health and Medicine. 1996, New York: Oxford University Press
31.
go back to reference National Institute for Clinical Excellence (NICE): Guide to the Methods of Technology Appraisals. 2008 National Institute for Clinical Excellence (NICE): Guide to the Methods of Technology Appraisals. 2008
32.
go back to reference Porzsolt F, Ackermann M, Amelung V: The value of health care--a matter of discussion in Germany. BMC Health Serv Res. 2007, 7: 1-10.1186/1472-6963-7-1.CrossRefPubMedPubMedCentral Porzsolt F, Ackermann M, Amelung V: The value of health care--a matter of discussion in Germany. BMC Health Serv Res. 2007, 7: 1-10.1186/1472-6963-7-1.CrossRefPubMedPubMedCentral
33.
go back to reference Schwarzer R, Siebert U: Methods, procedures, and contextual characteristics of health technology assessment and health policy decision making: comparison of health technology assessment agencies in Germany, United Kingdom, France, and Sweden. Int J Technol Assess Health Care. 2009, 25 (3): 305-14. 10.1017/S0266462309990092.CrossRefPubMed Schwarzer R, Siebert U: Methods, procedures, and contextual characteristics of health technology assessment and health policy decision making: comparison of health technology assessment agencies in Germany, United Kingdom, France, and Sweden. Int J Technol Assess Health Care. 2009, 25 (3): 305-14. 10.1017/S0266462309990092.CrossRefPubMed
34.
go back to reference Siebert M, Clauss LC, Carlisle M, Casteels B, de Jong P, Kreuzer M, et al: Health Technology assessment for medical devices in Europe. What must be considered. Int J Technol Assess Health Care. 2002, 18: 733-740.PubMed Siebert M, Clauss LC, Carlisle M, Casteels B, de Jong P, Kreuzer M, et al: Health Technology assessment for medical devices in Europe. What must be considered. Int J Technol Assess Health Care. 2002, 18: 733-740.PubMed
35.
go back to reference Claxton K, Sculpher M, Drummond M: A rational framework for decision making by the National Institute for Clinical Excellence (NICE). Lancet. 2002, 360: 711-715. 10.1016/S0140-6736(02)09832-X.CrossRefPubMed Claxton K, Sculpher M, Drummond M: A rational framework for decision making by the National Institute for Clinical Excellence (NICE). Lancet. 2002, 360: 711-715. 10.1016/S0140-6736(02)09832-X.CrossRefPubMed
36.
go back to reference Davies L, Drummond M, Papanikolaou P: Prioritizing investments in health technology assessment. Can we assess potential value for money?. Int J Technol Assess Health Care. 2000, 16: 73-91. 10.1017/S0266462300016172.CrossRefPubMed Davies L, Drummond M, Papanikolaou P: Prioritizing investments in health technology assessment. Can we assess potential value for money?. Int J Technol Assess Health Care. 2000, 16: 73-91. 10.1017/S0266462300016172.CrossRefPubMed
37.
go back to reference Detsky AS, Laupacis A: Relevance of cost-effectiveness analysis to clinicians and policy makers. JAMA. 2007, 298 (2): 221-4. 10.1001/jama.298.2.221.CrossRefPubMed Detsky AS, Laupacis A: Relevance of cost-effectiveness analysis to clinicians and policy makers. JAMA. 2007, 298 (2): 221-4. 10.1001/jama.298.2.221.CrossRefPubMed
39.
go back to reference Drummond M: Economic evaluation and decision-makers. The Elgar companion to health economics. Edited by: Jones AM. 2006, Cheltenham: Edward Elgar, 537-45. Drummond M: Economic evaluation and decision-makers. The Elgar companion to health economics. Edited by: Jones AM. 2006, Cheltenham: Edward Elgar, 537-45.
40.
go back to reference Orfila F, Ferrer M, Lamarca R, Tebe C, Domingo-Salvany A, Alonso J: Gender differences in health-related quality of life among the elderly: the role of objective functional capacity and chronic conditions. Soc Sci Med. 2006, 63 (9): 2367-80. 10.1016/j.socscimed.2006.06.017.CrossRefPubMed Orfila F, Ferrer M, Lamarca R, Tebe C, Domingo-Salvany A, Alonso J: Gender differences in health-related quality of life among the elderly: the role of objective functional capacity and chronic conditions. Soc Sci Med. 2006, 63 (9): 2367-80. 10.1016/j.socscimed.2006.06.017.CrossRefPubMed
41.
go back to reference Bush TL, Miller SR, Golden AL, Hale WE: Self-Report and medical record report agreement of selected medical conditions in the elderly self-report and medical record report agreement of selected medical conditions in the elderly. American Journal of Public Health. 1989, 79 (11): 1554-1556. 10.2105/AJPH.79.11.1554.CrossRefPubMedPubMedCentral Bush TL, Miller SR, Golden AL, Hale WE: Self-Report and medical record report agreement of selected medical conditions in the elderly self-report and medical record report agreement of selected medical conditions in the elderly. American Journal of Public Health. 1989, 79 (11): 1554-1556. 10.2105/AJPH.79.11.1554.CrossRefPubMedPubMedCentral
42.
go back to reference Bombard JM, Powell KE, Martin LM, Helmick CG, Wilson WH: Validity and reliability of self-reported arthritis: Georgia senior centers, 2000-2001. American Journal of Preventive Medicine. 2005, 28 (3): 251-258. 10.1016/j.amepre.2004.12.004.CrossRefPubMed Bombard JM, Powell KE, Martin LM, Helmick CG, Wilson WH: Validity and reliability of self-reported arthritis: Georgia senior centers, 2000-2001. American Journal of Preventive Medicine. 2005, 28 (3): 251-258. 10.1016/j.amepre.2004.12.004.CrossRefPubMed
43.
go back to reference Oliva-Moreno J, Zozaya N, Lopez-Varcarcel BG: Opposite poles: A comparison between two Spanish regions in health related quality of life, with implications for health policy. BMC Public Health. 2010, 10: 576-10.1186/1471-2458-10-675.CrossRefPubMedPubMedCentral Oliva-Moreno J, Zozaya N, Lopez-Varcarcel BG: Opposite poles: A comparison between two Spanish regions in health related quality of life, with implications for health policy. BMC Public Health. 2010, 10: 576-10.1186/1471-2458-10-675.CrossRefPubMedPubMedCentral
Metadata
Title
Health related quality of life of Canary Island citizens
Authors
Juan Oliva-Moreno
Julio Lopez-Bastida
Melany Worbes-Cerezo
Pedro Serrano-Aguilar
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-675

Other articles of this Issue 1/2010

BMC Public Health 1/2010 Go to the issue