Assessing patient outcomes in acute exacerbations of chronic bronchitis: The measure your medical outcome profile (MYMOP), medical outcomes study 6-item general health survey (MOS-6A) and EuroQol (EQ-5D)

Citation
C. Paterson et al., Assessing patient outcomes in acute exacerbations of chronic bronchitis: The measure your medical outcome profile (MYMOP), medical outcomes study 6-item general health survey (MOS-6A) and EuroQol (EQ-5D), QUAL LIFE R, 9(5), 2000, pp. 521-527
Citations number
12
Categorie Soggetti
Health Care Sciences & Services
Journal title
QUALITY OF LIFE RESEARCH
ISSN journal
09629343 → ACNP
Volume
9
Issue
5
Year of publication
2000
Pages
521 - 527
Database
ISI
SICI code
0962-9343(2000)9:5<521:APOIAE>2.0.ZU;2-J
Abstract
There is little published information on the measurement of health status o r quality of life in acute exacerbations of chronic bronchitis. The measure yourself medical outcome profile (MYMOP), the medical outcomes study 6-ite m general health survey (MOS-6A), and EuroQoL (EQ-5D) were evaluated in 81 patients with acute exacerbations of Type-1 chronic bronchitis presenting a t a single general practice centre in Glasgow. The questionnaires were admi nistered at the first clinic visit and at a second visit within 1 week of t reatment completion. Item scores for MYMOP were generally more responsive t han those for the other instruments, as assessed by standardised response m eans and an index of responsiveness for those patients reporting minimal ch ange between visits. Construct validity was demonstrated for the MYMOP by t he gradient in score change with the patient's perceived change in clinical condition and by the relationship between score change and the physician's assessment of clinical outcome. This study demonstrated that the MYMOP is a valid and potentially useful instrument for the assessment of patient out comes in acute exacerbations of chronic bronchitis and is more responsive t han the MOS-6A or EQ-5D in this setting. The choice of instrument will vary according to the objective of the study.