This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Chen, A. Y. Articles by Thibault, G. E. Search for Related Content PubMed PubMed Citation Articles by Chen, A. Y. Articles by Thibault, G. E. Pubmed/NCBI databases Medline Plus Health Information Angina Social Bookmarking                         What's this?

Angina Patients' Ratings of Current Health and Health without Angina

Associations with Severity of Angina and Comorbidity

Jennifer Daley, MD

George E. Thibault, MD

Objective. To investigate the relationship between chronic stable angina patients' rat ings of two health states (current health and health free of angina), the difference between these two ratings (the "anticipated gain"), and measures of anginal severity and comorbidity. Design. Cross-sectional interviews and questionnaires. Setting. Out patient clinics and medical inpatient service of a Veterans Affairs Medical Center. Par ticipants. Patients with chronic stable angina with no prior history of a revascularization procedure attending clinic appointments (n = 44) or electively admitted for cardiac catheterization (n = 11). Measurements. Ratings of current health and health free of angina using a verbal rating scale in which 0 = death and 100 = perfect health, the MOS SF-36, the Index of Coexistent Disease (a validated measure of comorbidity), and a question on the severity of anginal symptoms. Results. Mean (95% Cl) rating of current health was 61.8 (59.2, 64.4) and that of health free of angina was 77.0 (74.5, 79.5). Median anticipated gain between the two health ratings was 10.0 (range 0-80). Correlations between ratings for both health states and subscales of the SF-36 were positive, with some reaching statistical significance. In regression models with rating of current health, rating of life without angina, and anticipated gain as the dependent variables, severity of comorbidity was highly significant in all three, whereas severity of angina was significant only in the current-health rating model. Severity of comorbidity had much greater explanatory power in all three models than did severity of angina. Conclusions. Severity of comorbidity was a better predictor of patients' current health rating, rating for angina-free health, and anticipated gain from relief of angina than was severity of angina. Since patient perceptions of a symptom may be distinct from self- reported symptom severity, treatment-outcome studies should assess patient prefer ences in addition to symptom severity. Comorbidity should also be measured in such studies. Having patients rate current health and symptom-free health may be a useful measure of treatment effectiveness for specific symptoms in clinical trials and patient care, and may help patients and clinicians prioritize multiple health problems. Key words: quality of life; functional status; utility; patient preferences; comorbidity; angina. (Med Decis Making 1996;16:169-177)

Medical Decision Making, Vol. 16, No. 2, 169-177 (1996)
DOI: 10.1177/0272989X9601600209


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				D. B Mark Percutaneous coronary revascularisation: is it ever worth what it costs? Heart, October 1, 2007; 93(10): 1161 - 1163. [Full Text] [PDF]

				B. R. Chaitman Efficacy and Safety of a Metabolic Modulator Drug in Chronic Stable Angina: Review of Evidence from Clinical Trials Journal of Cardiovascular Pharmacology and Therapeutics, March 1, 2004; 9(1_suppl): S47 - S64. [Abstract] [PDF]

				A. M. Stiggelbout and J. C.J.M. de Haes Patient Preference for Cancer Therapy: An Overview of Measurement Approaches J. Clin. Oncol., January 1, 2001; 19(1): 220 - 230. [Abstract] [Full Text] [PDF]

				C. Olsson and S. Thelin Quality of life in survivors of thoracic aortic surgery Ann. Thorac. Surg., May 1, 1999; 67(5): 1262 - 1267. [Abstract] [Full Text] [PDF]

				J. S. Rumsfeld, S. MaWhinney, M. McCarthy Jr, A. L. W. Shroyer, C. B. VillaNueva, M. O'Brien, T. E. Moritz, W. G. Henderson, F. L. Grover, G. K. Sethi, et al. Health-Related Quality of Life as a Predictor of Mortality Following Coronary Artery Bypass Graft Surgery JAMA, April 14, 1999; 281(14): 1298 - 1303. [Abstract] [Full Text] [PDF]

				N. V. Dawson Disease Spectrum and Health-status Perceptions Med Decis Making, June 1, 1996; 16(2): 195 - 196. [PDF]