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WHOQOL-BREF as predictors of mortality: A two-year follow-up study at veteran homes

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Abstract

The main purpose of this study was to evaluate the effectiveness of the brief version of the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire as a predictor of mortality amongst the elderly. A total of 689 male residents of veteran homes, all above the age of 65 years, were randomly selected in 2001. The Taiwan version of the WHOQOL-BREF was administered as the baseline, with each of these subjects being interviewed and subsequently followed up for mortality until the end of 2003. Data on self-reported global health, life satisfaction, medical status, physical performance and health behavior was also collected. Following the death of 105 of the 689 subjects during the 2-year follow-up period, the relative risk (RR) of death was subsequently assessed using Cox’s proportional hazard regression analyses. After adjusting for other predictors (age group, chronic diseases, emergency visits, hospitalization, physical performance, regular exercise, self-reported global health and life satisfaction), almost all of the WHOQOL-BREF items and domains failed to predict mortality; the one exception was working capacity levels (score 1–2 vs. score 4–5) which, after adjusting for other predictors, did demonstrate the ability to predict mortality (RR = 1.96, p < 0.05).

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Abbreviations

CI:

confidence interval

ECOG:

Eastern Co-operative Oncology Group

HRQOL:

health-related quality of life

RR:

relative risk

WHOQOL-BREF:

brief version of the World Health Organization Quality of Life questionnaire

References

  1. WR Hazzard R Andres EL Bierman JP. Blass (1990) Principles of Geriatric Medicine and Gerontology McGraw-Hill New York

    Google Scholar 

  2. DL Patrick P. Erickson (1993) Health Status and Health Policy: Allocating Resources to Health Care Oxford University Press New York

    Google Scholar 

  3. JM Mossey E. Shapiro (1982) ArticleTitleSelf-rated health: A predictor of mortality among the elderly Am J Public Health. 72 800–808 Occurrence Handle1:STN:280:Bi2B38fisVU%3D Occurrence Handle7091475

    CAS  PubMed  Google Scholar 

  4. G Kaplan V Barell A. Lusky (1988) ArticleTitleSubjective state of health and survival in elderly adults J Gerontol Soc Sci. 43 S114–S220 Occurrence Handle1:STN:280:BieB2Mjos1A%3D

    CAS  Google Scholar 

  5. M Jylhä S. Aro (1989) ArticleTitleSocial ties and survival among the elderly in Tampere, Finland Int J Epidemiol. 18 158–164 Occurrence Handle2722360

    PubMed  Google Scholar 

  6. A Grand P Grosclaude H Bocquet J Pous JL. Albarede (1990) ArticleTitleDisability, psychosocial factors and mortality among the elderly in a runal French population J Clin Epidemiol. 43 773–782 Occurrence Handle10.1016/0895-4356(90)90237-J Occurrence Handle1:STN:280:By%2BA2cjkvFc%3D Occurrence Handle2143526

    Article  CAS  PubMed  Google Scholar 

  7. AZ LaCroix JM Guralnik JD Curb RB Wallace AM Ostfeld CH. Hennekens (1990) ArticleTitleChest pain and coronary heart disease mortality among older men and women in three communities Circulation. 81 437–446 Occurrence Handle1:STN:280:By%2BC38vpsVM%3D Occurrence Handle2297854

    CAS  PubMed  Google Scholar 

  8. EL Idler S. Kasl (1991) ArticleTitleHeal perceptions and survival: Do global evaluations of health status really predict mortality? J Gerontol Soc Sci. 46 S55–S65 Occurrence Handle1:STN:280:By6C2cjntVc%3D

    CAS  Google Scholar 

  9. V Crooks T Waller S. Smith TJ. Haln (1991) ArticleTitleThe use of the ECOG performance scale in determining outcomes and risk in geriatric outpatients J Gerontol. 46 M139–M144 Occurrence Handle1:STN:280:By6A3c3ntFc%3D Occurrence Handle2071835

    CAS  PubMed  Google Scholar 

  10. FD Wolinsky RJ. Johnson (1992) ArticleTitlePerceived health status and mortality among older men and women J Gerontol Soc Sci. 47 S304–S312 Occurrence Handle1:STN:280:ByyD2MnitVc%3D

    CAS  Google Scholar 

  11. MG Parker M Thorslund ML. Nordström (1992) ArticleTitlePredictors of mortality for the oldest old. A 4-year follow-up of community-based elderly in Sweden Arch Gerontol Geriatr. 14 227–237 Occurrence Handle10.1016/0167-4943(92)90023-W Occurrence Handle1:STN:280:DC%2BD2cvmsVSgsg%3D%3D Occurrence Handle15374387

    Article  CAS  PubMed  Google Scholar 

  12. J McCallum B Shadbolt D. Wang (1994) ArticleTitleSelf-rated health and survival: A 7-year follow-up study of Australian elderly Am J Public Health. 84 1100–1105 Occurrence Handle1:STN:280:ByuB1cfhs1E%3D Occurrence Handle8017532

    CAS  PubMed  Google Scholar 

  13. I Tsuji Y Minami PM Keyl et al. (1994) ArticleTitleThe predictive power of self-rated health, activities of daily living and ambulatory activity for cause-specific mortality among the elderly: A three-year follow-up in urban Japan J Am Geriatr Soc. 42 153–156 Occurrence Handle1:STN:280:ByuC2s3hvVI%3D Occurrence Handle8126328

    CAS  PubMed  Google Scholar 

  14. V Konstam D Salem H Pouleur et al. (1996) ArticleTitleBaseline quality of life as a predictor of mortality and hospitalization in 5,025 patients with congestive heart failure. SOLVD Investigations. Studies of Left Ventricular Dysfunction Investigators. Am J Cardiol. 78 890–895 Occurrence Handle1:STN:280:ByiD2czlvVw%3D Occurrence Handle8888661

    CAS  PubMed  Google Scholar 

  15. TM Gustafsson DGL Isacson M. Thorslund (1998) ArticleTitleMortality in elderly men and women in a Swedish municipality Age Ageing. 27 585–593 Occurrence Handle1:STN:280:DC%2BD3s7lvVSktg%3D%3D Occurrence Handle12675098

    CAS  PubMed  Google Scholar 

  16. LP Fried RA Kronmal AB Newman et al. (1998) ArticleTitlefor the Cardiovascular Health Study Collaborative Research Group. Risk factors for 5-year mortality in older adults JAMA. 279 585–592 Occurrence Handle1:STN:280:DyaK1c7ks1WmtQ%3D%3D Occurrence Handle9486752

    CAS  PubMed  Google Scholar 

  17. I Kåreholt G. Brattberg (1998) ArticleTitlePain and mortality risk among elderly persons in Sweden Pain. 77 271–278 Occurrence Handle9808352

    PubMed  Google Scholar 

  18. HB Bosworth KW Schaie SL. Willis (1999) ArticleTitleCognitive and sociodemographic risk factors for mortality in the Seattle longitudinal study J Gerontol Psychol Sci. 54 P273–P282 Occurrence Handle1:STN:280:DC%2BD3c%2FhtVGgsQ%3D%3D

    CAS  Google Scholar 

  19. JS Rumsfeld S MaWhinney M McCarthy SuffixJr et al. (1999) ArticleTitleHealth-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the Department of Veterans Affairs Cooperative Study Group on Processes, Structures, and Outcomes of Care in Cardiac Surgery. JAMA. 281 1298–1303 Occurrence Handle1:STN:280:DyaK1M3it1yhtA%3D%3D Occurrence Handle10208145

    CAS  PubMed  Google Scholar 

  20. DL Mapes AA Lopes S Satayathum et al. (2003) ArticleTitleHealth-related quality of life as a predictor of mortality and hospitalization: the Dialysis Outcomes and Practice Patterns Study (DOPPS) Kidney Int. 64 339–349 Occurrence Handle12787427

    PubMed  Google Scholar 

  21. B Meinow I Kåreholt MG Parker M. Thorslund (2004) ArticleTitleThe effect of the duration of follow-up in mortality analysis: The temporal pattern of different predictors J Gerontol Soc Sci. 59 S181–S189

    Google Scholar 

  22. The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med 1998; 28: 551–558

    Google Scholar 

  23. LA Morris DW. Miller (2002) ArticleTitleThe regulation of patient-reported outcome claims: need for a flexible standard Value Health. 5 372–381 Occurrence Handle12102699

    PubMed  Google Scholar 

  24. Division of Statistics, Department of Domestic Affairs, Executive Yuan, R.O.C. Monthly Bulletin of Interior Statistics, Taiwan and Fuchien Area, R.O.C. Taipei: Division of Statistics, Department of Domestic Affairs, Execute Yuan, 2004

  25. G Yao CW Chung CF Yu JD. Wang (2002) ArticleTitleDevelopment and verification of validity and reliability of the WHOQOL-BREF Taiwan version J Formos Med Assoc. 101 342–351 Occurrence Handle12101852

    PubMed  Google Scholar 

  26. The WHOQOL-Taiwan Group. The User’s Manual of the Development of the WHOQOL-BREF Taiwan Version. Taipei: WHOQOL-Taiwan Group, 2000

  27. MR Lin W Huang C Huang HF Hwang LW Tsai YN. Chiu (2002) ArticleTitleThe impact of the Chi-Chi earthquake on quality of life among elderly survivors in Taiwan – A before and after study Qual Life Res. 11 379–388 Occurrence Handle12086123

    PubMed  Google Scholar 

  28. TL Bush SR Miller AL Golden WE. Hale (1989) ArticleTitleSelf-report and medical record report agreement of selected medical conditions in the elderly Am J Public Health. 79 1554–1556 Occurrence Handle1:STN:280:By%2BD2Mzpt1M%3D Occurrence Handle2817172

    CAS  PubMed  Google Scholar 

  29. AS Jones JE Fenton DJ. Husband (2000) ArticleTitlePerformance data and survival in head and neck cancer Clin Otolaryngol. 25 396–403 Occurrence Handle1:STN:280:DC%2BD3M%2FjtVOhtg%3D%3D Occurrence Handle11012654

    CAS  PubMed  Google Scholar 

  30. M Power A Harper M. Bullinger (1999) ArticleTitleThe World Health Organization WHOQOL-100: Tests of the universality of Quality of Life in 15 different cultural groups worldwide Health Psychol. 18 495–505 Occurrence Handle1:STN:280:DyaK1Mvks12mtw%3D%3D Occurrence Handle10519466

    CAS  PubMed  Google Scholar 

  31. LE Kazis DR Miller J Clark et al. (1998) ArticleTitleHealth-related quality of life in patients served by the Department of Veterans Affairs: Results from the Veterans Health Study Arch Int Med. 158 626–632 Occurrence Handle1:STN:280:DyaK1c7otVGhsQ%3D%3D

    CAS  Google Scholar 

  32. F Casellas J López-Vivancos A Casado JR. Malagelada (2002) ArticleTitleFactor affecting health quality of life of patients with inflammatory bowel disease Qual Life Res. 11 775–781 Occurrence Handle12482161

    PubMed  Google Scholar 

  33. MD Sullivan GIJM Kempen EV Sonderen J. Ormel (2000) ArticleTitleModels of health-related quality of life in a population of community-dwelling Dutch elderly Qual Life Res. 9 801–810 Occurrence Handle1:STN:280:DC%2BD3M3jsF2mtA%3D%3D Occurrence Handle11297022

    CAS  PubMed  Google Scholar 

  34. The WHOQOL Group. The development of the World Health Organization quality of life assessment instrument (the WHOQOL). In: Orley J, Kuyke W (eds), Quality of Life Assessment: International Perspectives. Heidelberg: Springer-Verlag, 1994

  35. JA. Thorson (2002) Aging in a Changing Society Brunner-Routledge Philadelphia.

    Google Scholar 

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Correspondence to Senyeong Kao.

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Kao, S., Lai, KL., Lin, HC. et al. WHOQOL-BREF as predictors of mortality: A two-year follow-up study at veteran homes. Qual Life Res 14, 1443–1454 (2005). https://doi.org/10.1007/s11136-004-7709-9

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