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
WR Hazzard R Andres EL Bierman JP. Blass (1990) Principles of Geriatric Medicine and Gerontology McGraw-Hill New York
DL Patrick P. Erickson (1993) Health Status and Health Policy: Allocating Resources to Health Care Oxford University Press New York
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
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
M Jylhä S. Aro (1989) ArticleTitleSocial ties and survival among the elderly in Tampere, Finland Int J Epidemiol. 18 158–164 Occurrence Handle2722360
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
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
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
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
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
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
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
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
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
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
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
I Kåreholt G. Brattberg (1998) ArticleTitlePain and mortality risk among elderly persons in Sweden Pain. 77 271–278 Occurrence Handle9808352
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
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
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
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
The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med 1998; 28: 551–558
LA Morris DW. Miller (2002) ArticleTitleThe regulation of patient-reported outcome claims: need for a flexible standard Value Health. 5 372–381 Occurrence Handle12102699
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
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
The WHOQOL-Taiwan Group. The User’s Manual of the Development of the WHOQOL-BREF Taiwan Version. Taipei: WHOQOL-Taiwan Group, 2000
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
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
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
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
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
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
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
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
JA. Thorson (2002) Aging in a Changing Society Brunner-Routledge Philadelphia.
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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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DOI: https://doi.org/10.1007/s11136-004-7709-9