Health-Related Quality of Life in Pain Medicine: A Review of Theory and Practice

 Health-related quality of life (HRQOL) represents a valid means by which to assess the patient's own subjective yet vital perspective on the adverse impact of his or her  pain and its treatment. Routinely assessing HRQOL in adult and pediatric  health ca

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Introduction: Why is Health-Related Quality of Life Important in Pain Medicine? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3918

2 2.1 2.2 2.3

The Three Fundamental Concepts of Health, Quality of Life, and Health-Related Quality of Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3919 The Concept of Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3919 The Concept of Quality of Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3920 The Concept of Health-Related Quality of Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3920

3 3.1 3.2

The Theoretical Basis for Health-Related Quality of Life . . . . . . . . . . . . . . . . . . . . . 3921 Functionalism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3921 The Domains or Dimensions of Health-Related Quality of Life . . . . . . . . . . . . . . . . . 3921

4 4.1 4.1.1 4.1.2 4.2 4.2.1 4.2.2 4.2.3 4.3

The Three Categories of Health-Related Quality of Life Measures . . . . . . . . . . . . 3922 Generic Health-Related Quality of Life Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3923 Adult Generic Health-Related Quality of Life Measures . . . . . . . . . . . . . . . . . . . . . . . . . . 3924 Pediatric Generic Health-Related Quality of Life Measures . . . . . . . . . . . . . . . . . . . . . . 3925 Condition-Specific Health-Related Quality of Life Measures . . . . . . . . . . . . . . . . . . . . 3926 Chronic Pain Condition-Specific Health Status Measures . . . . . . . . . . . . . . . . . . . . . . . . 3927 Palliative Care-Specific Health-Related Quality of Life Measures . . . . . . . . . . . . . . . . 3927 Acute Pain Condition-Specific Health-Related Quality of Life Measures . . . . . . . . 3927 Preference-Based Health-Related Quality of Life Measures . . . . . . . . . . . . . . . . . . . . . . . 3928

5

Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3929 Summary Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3930

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Springer Science+Business Media LLC 2010 (USA)

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Health-Related Quality of Life in Pain Medicine: A Review of Theory and Practice

Abstract: > Health-related quality of life (HRQOL) represents a valid means by which to assess the patient’s own subjective yet vital perspective on the adverse impact of his or her > pain and its treatment. Routinely assessing HRQOL in adult and pediatric > health care can facilitate patient-physician communication, improve patient/parent satisfaction, identify hidden morbidities, and assist in clinical decision-