Abstract
PurposeThe aim of this study was to assess whether injured patients have a different pre-injury health status compared to the Dutch population.MethodsA broad range of injured patients (age ≥ 18 and ≤ 75 years) completed the condition-specific Short Musculoskeletal Function Assessment (SMFA-NL) and generic health-related quality of life questionnaire EuroQol-5D (EQ-5D), within 2 weeks after patients sustained an injury. Patients reported their health status of the week before their injury. Scores were compared to the Dutch normative data of the questionnaires. Gender, age, educational level, relationship status, and comorbidity adjusted differences were calculated for the SMFA-NL.ResultsA total of 596 injured patients completed the questionnaires (response rate: 43%). Unadjusted pre-injury SMFA-NL scores of injured patients were significantly better compared to the Dutch normative data (ranging from + 2.4 to + 8.6 points, p < 0.001 for all subscales and indices). The unadjusted EQ-5D difference score was 0.05 points (p < 0.001) higher in the group of injured patients. Adjusted pre-injury scores were higher than the SMFA-NL normative data. Function index: + 3.6, p < 0.001, bother index: + 3.0, p < 0.001 upper extremity dysfunction: + 0.8, p = 0.2, lower extremity dysfunction: + 3.7, p < 0.001. Problems with daily activities: + 2.8, p = 0.001. Mental and emotional problems: + 6.8, p < 0.001.ConclusionsInjured patients reported a better pre-injury health status compared to the Dutch population. Patient characteristics explained an important part of the difference in health status between injured patients and the Dutch population.
Highlights
General health and physical functioning are frequently assessed in injured patients using patient-reported outcomes (PROMs) [1,2,3,4,5,6]
The aims of this study were (1) to evaluate and report recalled pre-injury health status of injured patients using both the condition-specific Short Musculoskeletal Function Assessment (SMFA) and the generic Healthrelated Quality of Life (HRQoL) instrument EQ-5D, and (2) to investigate whether differences in health state values existed between injured patients and the Dutch population normative data
The general characteristics of SMFA-NL and EQ-5D normative data sample are shown in Table 1 [25, 26]
Summary
General health and physical functioning are frequently assessed in injured patients using patient-reported outcomes (PROMs) [1,2,3,4,5,6]. It is important to be able to evaluate to what extent patients have returned to their pre-injury health status. To assess changes in health status of injured patients, information about their pre- and postinjury health state values is needed. To interpret the change in health status due to injury, different methods may be used. Population-based normative data can be used as reference of pre-onset health status. Recalled pre-injury health state values reported shortly after sustaining the traumatic injury can be used as a proxy for pre-injury health status [8, 9].
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