@article{
 title = {The relative impact of chronic conditions and multimorbidity on health-related quality of life in Ontario long-stay home care clients},
 type = {article},
 year = {2016},
 identifiers = {[object Object]},
 keywords = {Chronic disease,Health status,Home care services,Ontario/epidemiology,Quality of life},
 websites = {http://login.ezproxy.library.ualberta.ca/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=27052421&site=ehost-live&scope=site},
 month = {6},
 publisher = {Springer Netherlands},
 city = {Institute for Clinical Evaluative Sciences (ICES), Toronto, ON, Canada.; Health System Performance Research Network (HSPRN), Toronto, ON, Canada.; Institute for Clinical Evaluative Sciences (ICES), Toronto, ON, Canada.; Health System Performance Research },
 id = {8b76bca1-c7d5-31a5-a502-ac0de8c5de58},
 created = {2016-08-20T16:55:43.000Z},
 file_attached = {false},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {true},
 hidden = {false},
 source_type = {JOUR},
 notes = {ID: 27052421; Accession Number: 27052421. Language: English. Date Revised: 20160408. Date Created: 20160407. Update Code: 20160411. Publication Type: JOURNAL ARTICLE. Journal ID: 9210257. Publication Model: Print-Electronic. Cited Medium: Internet. NLM ISO Abbr: Qual Life Res. Linking ISSN: 09629343. Date of Electronic Publication: 2016 Apr 6. Current Imprints: Publication: 2005- : Netherlands : Springer Netherlands; Original Imprints: Publication: Oxford, UK : Rapid Communications of Oxford, Ltd, c1992-},
 folder_uuids = {3f8d7ce1-e3f4-4c64-add9-a1fb30f8c887},
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 abstract = {Purpose: To examine the relative impact of 16 common chronic conditions and increasing morbidity on health-related quality of life (HRQL) in a population-based sample of home care clients in Ontario, Canada.; Methods: Participants were adult clients assessed with the Resident Assessment Instrument for Home Care (RAI-HC) between January and June 2009 and diagnosed with one (or more) of 16 common chronic conditions. HRQL was evaluated using the Minimum Data Set-Health Status Index (MDS-HSI), a preference-based measure derived from items captured in the RAI-HC. Multivariable linear regression models assessed the relative impact of each condition, and increasing number of diagnoses, on MDS-HSI scores.; Results: Mean (SD) MDS-HSI score in the study population (n = 106,159) was 0.524 (0.213). Multivariable analysis revealed a statistically significant (p < 0.05) and clinically important (difference = 0.03) decrease in MDS-HSI scores associated with stroke (-0.056), osteoarthritis (-0.036), rheumatoid arthritis (-0.033) and congestive heart failure (CHF, -0.030). Differences by age and sex were observed; most notably, the negative impact associated with dementia was greater among men (-0.043) than among women (-0.019). Further, HRQL decreased incrementally with additional diagnoses. In all models, chronic conditions and number of diagnoses accounted for a relatively small proportion of the variance observed in MDS-HSI.; Conclusion: Clinically important negative effects on HRQL were observed for clients with a previous diagnosis of stroke, osteo- and rheumatoid arthritis, or CHF, as well as with increasing levels of multimorbidity. Findings provide baseline preference-based HRQL scores for home care clients with different diagnoses and may be useful for identifying, targeting and evaluating care strategies toward populations with significant HRQL impairments.;},
 bibtype = {article},
 author = {Mondor, Luke and Maxwell, Colleen J and Bronskill, Susan E and Gruneir, Andrea and Wodchis, Walter P},
 journal = {Quality Of Life Research: An International Journal Of Quality Of Life Aspects Of Treatment, Care And Rehabilitation}
}

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Language: English. Date Revised: 20160408. Date Created: 20160407. Update Code: 20160411. Publication Type: JOURNAL ARTICLE. Journal ID: 9210257. Publication Model: Print-Electronic. Cited Medium: Internet. NLM ISO Abbr: Qual Life Res. Linking ISSN: 09629343. Date of Electronic Publication: 2016 Apr 6. Current Imprints: Publication: 2005- : Netherlands : Springer Netherlands; Original Imprints: Publication: Oxford, UK : Rapid Communications of Oxford, Ltd, c1992-","folder_uuids":"3f8d7ce1-e3f4-4c64-add9-a1fb30f8c887","private_publication":false,"abstract":"Purpose: To examine the relative impact of 16 common chronic conditions and increasing morbidity on health-related quality of life (HRQL) in a population-based sample of home care clients in Ontario, Canada.; Methods: Participants were adult clients assessed with the Resident Assessment Instrument for Home Care (RAI-HC) between January and June 2009 and diagnosed with one (or more) of 16 common chronic conditions. HRQL was evaluated using the Minimum Data Set-Health Status Index (MDS-HSI), a preference-based measure derived from items captured in the RAI-HC. Multivariable linear regression models assessed the relative impact of each condition, and increasing number of diagnoses, on MDS-HSI scores.; Results: Mean (SD) MDS-HSI score in the study population (n = 106,159) was 0.524 (0.213). Multivariable analysis revealed a statistically significant (p < 0.05) and clinically important (difference = 0.03) decrease in MDS-HSI scores associated with stroke (-0.056), osteoarthritis (-0.036), rheumatoid arthritis (-0.033) and congestive heart failure (CHF, -0.030). Differences by age and sex were observed; most notably, the negative impact associated with dementia was greater among men (-0.043) than among women (-0.019). Further, HRQL decreased incrementally with additional diagnoses. In all models, chronic conditions and number of diagnoses accounted for a relatively small proportion of the variance observed in MDS-HSI.; Conclusion: Clinically important negative effects on HRQL were observed for clients with a previous diagnosis of stroke, osteo- and rheumatoid arthritis, or CHF, as well as with increasing levels of multimorbidity. Findings provide baseline preference-based HRQL scores for home care clients with different diagnoses and may be useful for identifying, targeting and evaluating care strategies toward populations with significant HRQL impairments.;","bibtype":"article","author":"Mondor, Luke and Maxwell, Colleen J and Bronskill, Susan E and Gruneir, Andrea and Wodchis, Walter P","journal":"Quality Of Life Research: An International Journal Of Quality Of Life Aspects Of Treatment, Care And Rehabilitation","bibtex":"@article{\n title = {The relative impact of chronic conditions and multimorbidity on health-related quality of life in Ontario long-stay home care clients},\n type = {article},\n year = {2016},\n identifiers = {[object Object]},\n keywords = {Chronic disease,Health status,Home care services,Ontario/epidemiology,Quality of life},\n websites = {http://login.ezproxy.library.ualberta.ca/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=27052421&site=ehost-live&scope=site},\n month = {6},\n publisher = {Springer Netherlands},\n city = {Institute for Clinical Evaluative Sciences (ICES), Toronto, ON, Canada.; Health System Performance Research Network (HSPRN), Toronto, ON, Canada.; Institute for Clinical Evaluative Sciences (ICES), Toronto, ON, Canada.; Health System Performance Research },\n id = {8b76bca1-c7d5-31a5-a502-ac0de8c5de58},\n created = {2016-08-20T16:55:43.000Z},\n file_attached = {false},\n profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},\n group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},\n last_modified = {2017-03-14T09:54:45.334Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {JOUR},\n notes = {ID: 27052421; Accession Number: 27052421. Language: English. Date Revised: 20160408. Date Created: 20160407. Update Code: 20160411. Publication Type: JOURNAL ARTICLE. Journal ID: 9210257. Publication Model: Print-Electronic. Cited Medium: Internet. NLM ISO Abbr: Qual Life Res. Linking ISSN: 09629343. Date of Electronic Publication: 2016 Apr 6. Current Imprints: Publication: 2005- : Netherlands : Springer Netherlands; Original Imprints: Publication: Oxford, UK : Rapid Communications of Oxford, Ltd, c1992-},\n folder_uuids = {3f8d7ce1-e3f4-4c64-add9-a1fb30f8c887},\n private_publication = {false},\n abstract = {Purpose: To examine the relative impact of 16 common chronic conditions and increasing morbidity on health-related quality of life (HRQL) in a population-based sample of home care clients in Ontario, Canada.; Methods: Participants were adult clients assessed with the Resident Assessment Instrument for Home Care (RAI-HC) between January and June 2009 and diagnosed with one (or more) of 16 common chronic conditions. HRQL was evaluated using the Minimum Data Set-Health Status Index (MDS-HSI), a preference-based measure derived from items captured in the RAI-HC. Multivariable linear regression models assessed the relative impact of each condition, and increasing number of diagnoses, on MDS-HSI scores.; Results: Mean (SD) MDS-HSI score in the study population (n = 106,159) was 0.524 (0.213). Multivariable analysis revealed a statistically significant (p < 0.05) and clinically important (difference = 0.03) decrease in MDS-HSI scores associated with stroke (-0.056), osteoarthritis (-0.036), rheumatoid arthritis (-0.033) and congestive heart failure (CHF, -0.030). Differences by age and sex were observed; most notably, the negative impact associated with dementia was greater among men (-0.043) than among women (-0.019). Further, HRQL decreased incrementally with additional diagnoses. In all models, chronic conditions and number of diagnoses accounted for a relatively small proportion of the variance observed in MDS-HSI.; Conclusion: Clinically important negative effects on HRQL were observed for clients with a previous diagnosis of stroke, osteo- and rheumatoid arthritis, or CHF, as well as with increasing levels of multimorbidity. 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