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European Journal of Heart Failure 2005 7(4):572-582; doi:10.1016/j.ejheart.2004.06.006
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© 2005 European Society of Cardiology

Quality-of-life measurement in chronic heart failure: do we take account of the patient perspective?

Karen Dunderdalea,*, David R. Thompsonb, Jeremy N.V. Milesc, Stephen F. Beerd and Gill Furzec

a Cardiac Rehabilitation, Scunthorpe General Hospital Scunthorpe, DN15 7BH, UK
b School of Nursing, Chinese University of Hong Kong Sha Tin, Hong Kong SAR, China
c Department of Health Sciences, University of York York YO10 5DD
d Diabetes Centre, Scunthorpe General Hospital Scunthorpe, DN15 7BH, UK

* Corresponding author. Tel.: +44 1724 290093; Fax: +44 1724 387846. E-mail address: Karen.dunderdale{at}nlg.nhs.uk


  Abstract

The modern management of chronic heart failure has led to improved life expectancy, functioning and health-related quality of life (HRQL). HRQL measures the effects of an illness or a treatment from the patient's perspective. It is now recognised that the patient's perspective is as legitimate and valid as the clinician's in monitoring health care outcomes. Although there are a number of quality-of-life measures, which can be separated into two types—generic and disease specific—many have been developed, with little or no account being taken of the patient's perspective. Because most of the widely used measures are not patient centred, they may lack sensitivity and specificity in determining those aspects of HRQL important to individual patients.

This paper reviews the use of quality-of-life assessment tools in the evaluation of patients with heart failure.

Key Words: Health-related quality of life • Chronic heart failure • Patient centred

Received February 4, 2004; Revised April 19, 2004; Accepted June 9, 2004


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