Summary. We’ve investigate of possibility use
simple tests, such as visual analogue scale and Time-Trade-Off for
calculation of indicator qality-ajusted life years (QALY) in
TB-patients. The received results correlated to following criteria:
method detection of TB-case, diagnosis, categories of treatment,
physical inability group, bacterial status and cavity lesion in
detection-time and at questioning.
For statistical data processing we calculated the average values,
conducted normality tests (Lilliefors, Shapiro-Wilk, Jarque-Bera tests),
Mann-Whitney tast, Spearmen correlation test.
The sufficient interrelation of results Time-Trade-Off -test and most
listed criteria is established. Results of the test visual analog scale
are insufficiently bound to the above-stated criteria. Thus, for
formation of indicator qality-ajusted life years at TB-patients it is
possible to use test Time-Trade-Off for majority of the reserarches. It
allows in short terms at the minimum expenses to question and process
data on a great number of patients. Visual analogue scale test reflects
functional condition of the patient’s organism, stipulated by chronic
current of the disease.
To define the possibility of the practical application result
researches, we have counted the minimum losses of the years to lifes,
ajusted for quality (excepting taped posthumously). In 2009 these loss
have constituted as minimum 5941 qality-ajusted life years for civil
population of the Russian Federation.
Keywords. QALY, quality of life TB-patients, pilot research, Time-Trade-Off, visual analogue scale.
References
-
Bednyy M.S. Prodolzhitelnost zhizni (statistika, faktory, vozmozhnosti
uvelicheniya) [Life span: statistics, factors, possibilities of
elongation]. M.: Statistika; 1967. 216 p.
-
Vypolnimost i ekonomicheskaya effektivnost lecheniya MLU TB po
programme DOTS-Plus v Rossiyskoy Federatsii. Dokument VOZ:
WHO/HTM/TB/2005b [Internet] [Feasibility and economic efficiency in the
Russian Federation of treatment for HTM TB by medical therapeutic
establishments along the program DOTS-Plus]. 2005 [cited 2011 Feb 02].
Available from URL:
http://whqlibdoc.who.int/hq/2005/WHO_HTM_TB_2005.357_1_rus.pdf.
-
Gnezdilova Ye.V. Kachestvo zhizni u invalidov po tuberkulezu legkikh [QOL of pulmonary TB-disabled patients]. 8th National Congress on respiratory diseases. Abstracts. Moscow. 1998. P. 481.
-
Gorbach L.A. Kachestvo zhizni bolnykh tuberkulezom organov dykhaniya [QOL of respiratory TB patients]. Belorusskiy meditsinskiy zhurnal 2002;(1):43-46.
-
Zaslavskiy I.D. Nekotoryye itogi borby s tuberkulezom v Moskve za 40
let [Certain results of fighting TB in Moscow for the last 40 years]. Problemy tuberkuleza 1957;(7):7-13.
-
Kardanova L.D. Mediko-sotsialnyye aspekty kachestva zhizni bolnykh
tuberkulezom legkikh [Medical social aspects of QOL of pulmonary TB
patients] [PhD. Dissertation]. Moscow; 2006. P. 145- 159.
-
Mitinskaya L.A. Protivotuberkuleznaya vaktsinatsiya BTsZh [Anti-TB BCG shot campaign]. M.: Meditsina. 1975. 152 p.
-
Orlov V.I., Sabgayda T.P., Antonyuk V.V. Etapy razvitiya metodov
otsenki ekonomicheskikh poter, svyazannykh so zdorovyem naseleniya
[Stages of development of methods for evaluation of economic losses
associated with health state of the population]. Sotsialnyye aspekty zdorovya naseleniya [Online Scientific Journal] 2009 [cited 2011 Feb 02];9(1). Available from: http://vestnik.mednet.ru/content/view/107/30/.
-
Perebatova M.A., Malamud M.I. Opyt opredeleniya ekonomicheskikh poter
pri angine, khronicheskom tonzillite i ostrom katare verkhnikh
dykhatelnykh putey [Our experience of estimation of economic losses
caused by tonsillitis and acute catarrh of the respiratory tract]. Sovetskoye zdravookhraneniye 1969;(6):26-33.
-
Rozenshteyn A.V., Nezlin S.Ye. Prognoz otkrytykh form tuberkuleza legkikh [Prognosis for open forms of pulmonary TB]. Problemy tuberkuleza 1959;(2):13-19.
-
Tsipershteyn M.Ya., Shekhter A.B., Chudiya L.M. Ob ekonomicheskom ushcherbe ot kori [On economic losses from measles]. Zhurnal mikrobiologii 1970(2):137-138.
-
Shakhanina I.L., Argutina T.P., Sumrakov A.A. O
sotsialno-ekonomicheskoy znachimosti infektsionnykh bolezney[On social
economic importance of infectious disease]. Zhurnal mikrobiologii 1970;(6):61-67.
-
Shefer L.B. K metodike ischisleniya ekonomicheskogo ushcherba,
nanosimogo tuberkulezom i drugimi zabolevaniyami [On the techniques of
calculating economic losses from TB and certain other diseases]. Sovetskoye zdravookhraneniye 1969;(6):33-38.
-
Yuryev V.K., Sayfulin M.Kh. Kachestvo zhizni detey i podrostkov,
bolnykh tuberkulezom [QOL of children and adolescents with TB]. Sotsiologiya meditsiny 2009;(2):43-46.
-
Burstorm K., Johanesson M., Diderichsen F. A comparison of individual
and social time trade-off values for health states in the general
population. Health Policy 2006;46. Issue 3.0:359-370.
-
Bush JW., Fanshel S., Chen MM. 1972. Analysis of a tuberculin testing program using a health status index. Journal of Socio-Economic Planning Sciences 6:49-69.
-
Cheung YK., klotz JH. The Mann Witney Wilcoxon distribution using linked lists. Statistica Sinica 1997;(7):805-813.
-
Grant S., Aichison N., Henderson E., Christie J., Zare S., McMurray J.,
Dargie H. A Comparison of the Reproducibility and the Sensitivity to
Change of Visual Analogue Scales, Borg Scales, and Likert Scales in
Normal Subjects During Submaximal Exercise. Chest 1999;(116):1208–1217.
- Wewers M.E., Lowe N.K. A critical review of visual analogue scales in the measurement of clinical phenomena. Research in Nursing and Health 1990;13:227–236.
Views: 20866
|