title: A multiattribute approach to health-status measurement and clinical management illustrated by an application to brain-tumors in childhood.
abstract: A comprehensive multi-attribute system was devised to assess global morbidity burden. The system was used to obtain qualitative and quantitative measures of health-status for a case series of survivors of brain tumors in childhood. Health-related quality-of-life scores for each global health-state were calculated from a utility function derived from measures of preferences collected during surveys of a random sample of parents of school age children in the general public (n=194). Global multi-attribute health status (MAHS) utility scores revealed a wide range of severity in morbidity burden. We suggest that the assessment of health-related quality-of-life should become an integral part of clinical management.
authors.affiliation: MCMASTER UNIV,DEPT ECON,HAMILTON L8N 3Z5,ONTARIO,CANADA. MCMASTER UNIV,DEPT CLIN EPIDEMIOL & BIOSTAT,HAMILTON L8N 3Z5,ONTARIO,CANADA. MCMASTER UNIV,CTR HLTH ECON & POLICY ANAL,HAMILTON L8N 3Z5,ONTARIO,CANADA. HOSP SICK CHILDREN,TORONTO M5G 1X8,ONTARIO,CANADA. CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA.
authors.forename: R
authors.initials: R
authors.lastname: Barr
authors.forename: M
authors.initials: M
authors.lastname: Pai
authors.forename: S
authors.initials: S
authors.lastname: Weitzman
authors.forename: D
authors.initials: D
authors.lastname: Feeny
authors.forename: W
authors.initials: W
authors.lastname: Furlong
authors.forename: P
authors.initials: P
authors.lastname: Rosenbaum
authors.forename: G
authors.initials: G
authors.lastname: Torrance