PMID- 9588411
OWN - NLM
STAT- MEDLINE
DCOM- 19980519
LR  - 20191210
IS  - 0002-8703 (Print)
IS  - 0002-8703 (Linking)
VI  - 135
IP  - 5 Pt 1
DP  - 1998 May
TI  - Comparison of Quality of Well-Being scale and NYHA functional status 
      classification in patients with atrial fibrillation. New York Heart Association.
PG  - 819-24
AB  - BACKGROUND: There is an increased need to provide appropriate outcomes 
      evaluations. Although designed as a clinical assessment tool, the New York Heart 
      Association (NYHA) classification is often used as an outcome measure. In this 
      study the performance of the NYHA classification is compared with that of the 
      Quality of Well-being scale (QWB), a standard outcome instrument. METHODS: 
      Subjects from a clinical trial were administered both the NYHA classification and 
      the QWB. Scores for patients with NYHA classification I, II, and III were 
      compared by use of an ordinal regression model. RESULTS: There were significant 
      differences in mean QWB score by NYHA classification (p < 0.0001). However, each 
      NYHA classification score was associated with a wide range of QWB scores, 
      limiting the potential usefulness of the NYHA classification as an outcome 
      measure. CONCLUSIONS: The NYHA classification is not a sensitive measure of 
      health-related quality of life, and its use as an outcome measure, although 
      providing some insights, may result in misleading findings. The NYHA 
      classification should not be used as the sole outcome measure.
FAU - Ganiats, T G
AU  - Ganiats TG
AD  - University of California San Diego Department of Family and Preventive Medicine, 
      UCSD Health Outcomes Assessment Program, La Jolla 92093-0622, USA.
FAU - Browner, D K
AU  - Browner DK
FAU - Dittrich, H C
AU  - Dittrich HC
LA  - eng
GR  - R01-HS-06098/HS/AHRQ HHS/United States
GR  - R01-NS-24424/NS/NINDS NIH HHS/United States
PT  - Clinical Trial
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - Am Heart J
JT  - American heart journal
JID - 0370465
SB  - IM
MH  - Activities of Daily Living/*classification
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Atrial Fibrillation/classification/*diagnosis
MH  - Female
MH  - Health Status Indicators
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment, Health Care
MH  - *Quality of Life
MH  - Reproducibility of Results
EDAT- 1998/05/20 00:00
MHDA- 1998/05/20 00:01
CRDT- 1998/05/20 00:00
PHST- 1998/05/20 00:00 [pubmed]
PHST- 1998/05/20 00:01 [medline]
PHST- 1998/05/20 00:00 [entrez]
AID - S0002870398002555 [pii]
AID - 10.1016/s0002-8703(98)70040-7 [doi]
PST - ppublish
SO  - Am Heart J. 1998 May;135(5 Pt 1):819-24. doi: 10.1016/s0002-8703(98)70040-7.