Recently, the Veterans Administration (VA) Under Secretary for Health has designated functional status as one of domains value system, given its increasing importance clinical care. The Study (VHS) was designed to assist VA in monitoring outcomes and measuring case mix patients who use VA. SF-36 (short form assessment veterans) administered 2425 veterans receiving ambulatory Measures were strongly correlated with sociodemographics morbidities veterans. Young had poorer mental health than...

Objectives. We sought to determine whether disparities in health-related quality of life exist between veterans who live rural settings and their suburban or urban counterparts. Methods. determined quality-of-life scores (physical mental health component summaries) for 767109 had used Veterans Health Administration services within the past 3 years. rural/urban commuting area codes categorize into rural, suburban, residence. Results. Health-related were significantly lower lived than those...

The objective of the study was to develop a self-reported measure patients' comorbid illnesses that could be readily administered in ambulatory care settings and would improve assessment their health-related quality life utilization health services. Data were analyzed from Veterans Health Study, an observational outcomes patients receiving Administration (VA) care. Patients who received services 4 VA outpatient clinics greater Boston area between August 1993 March 1996 eligible for...

Role functioning and its limitations due to one's health is an important aspect of health-related quality life (HRQoL). The Medical Outcomes Study (MOS) SF-36 includes 2 role scales: physical problems (RP) or emotional (RE). Although they capture concepts HRQoL, these scales have some in their measurement properties. Using dichotomized sets response choices, the are limited distributional properties (eg, higher standard deviation than other scales) ability discriminate between clinically...

The goal of the Veterans Health Study (VHS) was to extend work Medical Outcomes (MOS) into VA, by developing methodology for monitoring patient-based outcomes care use in ambulatory outpatient care. principal objective VHS valid and reliable measures assess general health-related quality life (HRQoL) identifying presence selected health conditions, their severity, impact on HRQoL. In this article, we provide an overview historical context, framework, objectives, applications purpose...

The Veterans Health Study (VHS) had as its overarching goal the development, testing, and application of patient-centered assessments for monitoring patient outcomes in ambulatory care large integrated systems such Department Affairs (VA). Unlike other previous studies, VHS has capitalized on rich administrative databases restricted to VA linked outcomes. developed a comprehensive set general disease-specific measures use by patients. Chief among these is SF-36 Survey measuring...

Background: The aim of this study was to clarify the effect 5-aminosalicylic acid (5-ASA) treatment on gut bacterial microbiota in patients with ulcerative colitis (UC). Methods: A total 57 UC patients, including 20 untreated and 37 5-ASA-treated, were recruited into an exploration cohort. We endoscopically collected both non-inflamed inflamed mucosal samples from all compared profiles using 16S rDNA sequencing. Ten then treated 5-ASA subsequently for independent validation confirm acquired...

Outcome measures are rapidly becoming standard tools in the assessment of clinical effectiveness and measurement health status populations. In this article we document development a self-administered Chinese version Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) report results psychometric testing among 156 adult Americans Boston, Massachusetts. Following guidelines, SF-36 was developed through forward-backward translation techniques committee review. We used methods to test...

The Veterans Health Study (VHS) followed a cohort of patients receiving ambulatory care in the Affairs healthcare system for up to 5 years. One principal aims this study was develop library methodologies including general and disease-specific health outcome questionnaires use monitoring quality research purposes. cornerstone work is RAND 36 12 Item Surveys (VR-36 VR-12), measure developed VHS measuring physical psychologic well-being patient. A comprehensive set assessments has also been as...

Previous study reported that patients who suffered coronary heart disease (CHD) complicated with non-alcoholic fatty liver (NAFLD) had worse cardiac function and clinical outcomes than CHD only. Notably, the mechanism is still unclear. This aimed to investigate changes roles of intestinal bacterial microbiota in CHD-NAFLD patients.People were recruited divided into three groups, including (without NAFLD), healthy controls (HCs). Each group contained 24 people. Fecal samples information...

To examine the health status of elderly veteran enrollees, stratified by age group, and compare with nonveteran populations.Cross-sectional study.Outpatient.A total 1,406,049 enrollees were surveyed, 887,775 returned questionnaire (63.1%). Of these, 663,729 (74%) aged 65 older.Patient demographics, comorbid conditions, status, which was assessed using Veterans 36-item short form (SF-36), a reliable valid measure health-related quality life (HRQoL).Elderly are group poor across all scales...

Study Design. Cross-sectional data were analyzed from the Veterans Health Study, an observational study of patients receiving ambulatory care. Objective. To develop a method stratifying with low back pain by combining patient reports radiating leg results straight raising tests. Summary and Background Data. Four hundred thirty-four participants identified through ever having had pain, that began more than 3 months ago, health-care visit for in past year. twenty-eight included current...

Background: Although increasing evidences showed a correlation between cholecystectomy and the prevalence rate of colorectal cancer (CRC), shed light on gut microbiota in pathogenesis, only few studies focused microbial alterations after cholecystectomy, its sequent role carcinogenesis progression CRC has not been reported. Thus, we aimed to investigate bacterial tried clarify their clinical significance. Methods: 104 subjects were enrolled divided into post-cholecystectomy patients (PC, n =...

Although post-cholecystectomy (PC) patients usually have gastrointestinal complications and a higher risk of colorectal cancer, previous studies undetected heightened inflammatory bowel disease. Thus, we tried to investigate cholecystectomy's impact pathophysiological mechanism on murine colitis models clarify the association among fecal bile acids (BAs), mucosal bacterial microbiota, immune cells in PC patients. One month or three months after cholecystectomy, mice induced tested BAs...

BACKGROUND The health-related functioning of patients with cancer is compromised by several factors, including the disease process, treatment, and various symptoms that are produced both treatment. This study was designed to specify relationship between patients' pain severity their self-reported quality life. METHODS enrolled 216 consecutive consenting adult from 2 Chinese centers pathologically-diagnosed metastatic who could understand complete self-report measures. majority had...

The quality of outpatient medical care is increasingly recognized as having an important impact on mortality. We examined whether a clinically credible risk adjustment methodology can be developed for assessments.This study used data from the 1998 National Survey Ambulatory Care Patients, prospective monitoring system outcomes patients receiving ambulatory in Veterans Affairs (VA) integrated service networks.Thirty-one thousand eight hundred twenty-three were followed 18 months.The main...

To validate a short-form Arthritis Impact Measurement Scales 2 (AIMS2-SF) among 147 patients with osteoarthritis (OA).We used factor analysis to identify domains of functional health associated OA. Multitrait scaling was evaluate the reliability and validity AIMS2-SF.The results suggested that upper body limitations should be distinguished from lower in physical function scale. The AIMS2-SF psychometrically sound, all 5 scales having high item-discriminant Cronbach's alpha above 0.70...

Abstract We examined racial and ethnic disparities in global health assessment functional limitations of daily activities among whites, blacks Hispanics, within the Hispanic origin Mexicans, Puerto Ricans, Cubans, 'Others'. Logistic regressions were employed to estimate log odds reporting 'poor health' 'having limitations' 12 814 respondents from 1987—1988 National Survey Families Households. Compared with had an increased risk poor limitations. Hispanics even a higher health, but did not...