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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los instrumentos de evaluaci&#243;n de la calidad de vida relacionada con la salud &#40;CVRS&#41; est&#225;n demostrando ser &#250;tiles para valorar de una forma m&#225;s integral la enfermedad y su repercusi&#243;n en la vida diaria del paciente&#46; En esta revisi&#243;n se pretende describir los instrumentos disponibles en estos momentos para la valoraci&#243;n de la CVRS en ni&#241;os y adolescentes con asma&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se ha revisado la base documental MEDLINE desde 1980 hasta 2000&#44; as&#237; como la p&#225;gina web de la American Thoracic Society y la revista Quality of Life Research&#46; Se han seleccionado aquellos trabajos que inclu&#237;an instrumentos que med&#237;an la CVRS en ni&#241;os con asma y que cumpliesen con los criterios de selecci&#243;n de multidimensionalidad&#44; puntuaci&#243;n mediante escalas ordinales estandarizadas y que evaluasen las propiedades psicom&#233;tricas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">De los 21 instrumentos inicialmente identificados se excluyeron siete por no cumplir alguno de los criterios de selecci&#243;n&#44; quedando finalmente en la revisi&#243;n 14 instrumentos&#44; 6 gen&#233;ricos para ni&#241;os &#40;CHQ&#44; KINDL&#44; PedsQL&#44; FS-IIR&#44; RAND y CHIP-AE&#41; y ocho espec&#237;ficos para ni&#241;os con asma &#40;SSES&#44; ASDQ&#44; AMA&#44; CAQ&#44; LAQCA&#44; PACQLQ&#44; PAQLQ y APBC&#41;&#46; Los instrumentos gen&#233;ricos miden las cuatro dimensiones b&#225;sicas &#40;s&#237;ntomas&#44; funci&#243;n f&#237;sica&#44; emocional y social&#41;&#44; mientras que la mayor&#237;a de los espec&#237;ficos est&#225;n enfocados m&#225;s en la sintomatolog&#237;a y la funci&#243;n f&#237;sica&#46; La fiabilidad &#40;alfa de Cronbach&#41; y la validez de constructo son las propiedades psicom&#233;tricas mejor medidas en todos los cuestionarios&#46; La sensibilidad al cambio es la propiedad menos valorada en general&#44; y &#250;nicamente han demostrado ser sensibles a los cambios tres instrumentos espec&#237;ficos &#40;LAQCQ&#44; PACQLQ y PAQLQ&#41;&#46; Todos los instrumentos tienen la opci&#243;n de ser autocumplimentados&#46; S&#243;lo hay dos gen&#233;ricos &#40;FS-IIR y RAND&#41; validados en la cultura espa&#241;ola&#46; En la actualidad est&#225;n en proceso de validaci&#243;n dos gen&#233;ricos &#40;PedsQL y CHIP-AE&#41; y dos espec&#237;ficos &#40;PACQLQ y PAQLQ&#41;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Actualmente la disponibilidad de instrumentos que midan la CVRS en ni&#241;os con asma en nuestro medio es limitada&#46; En breve se dispondr&#225; de la versi&#243;n validada en nuestra cultura del PedsQL &#40;gen&#233;rico&#41; y del PAQLQ &#40;espec&#237;fico&#41;&#44; que son dos instrumentos que ya han demostrado en otros pa&#237;ses ser &#250;tiles para medir la CVRS en ni&#241;os asm&#225;ticos&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Measures of health-related quality of life &#40;HRQOL&#41; are proving to be useful in providing a comprehensive evaluation of illness and its effects on patient&#39;s daily lives&#46; The aim of this review is to describe HRQOL instruments that are currently available to measure the HRQOL in children and adolescents with asthma&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The MEDLINE database from 1980 to 2000 was reviewed&#44; as well as the website of the American Thoracic Society and the Quality of Life Research journal&#46; Studies that included instruments measuring HRQOL in children with asthma were included as long as the instruments included met the selection criteria of multidimensionality&#44; scoring was through standardized ordinal scales and psychometric properties were evaluated&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Of the 21 instruments initially identified 7 were excluded because they did not meet one or more of the selection criteria&#46; Fourteen instruments were included in the final review&#44; 6 were generic instruments for children &#40;CHQ&#44; KINDL&#44; PedsQL&#44; FS-IIR&#44; RAND and CHIP-AE&#41; and eight were specific to children with asthma &#40;SSES&#44; ASDQ&#44; AMA&#44; CAQ&#44; LAQCA&#44; PACQLQ&#44; PAQLQ and APBC&#41;&#46; The generic instruments measured the four basic aspects of HRQOL &#40;symptoms&#44; physical&#44; mental and social functioning&#41;&#44; whilst the majority of the specific instruments focused more closely on symptom measurement and physical functioning&#46; Reliability &#40;Cronbach&#39;s alpha&#41; and construct validity were the most widely tested psychometric properties&#46; In general&#44; sensitivity to change was the least widely tested property and only three disease-specific instruments were sensitive to change &#40;LAQCQ&#44; PACQLQ and PAQLQ&#41;&#46; All the instruments could be self-administered&#46; Only two of the generic instruments &#40;FS-IIR and RAND&#41; had been validated for use in Spain&#46; At present two more generic instruments &#40;PedsQL and CHIP-AE&#41; and two specific instruments &#40;PACQLQ and PAQLQ&#41; are currently being validated&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Theavailability of instruments to measure the HRQOL of children with asthma in Spain is currently limited&#46; Validated versions of the PedsQL &#40;generic&#41; and PAQLQ &#40;specific&#41; instruments&#44; both of which have been demonstrated to be useful in other countries&#44; should shortly be available to measure the HRQOL of children with asthma in Spain</p>"
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Instrumentos de evaluación de la calidad de vida relacionada con la salud en niños y adolescentes con asma
Instruments for measuring health-related quality of life in children and adolescents with asthma
X. Badia Llacha,
Autor para correspondencia
xbadia@cochrane.es

Correspondencia: Outcomes Research Unit. Servicio de Epidemiología Clínica y Salud Pública. Hospital de la Santa Creu i Sant Pau. Barcelona. Casa de Convalecència. Fundació Doctor Robert. Antoni M.a Claret, 171. 08041 Barcelona.
, A. Benavides Ruizb, L. Rajmil Rajmilb
a Outcomes Research Unit. Servicio de Epidemiología Clínica y Salud Pública. Hospital de la Santa Creu i Sant Pau. Barcelona
b Institut Universitari de Salut Pública de Catalunya
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          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec186606"
          "palabras" => array:4 [
            0 => "Calidad de vida"
            1 => "Asma"
            2 => "Cuestionario"
            3 => "Ni&#241;os y adolescentes"
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        0 => array:4 [
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          "titulo" => "Key words"
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          "palabras" => array:4 [
            0 => "Quality of life"
            1 => "Asthma"
            2 => "Questionnaire"
            3 => "Children and adolescents"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los instrumentos de evaluaci&#243;n de la calidad de vida relacionada con la salud &#40;CVRS&#41; est&#225;n demostrando ser &#250;tiles para valorar de una forma m&#225;s integral la enfermedad y su repercusi&#243;n en la vida diaria del paciente&#46; En esta revisi&#243;n se pretende describir los instrumentos disponibles en estos momentos para la valoraci&#243;n de la CVRS en ni&#241;os y adolescentes con asma&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se ha revisado la base documental MEDLINE desde 1980 hasta 2000&#44; as&#237; como la p&#225;gina web de la American Thoracic Society y la revista Quality of Life Research&#46; Se han seleccionado aquellos trabajos que inclu&#237;an instrumentos que med&#237;an la CVRS en ni&#241;os con asma y que cumpliesen con los criterios de selecci&#243;n de multidimensionalidad&#44; puntuaci&#243;n mediante escalas ordinales estandarizadas y que evaluasen las propiedades psicom&#233;tricas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">De los 21 instrumentos inicialmente identificados se excluyeron siete por no cumplir alguno de los criterios de selecci&#243;n&#44; quedando finalmente en la revisi&#243;n 14 instrumentos&#44; 6 gen&#233;ricos para ni&#241;os &#40;CHQ&#44; KINDL&#44; PedsQL&#44; FS-IIR&#44; RAND y CHIP-AE&#41; y ocho espec&#237;ficos para ni&#241;os con asma &#40;SSES&#44; ASDQ&#44; AMA&#44; CAQ&#44; LAQCA&#44; PACQLQ&#44; PAQLQ y APBC&#41;&#46; Los instrumentos gen&#233;ricos miden las cuatro dimensiones b&#225;sicas &#40;s&#237;ntomas&#44; funci&#243;n f&#237;sica&#44; emocional y social&#41;&#44; mientras que la mayor&#237;a de los espec&#237;ficos est&#225;n enfocados m&#225;s en la sintomatolog&#237;a y la funci&#243;n f&#237;sica&#46; La fiabilidad &#40;alfa de Cronbach&#41; y la validez de constructo son las propiedades psicom&#233;tricas mejor medidas en todos los cuestionarios&#46; La sensibilidad al cambio es la propiedad menos valorada en general&#44; y &#250;nicamente han demostrado ser sensibles a los cambios tres instrumentos espec&#237;ficos &#40;LAQCQ&#44; PACQLQ y PAQLQ&#41;&#46; Todos los instrumentos tienen la opci&#243;n de ser autocumplimentados&#46; S&#243;lo hay dos gen&#233;ricos &#40;FS-IIR y RAND&#41; validados en la cultura espa&#241;ola&#46; En la actualidad est&#225;n en proceso de validaci&#243;n dos gen&#233;ricos &#40;PedsQL y CHIP-AE&#41; y dos espec&#237;ficos &#40;PACQLQ y PAQLQ&#41;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Actualmente la disponibilidad de instrumentos que midan la CVRS en ni&#241;os con asma en nuestro medio es limitada&#46; En breve se dispondr&#225; de la versi&#243;n validada en nuestra cultura del PedsQL &#40;gen&#233;rico&#41; y del PAQLQ &#40;espec&#237;fico&#41;&#44; que son dos instrumentos que ya han demostrado en otros pa&#237;ses ser &#250;tiles para medir la CVRS en ni&#241;os asm&#225;ticos&#46;</p>"
      ]
      "en" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Measures of health-related quality of life &#40;HRQOL&#41; are proving to be useful in providing a comprehensive evaluation of illness and its effects on patient&#39;s daily lives&#46; The aim of this review is to describe HRQOL instruments that are currently available to measure the HRQOL in children and adolescents with asthma&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The MEDLINE database from 1980 to 2000 was reviewed&#44; as well as the website of the American Thoracic Society and the Quality of Life Research journal&#46; Studies that included instruments measuring HRQOL in children with asthma were included as long as the instruments included met the selection criteria of multidimensionality&#44; scoring was through standardized ordinal scales and psychometric properties were evaluated&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Of the 21 instruments initially identified 7 were excluded because they did not meet one or more of the selection criteria&#46; Fourteen instruments were included in the final review&#44; 6 were generic instruments for children &#40;CHQ&#44; KINDL&#44; PedsQL&#44; FS-IIR&#44; RAND and CHIP-AE&#41; and eight were specific to children with asthma &#40;SSES&#44; ASDQ&#44; AMA&#44; CAQ&#44; LAQCA&#44; PACQLQ&#44; PAQLQ and APBC&#41;&#46; The generic instruments measured the four basic aspects of HRQOL &#40;symptoms&#44; physical&#44; mental and social functioning&#41;&#44; whilst the majority of the specific instruments focused more closely on symptom measurement and physical functioning&#46; Reliability &#40;Cronbach&#39;s alpha&#41; and construct validity were the most widely tested psychometric properties&#46; In general&#44; sensitivity to change was the least widely tested property and only three disease-specific instruments were sensitive to change &#40;LAQCQ&#44; PACQLQ and PAQLQ&#41;&#46; All the instruments could be self-administered&#46; Only two of the generic instruments &#40;FS-IIR and RAND&#41; had been validated for use in Spain&#46; At present two more generic instruments &#40;PedsQL and CHIP-AE&#41; and two specific instruments &#40;PACQLQ and PAQLQ&#41; are currently being validated&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Theavailability of instruments to measure the HRQOL of children with asthma in Spain is currently limited&#46; Validated versions of the PedsQL &#40;generic&#41; and PAQLQ &#40;specific&#41; instruments&#44; both of which have been demonstrated to be useful in other countries&#44; should shortly be available to measure the HRQOL of children with asthma in Spain</p>"
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                      "titulo" => "Assessment of Children&#39;s Health Status&#46; Field Test of New Approaches"
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Información del artículo
ISSN: 16954033
Idioma original: Español
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