Navegando por Palavras-chave "Anos de vida ajustados por qualidade de vida"

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    Avaliação de preferências em artrite reumatóide: uma comparação de métodos derivados do SF-36 com medidas diretas de preferência
    (Universidade Federal de São Paulo (UNIFESP), 2007) Campolina, Alessandro Goncalves [UNIFESP]; Ciconelli, Rozana Mesquita [UNIFESP]
    Objetivo: Comparar, por diferentes metodos, medidas de preferencia derivadas do SF-36 com medidas diretas de preferencia em uma amostra de individuos com artrite reumatoide. Metodo: Estudo observacional e transversal. Foram aplicados os instrumentos de avaliacao de qualidade de vida: HAQ e SF-36; os instrumentos de avaliacao de preferencias: EQ-5D, EVA, TTO e SG. Foram obtidas medidas de preferencia derivadas do SF-36 conforme os algoritmos desenvolvidos por Brazier, Fryback, Nichol, Lundberg e Shmueli. Estatisticas descritivas e coeficientes de correlacao foram usados para a analise dos resultados. . Resultados: Foram avaliados 200 pacientes: 78,0 por cento femininos, com idade media de 49,22 anos e tempo medio de doenca de 11,16 anos. Os algoritmos de derivacao de preferencias a partir do SF-36 apresentaram correlacoes significativas entre si, com coeficientes de Pearson variando de 0,56 a 0,92 (p
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    Custo-utilidade da mamoplastia redutora pelo Sistema Único de Saúde
    (Universidade Federal de São Paulo (UNIFESP), 2010-08-25) Araújo, Carlos Delano Mundim [UNIFESP]; Veiga, Daniela Francescato [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Economic evaluation is important for decision making regarding resource allocation. There are few cost-utility or cost-effectiveness and breast hypertrophy studies. Objective: to determine the cost-utility ratio in reduction mammaplasty in Brazilian national health care system (Sistema Único de Saúde). Methods: controlled, interventional, prospective, analytical, primary study with randomization in human beings. From July 2008 to February 2009, in the Hospital das Clínicas Samuel Libânio (HSCL) (Plastic Surgery ambulatory) of the Vale do Sapucaí (UNIVÁS) University, were selected 60 patients with breast hypertrophy. The groups were randomly divided into control group: 30 patients followed for six months and study group: 30 patients undergoing reduction mammaplasty. Direct costs were obtained from medical records. The utility was evaluated through the Short Form Health Survey Instrument 6D (SF-6D). Results: After six months of evaluation, the study group showed improvements in utility at an average cost of direct R{dollar} 391.47. Conclusion: reduction mammaplasty in the Brazilian national health care system provides cost-utility ratio equivalent to R{dollar} 536,26/1QALY.
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    O questionário SF-6D Brasil: modelos de construção e aplicações em economia da saúde
    (Associação Médica Brasileira, 2010-01-01) Campolina, Alessandro Gonçalves [UNIFESP]; Bortoluzzo, Adriana Bruscato; Ferraz, Marcos Bosi [UNIFESP]; Ciconelli, Rozana Mesquita [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Instituto de Ensino e Pesquisa
    OBJECTIVE: To compare the preference measurements of the SF-36, derived from two Brazilian versions of the questionnaire Short Form 6 Dimensions - Brazil (SF-6D Brazil). METHODS: Cross-sectional study. We applied the tools to assess quality of life: HAQ, SF-36, EQ-5D and SF-6D (version 1998 and 2002). Descriptive statistics and correlation coefficients were used for data analysis. RESULTS: We studied 200 patients with rheumatoid arthritis, with a mean age of 49.22 years, 11.16 years of disease and mean HAQ 1.02. Preferences measured by the two versions of the SF-6D and the EQ-5D showed significant correlations between each other, with Pearson coefficients ranging from 0.59 to 0.88 (p <0.01). CONCLUSION: The latest version of the SF-6D based on the model 2002 is presented as a valid measurement when compared to the originally validated questionnaire in Brazil and represents an option for assessing preferences for economic analyses conducted in this country.