A. Simon Pickard|Hsi?Hsun Lin|Sara J. Knight|Roohollah Sharifi|Zhigang Wu|Shih Ying Hung|Whitney P. Witt|Chih Hung Chang|Charles L. Bennett
Proxy Assessment of Health-Related Quality of Life in African American and White Respondents With Prostate Cancer
Edward Hines, Jr. VA Hospital|Northwestern University|University of Illinois at Chicago|University of Illinois at Chicago|San Francisco VA Medical Center|University of California, San Francisco|University of Illinois at Chicago|Jesse Brown VA Medical Center|University of Illinois at Chicago|Jesse Brown VA Medical Center|Northwestern University|Edward Hines, Jr. VA Hospital|University of Illinois at Chicago|University of Illinois at Chicago|Northwestern University|Edward Hines, Jr. VA Hospital|San Francisco VA Medical Center|University of California, San Francisco|Northwestern University|Edward Hines, Jr. VA Hospital|Jesse Brown VA Medical Center
emerging issue proxy literature whether specifying different proxy viewpoints contributes different healthrelated quality life hrql assessments might perspective informative medical decision making aims study determine informal caregiver assessments patients prostate cancer differed prompted patient perspective proxypatient viewpoint proxyproxy identify factors associated differences proxy perspectives ie intraproxy gapusing crosssectional design prostate cancer patients informal caregivers recruited urology clinics jesse brown veterans affairs healthcare system chicago dyads assessed hrql using eq5d visual analog scale vas eortc qlqc30of 87 dyads caregivers female 83 spousespartners 58 mean difference scores proxypatient proxyproxy perspectives statistically significant qlqc30 physical emotional functioning vas p 005 proxypatient perspective closer patient selfreport emotional functioning largest difference mean 60 sd 128 effect size 047 factors weakly correlated intraproxy gap included relationship spouse proxy gender role functioning health literacy limitedfunctional physical functioning p 005 020 r 035meaningful differences proxypatient proxyproxy perspectives mental health consistent conceptual framework understanding proxy perspectives prompting different proxy viewpoints patient health could help clinicians identify patients may benefit clinical intervention