2005
Pain, Medication Use, and Health-Related Quality of Life in Older Persons With Postherpetic Neuralgia: Results From a Population-Based Survey
Oster G, Harding G, Dukes E, Edelsberg J, Cleary PD. Pain, Medication Use, and Health-Related Quality of Life in Older Persons With Postherpetic Neuralgia: Results From a Population-Based Survey. Journal Of Pain 2005, 6: 356-363. PMID: 15943957, DOI: 10.1016/j.jpain.2005.01.359.Peer-Reviewed Original ResearchConceptsHealth-related qualityPoor health-related qualityPostherpetic neuralgiaOlder personsPain interferenceUse of medicationsHealth index scoresYears of ageQuality of lifeMedication usePain intensityEnjoyment of lifeSubstantial painCurrent painPrescription medicationsMean durationPainIndex scoreOverall healthPrior weekNeuralgiaMedicationsGeneral activityHealthPersons
1997
Clinical Predictors of Declines in Physical Functioning in Persons With AIDS: Results of a Longitudinal Study
Wilson* I, Cleary† P. Clinical Predictors of Declines in Physical Functioning in Persons With AIDS: Results of a Longitudinal Study. JAIDS Journal Of Acquired Immune Deficiency Syndromes 1997, 16: 343-349. PMID: 9420312, DOI: 10.1097/00042560-199712150-00006.Peer-Reviewed Original ResearchConceptsPhysical functioningIADL scoresWeight lossIndependent predictorsSymptom complexStaff-model health maintenance organizationBaseline IADL scoresInjection drug useLongitudinal cohort studySignificant independent predictorsPublic teaching hospitalAcademic group practiceHealth maintenance organizationCandida esophagitisChart reviewCohort studyNeurologic symptomsClinical factorsClinical predictorsAIDS clinicClinical correlatesTeaching hospitalGastrointestinal diseasesDaily livingBaseline functioningThe Boston AIDS Survival Score (BASS): a multidimensional AIDS severity instrument.
Seage G, Gatsonis C, Weissman J, Haas J, Cleary P, Fowler F, Massagli M, Stone V, Craven D, Makadon H, Goldberg J, Coltin K, Levin K, Epstein A. The Boston AIDS Survival Score (BASS): a multidimensional AIDS severity instrument. American Journal Of Public Health 1997, 87: 567-73. PMID: 9146433, PMCID: PMC1380834, DOI: 10.2105/ajph.87.4.567.Peer-Reviewed Original Research
1996
The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study.
Weissman J, Cleary P, Seage G, Gatsonis C, Haas J, Chasan-Taber S, Epstein A. The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study. Medical Care 1996, 34: 1037-56. PMID: 8843929, DOI: 10.1097/00005650-199610000-00005.Peer-Reviewed Original ResearchConceptsSystems of careHealth-related qualityHospital useMedical chartsDisease burdenNeuropsychological StatusBoston Health StudyTotal hospital daysOdds of admissionHealth-related factorsHospital daysIndependent predictorsImmunodeficiency syndromeStudy enrollmentPatient groupPatient interviewsProphylactic drugsSerious opportunistic diseaseOpportunistic diseasesHospital careDaily livingPatterns of useHealth StudyHospital billsClinical modelClinical predictors of functioning in persons with acquired immunodeficiency syndrome.
Wilson I, Cleary P. Clinical predictors of functioning in persons with acquired immunodeficiency syndrome. Medical Care 1996, 34: 610-23. PMID: 8656726, DOI: 10.1097/00005650-199606000-00010.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeActivities of Daily LivingAdolescentAdultBostonCross-Sectional StudiesDisabled PersonsFemaleGroup PracticeHealth Maintenance OrganizationsHealth Status IndicatorsHumansMaleMedical AuditMiddle AgedMultivariate AnalysisOutpatient Clinics, HospitalPredictive Value of TestsQuality of LifeRegression AnalysisReproducibility of ResultsSurveys and QuestionnairesConceptsEnergy/fatiguePoor mental healthPhysical functioningNeurologic symptomsFever symptomsMental healthZidovudine useWeight lossImmunodeficiency syndromeSignificant predictorsStaff-model health maintenance organizationLower white blood cell countHuman immunodeficiency virus clinicChronic obstructive pulmonary diseaseWhite blood cell countHistory of asthmaLower hemoglobin levelsObstructive pulmonary diseaseBlood cell countMultivariable regression modelsHealth maintenance organizationHospital-based group practiceCross-sectional analysisSpecific clinical interventionsChart review
1995
Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery
Ayanian J, Guadagnoli E, Cleary P. Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery. JAMA 1995, 274: 1767-1770. PMID: 7500506, DOI: 10.1001/jama.1995.03530220033028.Peer-Reviewed Original ResearchConceptsCoronary artery bypass surgeryArtery bypass surgeryCongestive heart failureRecent myocardial infarctionBypass surgeryHeart failureMyocardial infarctionMental healthClass IV anginaObservational cohort studySeverity of anginaTime of surgeryCoronary artery diseaseMajor teaching hospitalCohort studyArtery diseaseConsecutive patientsNurse reviewersMedical recordsTeaching hospitalInstrumental activitiesPostoperative functioningDaily livingSurgeryPsychosocial functioningHealth-related quality of life in patients with advanced prostate cancer: A multinational perspective
Cleary P, Morrissey G, Oster G. Health-related quality of life in patients with advanced prostate cancer: A multinational perspective. Quality Of Life Research 1995, 4: 207-220. PMID: 7613531, DOI: 10.1007/bf02260860.Peer-Reviewed Original ResearchConceptsHealth-related qualityAdvanced prostate cancerProstate cancerSelf-administered patient questionnaireUntreated metastatic prostate cancerObjective tumor responseDomains of HRQOLMetastatic prostate cancerAntiandrogen therapyPatient questionnaireStudy entryTreatment failureStudy treatmentTumor responseClinical trialsPatientsCancerTrialsTreatmentQuestionnaireHRQoLAntiandrogensTherapyCastrationFocus of concernThe influence of socioeconomic status on change in health status after hospitalization
Guadagnoli E, Cleary P, Mcneil B. The influence of socioeconomic status on change in health status after hospitalization. Social Science & Medicine 1995, 40: 1399-1406. PMID: 7638648, DOI: 10.1016/0277-9536(94)00266-v.Peer-Reviewed Original ResearchConceptsHigh-SES patientsHigh-income patientsHealth statusChest painSurgical patientsHospital recordsSocioeconomic statusDaily livingUniversity-affiliated teaching hospitalLow-SES patientsHealth status scoresPatients' hospital recordsWorse health statusHospital dischargeHospital admissionStatus scoreTeaching hospitalInstrumental activitiesPatientsBasic activitiesHospitalizationPainAmount of declineAdmissionVariety of outcomesLinking clinical variables with health-related quality of life. A conceptual model of patient outcomes.
Wilson I, Cleary P. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA 1995, 273: 59-65. PMID: 7996652, DOI: 10.1001/jama.273.1.59.Peer-Reviewed Original ResearchConceptsClinical variablesMeasures of HRQLHealth-related qualityGeneral health perceptionTraditional clinical variablesHealth care systemPatient outcomesHealth perceptionOutcome measuresHealth outcomesCare systemOutcomesPhysiological factorsSpecific causal relationshipsOverall qualityHRQLCausal relationshipHow Consistent Is Patient-Reported Pre-admission Health Status When Collected During and After Hospital Stay?
GUADAGNOLI E, CLEARY P. How Consistent Is Patient-Reported Pre-admission Health Status When Collected During and After Hospital Stay? Medical Care 1995, 33: 106-112. PMID: 7823641, DOI: 10.1097/00005650-199501000-00009.Peer-Reviewed Original Research
1994
The effects of rG-CSF on health-related quality of life in children with congenital agranulocytosis
Cleary P, Morrissey G, Yver A, Oster G. The effects of rG-CSF on health-related quality of life in children with congenital agranulocytosis. Quality Of Life Research 1994, 3: 307-315. PMID: 7841964, DOI: 10.1007/bf00451722.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdolescentAgranulocytosisChildChild, PreschoolColony-Stimulating FactorsHealth StatusHumansInfantQuality of LifeSurveys and QuestionnairesTranslatingConceptsHealth-related qualityGeneral health perceptionStudy patientsCongenital agranulocytosisHealth perceptionMulticentre phase II clinical trialPhase II clinical trialRecombinant human granulocyte colony-stimulating factorRG-CSF therapyAspects of HRQOLInitiation of treatmentGranulocyte colony-stimulating factorHuman granulocyte colony-stimulating factorValue of treatmentColony-stimulating factorPatient populationFunctional statusOne-half monthsSuch therapyClinical trialsActivity limitationsTherapyStudy centersHRQoLAgranulocytosisFunctional disability screening of ambulatory patients
Calkins D, Rubenstein L, Cleary P, Davies A, Jette A, Fink A, Kosecoff J, Young R, Brook R, Delbanco T. Functional disability screening of ambulatory patients. Journal Of General Internal Medicine 1994, 9: 590-592. PMID: 7823232, DOI: 10.1007/bf02599291.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAmbulatory CareBostonDisability EvaluationFemaleGroup PracticeHospitals, PrivateHumansMaleMiddle AgedConceptsControl group physiciansGroup physiciansFunctional disabilityInternal medicine group practiceExperimental group physiciansSelf-administered questionnaireAmbulatory patientsPatient functionFunctional statusPatient responseDisability screeningControl groupPatientsPhysiciansGroup practiceSignificant differencesDisabilityReportGroupSocial functionTrialsMonthsResponse
1993
Acute delirium and functional decline in the hospitalized elderly patient.
Murray A, Levkoff S, Wetle T, Beckett L, Cleary P, Schor J, Lipsitz L, Rowe J, Evans D. Acute delirium and functional decline in the hospitalized elderly patient. Journal Of Gerontology 1993, 48: m181-6. PMID: 8366260, DOI: 10.1093/geronj/48.5.m181.Peer-Reviewed Original ResearchConceptsHospital dischargeFunctional declinePhysical functionLong-term physical functionSubsequent physical functionHospitalized elderly patientsLong-term sequelaeMultivariate linear regression analysisDefinition of deliriumStrongest univariate associationsHospital deliriumAcute deliriumAcute onsetIncident deliriumElderly patientsReversible syndromeProspective studyUnivariate associationsDeliriumCognitive syndromesNursing homesDelirious subjectsLinear regression analysisPermanent consequencesMonthsHealth-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome
Cleary P, Fowler F, Weissman J, Massagli M, Wilson I, Seage G, Gatsonis C, Epstein A. Health-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome. Medical Care 1993, 31: 569-580. PMID: 8326772, DOI: 10.1097/00005650-199307000-00001.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusHealth-related qualityQuality of lifeHealth statusAcquired Immune Deficiency SyndromeGlobal health assessmentImmune deficiency syndromeFunctioning of personsHIV infectionImmunodeficiency virusFunctional statusPrimary careDeficiency syndromeFunctional impairmentBest predictorDiscrete symptomsSymptomsMental healthImportant signHealth assessmentAverage severityStrongest correlateFace interviewsValid measureStatusThe Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement
Greenfield S, Apolone G, McNeil B, Cleary P. The Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement. Medical Care 1993, 31: 141-154. PMID: 8433577, DOI: 10.1097/00005650-199302000-00005.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdultAgedCohort StudiesComorbidityDemographyFemaleHealth StatusHip ProsthesisHumansLogistic ModelsMaleMiddle AgedOdds RatioOutcome Assessment, Health CarePostoperative ComplicationsPrognosisQuality of LifeSeverity of Illness IndexSurveys and QuestionnairesUnited StatesConceptsCo-existent diseaseTotal hip replacementPostoperative complicationsHip replacementFunctional outcomeMedical recordsTotal hip replacement patientsFunctional outcome 1 yearHealth-related qualityTime of surgeryPost-operative complicationsSeverity of illnessOutcomes 1 yearHip replacement patientsPatients' medical recordsSignificant predictorsEffectiveness of careOne-year recoveryMedical record informationHospital complicationsICED scoreComorbid diseasesComplication rateHospital dischargePatient characteristicsUsing patient reports to assess health-related quality of life after total hip replacement
Cleary P, Reilly D, Greenfield S, Mulley A, Wexler L, Frankel F, McNeil B. Using patient reports to assess health-related quality of life after total hip replacement. Quality Of Life Research 1993, 2: 3-11. PMID: 8490615, DOI: 10.1007/bf00642884.Peer-Reviewed Original ResearchConceptsTotal hip replacementHip replacementUnilateral total hip replacementHealth-related qualityOutcomes 1 yearQuestionnaire 12 monthsProcess of careGood construct validityReponse rateRheumatoid arthritisFunctional statusMedical recordsTeaching hospitalPatient reportsHip arthroplastyHealth statusDisease severitySociodemographic characteristicsPatientsStrongest predictorConstruct validityQuestionnaireStatusHospitalizationArthritis
1991
Health-Related Quality of Life Among Patients Undergoing Percutaneous Transluminal Coronary Angioplasty
Cleary P, Epstein A, Oster G, Morrissey G, Stason W, Debussey S, Plachetka J, Zimmerman M. Health-Related Quality of Life Among Patients Undergoing Percutaneous Transluminal Coronary Angioplasty. Medical Care 1991, 29: 939-950. PMID: 1921527, DOI: 10.1097/00005650-199110000-00001.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdultAgedAngioplasty, Balloon, CoronaryBiphenyl CompoundsCoronary DiseaseEvaluation Studies as TopicHealth Status IndicatorsHeptanoic AcidsHumansInterviews as TopicMiddle AgedOutcome Assessment, Health CarePsychometricsQuality of LifeRandomized Controlled Trials as TopicSurveys and QuestionnairesTelephoneUnited StatesConceptsPercutaneous transluminal coronary artery angioplastyPercutaneous transluminal coronary angioplastyCoronary artery angioplastyHealth-related qualityTransluminal coronary angioplastyNew antiplatelet agentsRandomized clinical trialsQuality of lifeArtery angioplastyAntiplatelet agentsCoronary angioplastyPatient questionnaireStudy entryPatient populationSeparate clinical sitesClinical trialsPatientsClinical sitesSexual functioningTelephone administrationHome managementPhysical wellAngioplastyPsychometric propertiesTrialsAssessing quality of life after surgery
Cleary P, Greenfield S, McNeil B. Assessing quality of life after surgery. Contemporary Clinical Trials 1991, 12: s189-s203. PMID: 1663855, DOI: 10.1016/s0197-2456(05)80023-6.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAttitude to HealthBostonCaliforniaCholecystectomyCoronary Artery BypassFemaleFollow-Up StudiesHealth Status IndicatorsHip ProsthesisHumansMaleMiddle AgedPostoperative PeriodProstatectomyQuality of LifeReproducibility of ResultsSurveys and QuestionnairesTreatment OutcomeConceptsHealth-related qualityCoronary artery bypass graft surgeryPostsurgical health-related qualityArtery bypass graft surgeryBypass graft surgeryOutcome of surgeryType of surgeryStudy of patientsTraditional clinical indicatorsTotal hip replacementQuality of lifeGraft surgeryMedical therapyTransurethral prostatectomyClinical indicatorsSurgical conditionsTeaching hospitalSurgeryHip replacementHealth statusCognitive functioningOutcomesInternal consistencySelf-report scalesConstruct validityFailure of physicians to recognize functional disability in ambulatory patients.
Calkins D, Rubenstein L, Cleary P, Davies A, Jette A, Fink A, Kosecoff J, Young R, Brook R, Delbanco T. Failure of physicians to recognize functional disability in ambulatory patients. Annals Of Internal Medicine 1991, 114: 451-4. PMID: 1825267, DOI: 10.7326/0003-4819-114-6-451.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdultAgedAged, 80 and overDiagnostic ErrorsDisabled PersonsFemaleHumansInternal MedicineMaleMiddle AgedStatistics as TopicSurveys and QuestionnairesConceptsHospital-based practiceOffice-based practiceFunctional disabilityFunctional impairmentInternal medicine group practiceAbility of internistsPatient-reported disabilityInternal medicine practiceFailure of physiciansInternal medicine residentsAmbulatory patientsPatient functionPatientsStaff physiciansPatient careMedicine practicePhysiciansMedicine residentsGroup practiceDisabilityComparison of responsesRandom sampleImpairmentLesser degreeInternists
1989
Improving patient function: a randomized trial of functional disability screening.
Rubenstein L, Calkins D, Young R, Cleary P, Fink A, Kosecoff J, Jette A, Davies A, Delbanco T, Brook R. Improving patient function: a randomized trial of functional disability screening. Annals Of Internal Medicine 1989, 111: 836-42. PMID: 2683917, DOI: 10.7326/0003-4819-111-10-836.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedBlack or African AmericanData Interpretation, StatisticalDisability EvaluationEducation, Medical, ContinuingFemaleHumansInternal MedicineMaleOutcome and Process Assessment, Health CarePatient ParticipationRandomized Controlled Trials as TopicSurveys and QuestionnairesConceptsExperimental group physiciansFunctional Status QuestionnaireControl group patientsExperimental group patientsGroup patientsGroup physiciansStatus QuestionnaireFunctional statusPatient outcomesControl groupEducational sessionsControl group physiciansOffice-based internistsNumber of medicationsInternal medicine practiceHealth outcome measuresCommunity office practicesAnonymous evaluation questionnaireStudy patientsPatient diariesStudy entryExercise programFunctional disabilityPatient functionFunctional status information