The self versus proxy report conundrum in juvenile idiopathic arthritis: implications for a cost-effectiveness analysis of integrated podiatry care
2011

Self vs Proxy Reporting in Juvenile Idiopathic Arthritis

Sample size: 40 publication Evidence: moderate

Author Information

Author(s): Hendry Gordon J, Gardner-Medwin Janet, Turner Debbie E, Woodburn Jim, Lorgelly Paula K

Primary Institution: School of Biomedical and Health Sciences, University of Western Sydney

Hypothesis

What is the level of agreement between self- and proxy-reported health-related quality of life in juvenile idiopathic arthritis?

Conclusion

There is at best moderate agreement between patients with juvenile idiopathic arthritis and their parent-proxies on health-related quality of life measures.

Supporting Evidence

  • Self-care and usual activities showed moderate agreement between self and proxy reports.
  • Mobility, pain, and anxiety showed less than moderate agreement.
  • Good agreement was found for the EQ5D visual-analogue-scale.
  • Poor agreement was observed for the utility index.

Takeaway

Kids and their parents sometimes see health differently, and this study shows they don't always agree on how the kid is feeling.

Methodology

The study used the EQ5D measure of health-related quality of life, comparing self- and proxy-reports from patient-parent pairs.

Potential Biases

Potential bias in reporting due to differing perceptions between children and parents.

Limitations

The study's findings may not be generalizable beyond the specific population studied.

Participant Demographics

Participants were juvenile idiopathic arthritis patients and their parent/guardian proxies.

Statistical Information

Confidence Interval

95%

Digital Object Identifier (DOI)

10.1186/1757-1146-4-S1-P26

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