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Discrepancies between proxy estimates and patient reported, health related, quality of life: minding the gap between patient and clinician perceptions in heart failure.

Roslyn A PrichardFei-Li ZhaoJulee McdonaghStephen GoodallPatricia M DavidsonPhillip J NewtonBen Farr-WhartonChristopher S Hayward
Published in: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation (2021)
Clinicians in this sample overestimated HRQoL. Factors affecting the inter-rater gap, including sex and depression, support formal HRQoL screening to enhance clinical conversations and decision making. The discrepancy also supports regulatory restriction on the use of expert opinion in the development of QALYs in health economic analysis.
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