In studies where no preference based measures are collected, indi

In studies where no preference based measures are collected, indirect methods have been developed to estimate utilities from clinical instruments. The aim of this study was to evaluate a published method of estimating the EuroQol-5D (EQ-5D) and selleck inhibitor Short Form-6D (SF-6D) (preference based) utility scores from the Health Assessment Questionnaire (HAQ) in patients with inflammatory arthritis.

Methods: Data were used from 3 cohorts of patients with: early inflammatory arthritis (<10 weeks duration); established (>5 years duration) stable rheumatoid arthritis (RA); and RA being treated with anti-TNF therapy. Patients completed the EQ-5D, SF-6D and HAQ at baseline and a follow-up assessment. EQ-5D and SF-6D

scores were predicted from the HAQ using a published method. Differences between CA3 predicted and observed EQ-5D and SF-6D scores were assessed using the paired t-test and linear regression.

Results: Predicted utility scores were generally higher than observed scores (range of differences: EQ-5D 0.01 – 0.06; SF-6D 0.05 – 0.10). Change between predicted values of the EQ-5D and SF-6D corresponded well with observed change in patients with established RA. Change in predicted SF-6D scores was, however, less than half of that in observed values (p < 0.001) in patients

with more active disease. Predicted EQ-5D scores underestimated change in cohorts of patients with more active disease.

Conclusion: Predicted utility scores overestimated baseline values but underestimated change. Predicting utility values from the HAQ will therefore likely underestimate the QALYs of interventions, particularly for patients with active disease. We recommend the inclusion of at least one preference based measure in future clinical studies.”
“A new approach is described to analyse the barrier Elacridar clinical trial properties of the outer part of rice (Oryza sativa L.) roots towards oxygen. By using a root-sleeving

O(2) electrode, radial oxygen loss at different distances from the root apex was measured and related to the corresponding root structure. In addition, internal oxygen concentrations were precisely adjusted using a newly developed perfusion technique. Thus, the oxygen permeability coefficient of the outer part of the root (OPR) could be calculated, since both (i) the oxygen flow across the OPR and (ii) the oxygen concentration gradient across the OPR from inside to outside were known. On the basis of the permeability coefficient, it can be decided whether or not different rates of oxygen loss across the OPR are due to changes in the OPR structure and/or to changes in the concentration gradient. The technique was applied to rice root segments, which enabled rapid perfusion of aerenchyma. In the present study, roots of rice grown under aerobic conditions were used which should have a higher O(2) permeability compared with that of plants grown in deoxygenated solution.

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