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Medical Care:
Development And Validation Of The Sf-36 Arthritis-Specific Health Index (Ashi)

Monitoring Health Outcomes Among Patients With Arthritis Using the SF-36 Health Survey: Overview

Keller, Susan D. PhD; Majkut, Tracey C. BA; Kosinski, Mark MA; Ware, John E. Jr. PhD

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Abstract

As shown here, general health measures cover much of the content included in arthritis-specific measures, but, are they equally sensitive to changes in disease condition? We reviewed the literature on the most widely used general health measure, the SF-36 Health Survey, to see if the empirical evidence supported its validity for use in arthritis patients. As of this writing, there was no documentation of the sensitivity of the SF-36 to short-term changes in arthritic condition over the course of clinical trials and few studies that compared the sensitivity of the SF-36 to arthritis-specific measures. The empirical research reported in this special supplement contributes to the literature on the use of the SF-36 in arthritis patients and demonstrates methods of studying the validity of general health measures to monitor change in specific conditions.

© 1999 Lippincott Williams & Wilkins, Inc.

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