BACKGROUND The quality-adjusted life year (QALY) is an attractive outcome measure because it captures both health-related quality of life (HRQL) and life expectancy in a single metric. We present a method for calculating QALYs that is simple, utilizes data that are free of charge, and may improve consistency in burden-of-disease investigations. METHODS For purposes of illustration, we calcula...

This paper utilizes the Bureau of Labor Statistics (BLS) new worklife tables' information on workforce participation probabilities to estimate the effect of an injury on a worker's life expectancy, worklife expectancy and discounted expected income. After a medical opinion has been obtained concerning the effect of an injury on a worker's probabilities of living and remaining active, the BLS's ...

BACKGROUND Little is known about the effect of combination antiretroviral therapy (cART) on life expectancy in sub-Saharan Africa. OBJECTIVE To estimate life expectancy of patients once they initiate cART in Uganda. DESIGN Prospective cohort study. SETTING Public sector HIV and AIDS disease-management program in Uganda. PATIENTS 22 315 eligible patients initiated cART during the study p...

OBJECTIVES To assess whether delaying risk reduction treatment has a different impact on potential life years lost in younger compared with older patients at the same baseline short-term cardiovascular risk. DESIGN Modelling based on population data. METHODS Potential years of life lost from a 5-year treatment delay were estimated for patients of different ages but with the same cardiovascu...

OBJECTIVES To examine the relationships of strenuous and hazardous working conditions and rotating shifts that involve night working with life expectancy in good perceived health and life expectancy without chronic disease. METHODS The sample contained male gas and electricity workers from the French GAZEL cohort (n=13 393). Six measures of physical working conditions were examined: Self-repo...

The periodic calculation of healthy life expectancies permits the evaluation of the impact of new health policies at a given moment, as well as the assessment of trends under changing health conditions. In spite of their apparent simplicity, the results obtained will have to be interpreted by experts. Useful reference values can be provided by international comparisons. However, several choices...

ebstein's anomaly is defined as the significant apical displacement of the tricuspid valve causing tricuspid regurgitation. although a variety of concomitant lesions have been previously described, we herein introduce an unusual presentation.  our patient was an 86-year-old man with a primary presentation of typical chest pain in the setting of recently diagnosed coronary artery disease with co...