• Arch Gerontol Geriatr · Jul 2021

    Multicenter Study

    Health-related quality of life and ego integrity among the oldest old - Evidence from the multicenter AgeCoDe-AgeQualiDe study.

    • André Hajek, Simon Forstmeier, Christian Brettschneider, Dagmar Lühmann, Juliane Döhring, Birgitt Wiese, Anke Oey, Siegfried Weyerer, Jochen Werle, Michael Pentzek, Angela Fuchs, Susanne Röhr, Ines Conrad, Dagmar Weeg, Edelgard Mösch, Kathrin Heser, Michael Wagner, Martin Scherer, Wolfgang Maier, Steffi G Riedel-Heller, and Hans-Helmut König.
    • Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany. Electronic address: a.hajek@uke.de.
    • Arch Gerontol Geriatr. 2021 Jul 1; 95: 104408.

    PurposeTo investigate the association between health-related quality of life and ego integrity among the oldest old.Materials And MethodsCross-sectional data were taken from follow-up wave 9 of the multicenter prospective cohort study "Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)" (AgeQualiDe). Our analytical sample comprised n = 495 observations. Mean age was 90.2 years (SD: 2.7 years). Health-related quality of life was quantified using the EQ-5D-3L questionnaire (including the visual analogue scale EQ-VAS). Ego integrity was measured using the Ego Integrity Scale.ResultsRegressions showed an association between decreased ego integrity and problems with 'usual activities', 'pain/discomfort' and 'anxiety/depression'. Furthermore, regressions showed a marginally significant association between decreased ego integrity and problems with 'mobility' and a decreased EQ-VAS score. Ego integrity was not significantly associated with problems with 'self-care'.ConclusionsFindings stress the importance of health-related quality of life for ego integrity among the oldest old. Future studies are required to clarify the underlying mechanisms.Copyright © 2021. Published by Elsevier B.V.

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