Health and Quality of Life Outcomes BioMed Central Research Open Access Health-related quality of life, utility, and productivity outcomes instruments: ease of completion by subjects with COPD Elisabeth Ståhl*1,2, Sven-Arne Jansson3, Ann-Christin Jonsson3, Klas Svensson2, Bo Lundbäck3,4,5 and Fredrik Andersson2 Address: 1Dept of Respiratory Medicine, University Hospital, Lund, Sweden, 2AstraZeneca R&D, Lund, Sweden, 3The OLIN Study Group, Sunderby Central Hospital of Norrbotten, Luleå, Sweden, 4Dept of Respiratory Medicine, University Hospital, Umeå, Sweden and 5Lung and Allergy Research, The National Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden Email: Elisabeth Ståhl* - ; Sven-Arne Jansson - ; Ann-Christin Jonsson - ; Klas Svensson - ; Bo Lundbäck. | BioMed Central Health and Quality of Life Outcomes Research Open Access Health-related quality of life utility and productivity outcomes instruments ease of completion by subjects with COPD Elisabeth Stâhl 1 2 Sven-Arne Jansson3 Ann-Christin Jonsson3 Klas Svensson2 Bo Lundback3 4 5 and Fredrik Andersson2 Address 1Dept of Respiratory Medicine University Hospital Lund Sweden 2AstraZeneca R D Lund Sweden 3The OLIN Study Group Sunderby Central Hospital of Norrbotten Luleâ Sweden 4Dept of Respiratory Medicine University Hospital Umeâ Sweden and 5Lung and Allergy Research The National Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden Email Elisabeth Stâhl - Sven-Arne Jansson - Ann-Christin Jonsson - Klas Svensson - Bo Lundback - Fredrik Andersson - Corresponding author Published 2 June 2003 Received 20 February 2003 Accepted 2 June 2003 Health and Quality of Life Outcomes 2003 1 18 This article is available from http content 1 1 18 2003 Stahl et al licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract An important outcome of any clinical intervention is the change in the subject s own perceived state of health. This can be categorized as health-related quality of life HRQL utility preference-based health state and daily life performance. 174 Swedish subjects with chronic obstructive pulmonary disease COPD mean age 12 years completed five self-administered questionnaires Short Form 36 SF-36 St George s Respiratory Questionnaire SGRQ EuroQol-5D EQ-5D Health States-COPD HS-COPD and Work Productivity and Activity Impairment Questionnaire for COPD WPAI-COPD . The subjects .