RESULTS	With SHFM score modeled as a categorical variable , EQ-5D utilities for patients with rounded SHFM scores of 1 or 2 were significantly lower ( -0.041 and -0.053 , respectively ; both P < .001 ) and declined more rapidly over time ( -0.011 and -0.020 , respectively ; both P .004 ) than for patients with scores of -1 .\