Comparing EQ-5D Valuation Studies

Xie, Feng; Gaebel, Katherine; Perampaladas, Kuhan; Doble, Brett; Pullenayegum, Eleanor

doi:10.1177/0272989x13480852

Cited by 93 publications

(33 citation statements)

References 34 publications

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“…The EQ-5D-3L, regarded as the primary valuation study derived utility scores, are prevalently applied preference-based measures. 9,15,33 In this study, CER and ICERs were the outcomes of economic benefits, which could be comprehended that ICERs indicate how much extra health benefits via ELA can bring compared with via STA, and how much additional expense it will cost.…”

Section: Discussionmentioning

confidence: 98%

Cost-utility Analysis of Extensile Lateral Approach Versus Sinus Tarsi Approach in Sanders type II/III Calcaneus Fractures

Zhou

et al. 2020

Preprint

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Background Extensile lateral approach had been recognized as the gold standard technique for displaced intra-articular calcaneus fractures (DIACFs) while sinus tarsi approach had been increasingly valued by surgeons. And comparative clinical outcome was shown in both techniques. Appropriate decisions could be made by the clinicians with the help of CUA about optimal healthcare for type II/III calcaneus fracture. Method A single-center, retrospective study was conducted in which basic characteristics, clinical outcomes and health care costs of 109 patients had been obtained and analyzed. Changes in health-related quality of life (HRQoL) scores, validated by EuroQol five-dimensional-three levels (EQ-5D-3L), were used to enumerate quality-adjusted life-years (QALYs). Cost-effectiveness was determined by the incremental cost per QALY. Results 109 patients were enrolled in our study including 62 in the ELA group and 47 in the STA group. There were no significant differences between these two groups in mean total cost, laboratory and radiographic evaluation expense, surgery, anesthesia and antibiotic expense. The expense of internal fixation materials ($3289.0 ± 543.9) versus ($2630.6 ± 763.7) and analgesia ($145.8 ± 85.6) versus ($102.9 ± 62.7) in ELA group were significantly higher than in the STA group ( P <.001, P =.008, respectively). Visual Analogue Scale (VAS) scores showed significant difference at postoperative 3 and 5 days ( P <.001). American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scores and the Bohlers’ and Gissane angle showed no significant differences between the two groups before and after the operation. The cost-effectiveness ratios of ELA and STA were $8766.8±2835.2/QALY and $7914.9 ± 1822.0/QALY respectively and incremental cost-effectiveness ratio (ICERs) of ELA over STA was $32110.00/QALY, but both showed no significant difference. Conclusion Both ELA and STA techniques are effective operative procedures for the patients with calcaneus fracture. Moreover, STA seems to be more reasonable for its merits including less postoperative pain, and less expense of analgesia as well as internal fixation materials.

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Section: Discussionmentioning

confidence: 98%

Cost-utility Analysis of Extensile Lateral Approach Versus Sinus Tarsi Approach in Sanders type II/III Calcaneus Fractures

Zhou

et al. 2020

Preprint

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“…The Iranian valuation study 12 was conducted in the capital city of Iran with specific health–cultural–socio-economic status which might not be representative of the Iranian general population (eg, highly educated participants of whom 42% had academic education and solely from urban areas). A recent systematic review 22 showed that education, urbanisation, and healthcare expenditure are associated with utilities attributed to the EQ-5D-3L valuations indicating that the generalizability of the Iranian value set might be limited. In addition, it is not clear on what grounds the final model for the Iranian value set 12 has been selected.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Iran and UK EQ-5D-3L Value Sets Based on Visual Analogue Scale

Kiadaliri

2016

Int J Health Policy Manag

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Background: Preference weights for EQ-5D-3L based on visual analogue scale (VAS) has recently been developed in Iran. The aim of the current study was to compare performance of this value set against the UK VAS-based value set. Methods: The mean scores for all possible 243 health states were compared using Student t test. Absolute agreement and consistency were investigated using concordance correlation coefficient (CCC) and Bland-Altman plot. Health gains for 29 403 possible transitions between pairs of EQ-5D-3L health states were compared. Responsiveness to change and discriminative ability across subgroups of health transitions were assessed. Results: The mean EQ-5D-3L scores were similar for two value sets (mean = 0.31, P = 1.00). For 36% of health states, the absolute differences were greater than 0.10. There were three pairwise logical inconsistencies in the Iranian value set. The Iranian scores were lower (higher) for severe (mild) health states than the United Kingdom. The CCC (95% CI) was 0.85 (0.81 to 0.88) and Bland-Altman plot showed good agreement. The mean health gain for all possible transitions predicted by the Iranian value set was higher (0.22 vs. 0.20, P < .001) and two value sets predicted opposite transitions in 15% of transitions. The responsiveness of these two value sets were similar with lower discriminative ability for Iranian value set. Conclusion: The Iranian value set attribute lower values to most severe health states and higher values to mild health states compared with the UK value set. Such systematic differences might translate into discrepant health gains and cost-effectiveness which should be taking into account for informed decision-making.

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“…With only few exceptions (e.g. Shaw et al, 2010), health state valuation studies have used the arithmetic mean to aggregate individual preferences into a societal preference (Xie et al, 2014;MVH, 1995). If the tariff would reflect (health-related)…”

Section: Problem Statementmentioning

confidence: 99%

“…If all individuals had similar preferences, however, the choice of the aggregation method would be trivial. Yet, empirical studies show that health state preferences differ considerably (Xie et al, 2014; also see figure 2), and the societal preference is thus intimately dependent on the method of aggregation -if the method is changed, the outcome might differ. This raises the question: how should preferences be aggregated?…”

Section: Problem Statementmentioning

confidence: 99%

Social tariffs and democratic choice – do population-based health state values reflect the will of the people?

Schneider¹

2019

Preprint

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In economic evaluations of health technologies, health outcomes are commonly measured in terms of QALYs. QALYs are the product of time and health-related quality of life. Health-related quality of life, in turn, is determined by a social tariff, which is supposed to reflect the public’s preference over health states. This paper argues that, because of the tariff’s role in the societal decision making process, it should not be understood as merely a statistical model, but as a major instrument of democratic participation. I outline what implications this might have for both the method used to aggregate individual preferences, and the set of individuals whose preferences should count. Alternative tariff specifications are explored, and future research directions are proposed.

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Comparing EQ-5D Valuation Studies

Cited by 93 publications

References 34 publications

Cost-utility Analysis of Extensile Lateral Approach Versus Sinus Tarsi Approach in Sanders type II/III Calcaneus Fractures

Cost-utility Analysis of Extensile Lateral Approach Versus Sinus Tarsi Approach in Sanders type II/III Calcaneus Fractures

A Comparison of Iran and UK EQ-5D-3L Value Sets Based on Visual Analogue Scale

Social tariffs and democratic choice – do population-based health state values reflect the will of the people?

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