The development of new research methods for the valuation of EQ-5D-5L

Devlin, Nancy; Krabbe, Paul F M

doi:10.1007/s10198-013-0502-3

Cited by 217 publications

(195 citation statements)

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“…The PROMs program in SHAR includes the EQ-5D health status questionnaire [20], a hip pain visual analogue scale (VAS) [21], and at follow-ups, satisfaction with the outcome using a VAS. The EQ-5D questionnaire is internationally one of the most widely used generic health status measures [22]. The EQ-5D descriptive system includes five dimensions of health: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.…”

Section: Outcome Measuresmentioning

confidence: 99%

Can patient-reported outcomes predict re-operations after total hip replacement?

Eneqvist

Nemes

Bülow

et al. 2018

International Orthopaedics (SICOT)

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Purpose We investigated if patient-reported outcomes (PROMs) one year after total hip replacement (THR) can predict the risk of re-operation using data from the Swedish Hip Arthroplasty Register. Methods A total of 75,899 patients with THR due to osteoarthritis operated in 2002-2014 were included. We used Kaplan-Meier and Cox regression to investigate the relationship between one-year post-operative PROMs and risk of re-operation (all types of further hip surgery). The predictive power of the model and post-operative PROMs were evaluated by concordance index (C). Results Kaplan-Meier estimates for not being re-operated at eight years was 95.5% (95%CI; 95.3-95.8). Cox regression analyses showed that all PROMs, except for EQ-VAS, were associated with re-operation. The full model had a concordance index of 0.68. Satisfaction (C = 0.65) and pain (C = 0.65) in isolation had the highest predictive power. Conclusions Worse PROMs predicted higher risk of re-operation. Therefore, we believe PROMs may be helpful in identifying patients at risk for re-operation and timely address their problems.

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Section: Outcome Measuresmentioning

confidence: 99%

Can patient-reported outcomes predict re-operations after total hip replacement?

Eneqvist

Nemes

Bülow

et al. 2018

International Orthopaedics (SICOT)

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“…The EQ-5D (5L) 111 is increasingly being used in preference to the earlier EQ-5D-3L tool to assess the quality of life for participants with different medical conditions. The EQ-5D (5L) questionnaire describes health status in five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.…”

Section: Informal Care Giving Costsmentioning

confidence: 99%

Cognitive–behavioural therapy-based intervention to reduce fear of falling in older people: therapy development and randomised controlled trial – the Strategies for Increasing Independence, Confidence and Energy (STRIDE) study

Parry

Bamford

Deary

et al. 2016

Health Technol Assess

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BackgroundFalls cause fear, anxiety and loss of confidence, resulting in activity avoidance, social isolation and increasing frailty. The umbrella term for these problems is ‘fear of falling’, seen in up to 85% of older adults who fall. Evidence of effectiveness of physical and psychological interventions is limited, with no previous studies examining the role of an individually delivered cognitive–behavioural therapy (CBT) approach.ObjectivesPrimary objective To develop and then determine the effectiveness of a new CBT intervention (CBTi) delivered by health-care assistants (HCAs) plus usual care compared with usual care alone in reducing fear of falling.Secondary objectives To measure the impact of the intervention on falls, injuries, functional abilities, anxiety/depression, quality of life, social participation and loneliness; investigate the acceptability of the intervention for patients, family members and professionals and factors that promote or inhibit its implementation; and measure the costs and benefits of the intervention.DesignPhase I CBTi development.Phase II Parallel-group patient randomised controlled trial (RCT) of the new CBTi plus usual care compared with usual care alone.SettingMultidisciplinary falls services.ParticipantsConsecutive community-dwelling older adults, both sexes, aged ≥ 60 years, with excessive or undue fear of falling per Falls Efficacy Scale–International (FES-I) score of > 23.InterventionsPhase I Development of the CBTi. The CBTi was developed following patient interviews and taught to HCAs to maximise the potential for uptake and generalisability to a UK NHS setting.Phase II RCT. The CBTi was delivered by HCAs weekly for 8 weeks, with a 6-month booster session plus usual care.Main outcome measuresThese were assessed at baseline, 8 weeks, 6 months and 12 months.Primary outcome measure Fear of falling measured by change in FES-I scores at 12 months.Secondary outcome measures These comprised falls, injuries, anxiety/depression [Hospital Anxiety and Depression Scale (HADS)], quality of life, social participation, loneliness and measures of physical function. There were process and health-economic evaluations alongside the trial.ResultsFour hundred and fifteen patients were recruited, with 210 patients randomised to CBTi group and 205 to the control group. There were significant reductions in mean FES-I [–4.02; 95% confidence interval (CI) –5.95 to –2.1], single-item numerical fear of falling scale (–1.42; 95% CI –1.87 to 1.07) and HADS (–1; 95% CI –1.6 to –0.3) scores at 12 months in the CBTi group compared with the usual care group. There were no differences in the other secondary outcome measures. Most patients found the CBTi acceptable. Factors affecting the delivery of the CBTi as part of routine practice were identified. There was no evidence that the intervention was cost-effective.ConclusionsOur new CBTi delivered by HCAs significantly improved fear of falling and depression scores in older adults who were attending falls services. There was no impact on other measures.Further workFurther work should focus on a joint CBTi and physical training approach to fear of falling, more rational targeting of CBTi, the possibility of mixed group and individual CBTi, and the cost-effectiveness of provision of CBTi by non-specialists.Trial registrationCurrent Controlled Trials ISRCTN78396615.FundingThis project was funded by the NIHR Health Technology Assessment programme and will be published in full inHealth Technology Assessment; Vol. 20, No. 56. See the NIHR Journals Library website for further project information.

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“…It consists of twelve items: user-friendliness, maintenance, effectiveness, durability, adjustment, comfort, delivery process, professional services, weight, safety and size [20,22]. The EuroQol 5 dimension descriptive self-completion system (EQ-5D) is a survey of mobility of amputees in Activities of Daily Living (ADL) [23,24]. It comprises five items: mobility, self-care, usual activities, pain/discomfort and anxiety/depression [23].…”

Section: Outcome Measuresmentioning

confidence: 99%

“…The respondents' mean (BMI) was 24.6 (SD=5.2), representative of a normal population [29]. The range of the EQ-5D scores (n=190) was .71 (SD=0.22) reflecting a representative group of the respondents population with respect to health problems [24]. Of the AFOs 84% were custom-made (Table 2).…”

Section: Respondents Characteristicsmentioning

confidence: 99%

“…Respondents were asked to name three items of which they think that improvements could be made on the AFO; Questions 83-87: the EQ-5D [24]; Question 88: suggestions for comments on or improvement of the AFO, included as a blank comment field. This field was used to provide additional information with respect to the AFO (developed by the researcher).…”

Section: Introductionmentioning

confidence: 99%

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Use of and Satisfaction with Ankle Foot Orthoses

EJM¹

2015

Clin Res Foot Ankle

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Objective: The aim of this study was to obtain insight in specific elements influencing the use, non-use, satisfaction, and dissatisfaction of ankle foot orthoses (AFOs) and the presence of underexposed problems with respect to AFOs. Methods:A questionnaire was composed to obtain information from AFO users to investigate the variables associated with satisfaction and the relation between these variables. A specific feature of this study was the systematic analysis of the remarks made by the respondents about their AFO. Quantitative data analyses were used for analysing the satisfaction and qualitative analyses were used analysing the remarks of the respondents. A total of 211 users completed the questionnaire.Results: Our survey showed that 1 out of 15 AFOs were not used at all. About three quarters of the AFO users were satisfied and about one quarter was dissatisfied. Females and users living alone reported relatively high levels of dissatisfaction, especially in the field of dimensions, comfort, weight, safety and effectiveness. Dissatisfaction with respect to off-the-shelf AFOs for the item durability was higher than that for custom-made AFOs. In the delivery and maintenance process the items 'maintenance', 'professionalism' and 'delivery follow-up' were judged to be unsatisfactory. A large number of comments were made by the respondents to improve the device or process, mainly by the satisfied AFO users. These comments show that even satisfied users experience many problems and that a lot of problems of AFO users are 'underexposed'. Conclusion:To improve user satisfaction, the user practice has to be identified as an important sub-process of the whole orthopaedic chain especially in the diagnosis and prescription, delivery tuning and maintenance, and evaluation phase.

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The development of new research methods for the valuation of EQ-5D-5L

Cited by 217 publications

References 5 publications

Can patient-reported outcomes predict re-operations after total hip replacement?

Can patient-reported outcomes predict re-operations after total hip replacement?

Cognitive–behavioural therapy-based intervention to reduce fear of falling in older people: therapy development and randomised controlled trial – the Strategies for Increasing Independence, Confidence and Energy (STRIDE) study

Use of and Satisfaction with Ankle Foot Orthoses

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