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A Time Trade-off-derived Value Set of the EQ-5D-5L for Canada

BACKGROUND: The 5-level version of the EQ-5D (EQ-5D-5L) was recently developed. A number of preference-based scoring systems are being developed for several countries around the world. OBJECTIVE: To develop a value set for the EQ-5D-5L based on societal preferences in Canada. METHODS: We used age, s...

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Autores principales: Xie, Feng, Pullenayegum, Eleanor, Gaebel, Kathy, Bansback, Nick, Bryan, Stirling, Ohinmaa, Arto, Poissant, Lise, Johnson, Jeffrey A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4674140/
https://www.ncbi.nlm.nih.gov/pubmed/26492214
http://dx.doi.org/10.1097/MLR.0000000000000447
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author Xie, Feng
Pullenayegum, Eleanor
Gaebel, Kathy
Bansback, Nick
Bryan, Stirling
Ohinmaa, Arto
Poissant, Lise
Johnson, Jeffrey A.
author_facet Xie, Feng
Pullenayegum, Eleanor
Gaebel, Kathy
Bansback, Nick
Bryan, Stirling
Ohinmaa, Arto
Poissant, Lise
Johnson, Jeffrey A.
author_sort Xie, Feng
collection PubMed
description BACKGROUND: The 5-level version of the EQ-5D (EQ-5D-5L) was recently developed. A number of preference-based scoring systems are being developed for several countries around the world. OBJECTIVE: To develop a value set for the EQ-5D-5L based on societal preferences in Canada. METHODS: We used age, sex, and education quota sampling from the general population from 4 cities across Canada. Composite time trade-off (cTTO) and traditional time trade-off (tTTO) were used as the main elicitation technique. A total of 86 EQ-5D-5L health states grouped into 10 blocks were valued using cTTO, whereas a subset of 18 severe states was also valued using tTTO. Participants meeting predefined inconsistency criteria were excluded from the analyses. For the value set development, we used tTTO and positive cTTO values, while censoring negative and zero cTTO values at zero. Models with the main effects presented using linear terms combined with various additional terms were estimated. The preferred model was selected based primarily on logically ordered coefficients, and secondly model fit. RESULTS: Of the 1209 participants who completed the interview, 136 met criteria that excluded them from the primary analyses. The demographics and socioeconomic status of the remaining 1073 participants were similar to the Canadian general population. The preferred model has 5 linear terms for the main effects, a term for level 4 or 5 for each dimension, and a term for the squared total number of level 4 or 5 beyond the first. For this preferred model, the health utilities ranged from −0.148 for the worst (55555) to 0.949 for the best (11111) EQ-5D-5L states. CONCLUSIONS: This is the first TTO-based value set of the EQ-5D-5L for Canada. It can be used to support the health utility estimation in economic evaluations for reimbursement decision making in Canada.
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spelling pubmed-46741402015-12-21 A Time Trade-off-derived Value Set of the EQ-5D-5L for Canada Xie, Feng Pullenayegum, Eleanor Gaebel, Kathy Bansback, Nick Bryan, Stirling Ohinmaa, Arto Poissant, Lise Johnson, Jeffrey A. Med Care Original Articles BACKGROUND: The 5-level version of the EQ-5D (EQ-5D-5L) was recently developed. A number of preference-based scoring systems are being developed for several countries around the world. OBJECTIVE: To develop a value set for the EQ-5D-5L based on societal preferences in Canada. METHODS: We used age, sex, and education quota sampling from the general population from 4 cities across Canada. Composite time trade-off (cTTO) and traditional time trade-off (tTTO) were used as the main elicitation technique. A total of 86 EQ-5D-5L health states grouped into 10 blocks were valued using cTTO, whereas a subset of 18 severe states was also valued using tTTO. Participants meeting predefined inconsistency criteria were excluded from the analyses. For the value set development, we used tTTO and positive cTTO values, while censoring negative and zero cTTO values at zero. Models with the main effects presented using linear terms combined with various additional terms were estimated. The preferred model was selected based primarily on logically ordered coefficients, and secondly model fit. RESULTS: Of the 1209 participants who completed the interview, 136 met criteria that excluded them from the primary analyses. The demographics and socioeconomic status of the remaining 1073 participants were similar to the Canadian general population. The preferred model has 5 linear terms for the main effects, a term for level 4 or 5 for each dimension, and a term for the squared total number of level 4 or 5 beyond the first. For this preferred model, the health utilities ranged from −0.148 for the worst (55555) to 0.949 for the best (11111) EQ-5D-5L states. CONCLUSIONS: This is the first TTO-based value set of the EQ-5D-5L for Canada. It can be used to support the health utility estimation in economic evaluations for reimbursement decision making in Canada. Lippincott Williams & Wilkins 2016-01 2015-12-18 /pmc/articles/PMC4674140/ /pubmed/26492214 http://dx.doi.org/10.1097/MLR.0000000000000447 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0.
spellingShingle Original Articles
Xie, Feng
Pullenayegum, Eleanor
Gaebel, Kathy
Bansback, Nick
Bryan, Stirling
Ohinmaa, Arto
Poissant, Lise
Johnson, Jeffrey A.
A Time Trade-off-derived Value Set of the EQ-5D-5L for Canada
title A Time Trade-off-derived Value Set of the EQ-5D-5L for Canada
title_full A Time Trade-off-derived Value Set of the EQ-5D-5L for Canada
title_fullStr A Time Trade-off-derived Value Set of the EQ-5D-5L for Canada
title_full_unstemmed A Time Trade-off-derived Value Set of the EQ-5D-5L for Canada
title_short A Time Trade-off-derived Value Set of the EQ-5D-5L for Canada
title_sort time trade-off-derived value set of the eq-5d-5l for canada
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4674140/
https://www.ncbi.nlm.nih.gov/pubmed/26492214
http://dx.doi.org/10.1097/MLR.0000000000000447
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