Sangam: A Confluence of Knowledge Streams

Use of generic and condition-specific measures of health-related quality of life in NICE decision-making: a systematic review, statistical modelling and survey

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dc.contributor NIHR
dc.creator Longworth, L
dc.creator Yang, Y
dc.creator Young, T
dc.creator Mulhern, B
dc.creator Hernandez, M
dc.creator Mukuria, C
dc.creator Rowen, D
dc.creator Tosh, J
dc.creator Tsuchiya, A
dc.creator Evans, P
dc.creator Keetharuth, A
dc.creator Brazier, J
dc.date 2015-02-06T14:54:37Z
dc.date 2014-02-01
dc.date 2015-02-06T14:54:37Z
dc.date 2014
dc.date.accessioned 2022-05-25T14:53:50Z
dc.date.available 2022-05-25T14:53:50Z
dc.identifier Health Technology Assessment, 18(9): (2014)
dc.identifier 1366-5278
dc.identifier http://www.journalslibrary.nihr.ac.uk/hta/volume-18/issue-9#abstract
dc.identifier http://bura.brunel.ac.uk/handle/2438/10153
dc.identifier http://dx.doi.org/10.3310/hta18090
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/172708
dc.description Results: (1) EQ-5D was valid and responsive for skin conditions and most cancers; in vision, its performance varied according to aetiology; and performance was poor for hearing impairments. The HUI3 performed well for hearing and vision disorders. It also performed well in cancers although evidence was limited and there was no evidence in skin conditions. There were limited data for SF-6D in all four conditions and limited evidence on reliability of all instruments. (2) Mapping algorithms were estimated to predict EQ-5D values from alternative cancer-specific measures of health. Response mapping using all the domain scores was the best performing model for the EORTC QLQ-C30. In an exploratory analysis, a limited dependent variable mixture model performed better than an equivalent linear model. In the full analysis for the FACT-G, linear regression using ordinary least squares gave the best predictions followed by the tobit model. (3) The exploratory valuation study found that bolt-on items for vision, hearing and tiredness had a significant impact on values of the health states, but the direction and magnitude of differences depended on the severity of the health state. The vision bolt-on item had a statistically significant impact on EQ-5D health state values and a full valuation model was estimated. Conclusions: EQ-5D performs well in studies of cancer and skin conditions. Mapping techniques provide a solution to predict EQ-5D values where EQ-5D has not been administered. For conditions where EQ-5D was found to be inappropriate, including some vision disorders and for hearing, bolt-ons provide a promising solution. More primary research into the psychometric properties of the generic preference-based measures is required, particularly in cancer and for the assessment of reliability. Further research is needed for the development and valuation of bolt-ons to EQ-5D. Funding: This project was funded by the UK Medical Research Council (MRC) as part of the MRC-NIHR methodology research programme (reference G0901486) and will be published in full in Health Technology Assessment; Vol. 18, No. 9. See the NIHR Journals Library website for further project information.
dc.language en
dc.relation 2438/8064
dc.relation http://bura.brunel.ac.uk/handle/2438/8064
dc.relation Health Technology Assessment
dc.relation Health Technology Assessment
dc.subject EQ-5D
dc.subject Skin conditions
dc.title Use of generic and condition-specific measures of health-related quality of life in NICE decision-making: a systematic review, statistical modelling and survey
dc.type Article


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