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Quality of Life Research
Gepubliceerd in:

01-07-2015

Do health preferences contradict ordering of EQ-5D labels?

Auteurs: Benjamin M. Craig, A. Simon Pickard, Kim Rand-Hendriksen

Gepubliceerd in: Quality of Life Research | Uitgave 7/2015

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Abstract

Purpose

The aim of this study was to test whether the ordering of item labels in EQ-5D instruments disagrees with the preferences of US adults.

Methods

A preference inversion occurs when “worse” health along a scale or score is preferred. As a sub-study of the 2013 United States Measurement and Valuation of Health Study, we tested for 33 EQ-5D preference inversions using paired comparisons with unique samples of 50 or more US adults, aged 18 or older. Specifically, we tested whether health preferences contradicted ordering of EQ-5D labels.

Results

The EQ-5D-3L and EQ-5D-Y item labels had no significant preference inversions. The EQ-5D-5L version had preference inversions between Levels 4 and 5. For example, 30 out of 59 respondents (51 %) preferred being “extremely” over “severely anxious or depressed,” contrary to the ordering of labels for that item.

Conclusions

Preference inversions between Levels 4 and 5 on the EQ-5D-5L were tested and confirmed; therefore, valuation studies may find that Levels 4 and 5 have the same value. To mitigate such inversions, labels could be revised or a 4-level version could be considered.
vorige artikel Mapping the disease-specific LupusQoL to the SF-6D
volgende artikel The EQ-5D-5L index score is more discriminative than the EQ-5D-3L index score in diabetes patients
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Metagegevens
Titel
Do health preferences contradict ordering of EQ-5D labels?
Auteurs
Benjamin M. Craig
A. Simon Pickard
Kim Rand-Hendriksen
Publicatiedatum
01-07-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 7/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0897-z

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