匈牙利 EQ-5D-5L、PROPr 和 SF-6D 的人口规范。

IF 4.4 3区 医学 Q1 ECONOMICS PharmacoEconomics Pub Date : 2024-05-01 Epub Date: 2024-02-28 DOI:10.1007/s40273-024-01360-4
Anna Nikl, Mathieu F Janssen, Balázs Jenei, Valentin Brodszky, Fanni Rencz
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引用次数: 0

摘要

研究目的本研究旨在为匈牙利的三种伴随偏好的测量方法[EQ-5D-5L、患者报告结果测量信息系统(PROMIS)-偏好评分系统(PROPr)和短表六维(SF-6D)]制定人群规范:2020 年 11 月,对匈牙利成年普通人群(n = 1631)的代表性样本进行了在线横断面调查。受访者填写了匈牙利版 EQ-5D-5L、PROMIS-29+2 2.1 版和 36 项简表调查 1 版(SF-36v1)。采用多变量回归分析了效用与受访者的社会人口学特征和健康相关特征之间的关联:在 EQ-5D-5L 中,报告问题的受访者比例从 8%到 44%不等(从自我护理到疼痛/不适);在 PROPr 中,报告问题的受访者比例从 39%到 94%不等(从身体功能到睡眠);在 SF-6D 中,报告问题的受访者比例从 38%到 87%不等(从角色限制到活力)。与身体功能、自我护理、日常活动/角色限制和疼痛相关的问题随着年龄的增长而增加,而在所有三个测量指标中,心理健康问题都有所减少。在几乎所有相应的领域中,受访者在 EQ-5D-5L 中表示的问题最少,而在 SF-6D 中表示的问题最多。EQ-5D-5L 、PROPr 和 SF-6D 的平均效用值分别为 0.900、0.535 和 0.755。女性(PROPr、SF-6D)、受教育程度较低(EQ-5D-5L、PROPr)、失业或领取残疾抚恤金(EQ-5D-5L)、体重不足或肥胖(SF-6D)、缺乏体育锻炼(所有)和多药(所有)与效用显著降低有关。在 30 种慢性健康状况中,PROPr 得出的平均效用最低,EQ-5D-5L 得出的平均效用最高:本研究首次提出了匈牙利人口的 EQ-5D-5L、PROPr 和 SF-6D 标准。我们的研究结果可作为临床试验和观察研究的参考值,并有助于监测匈牙利人口健康状况和评估疾病负担。
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Population Norms for the EQ-5D-5L, PROPr and SF-6D in Hungary.

Objectives: This study aimed to develop population norms for three preference-accompanied measures [EQ-5D-5L, Patient-Reported Outcomes Measurement Information System (PROMIS)-preference scoring system (PROPr) and Short-Form Six-Dimension (SF-6D)] in Hungary.

Methods: In November 2020, an online cross-sectional survey was conducted among a representative sample of the Hungarian adult general population (n = 1631). Respondents completed the Hungarian versions of the EQ-5D-5L, PROMIS-29+2 version 2.1 and 36-item Short Form Survey version 1 (SF-36v1). The association of utilities with sociodemographic and health-related characteristics of respondents was analysed using multivariate regressions.

Results: The proportion of respondents reporting problems ranged from 8 to 44% (self-care to pain/discomfort) on the EQ-5D-5L, 39-94% (physical function to sleep) on PROPr and 38-87% (role limitations to vitality) on the SF-6D. Problems related to physical function, self-care, usual activities/role limitations and pain increased with age, while mental health problems decreased in all three measures. In almost all corresponding domains, respondents indicated the fewest problems on the EQ-5D-5L and the most problems on the SF-6D. The mean EQ-5D-5L, PROPr and SF-6D utilities were 0.900, 0.535 and 0.755, respectively. Female gender (PROPr, SF-6D), a lower level of education (EQ-5D-5L, PROPr), being unemployed or a disability pensioner (EQ-5D-5L), being underweight or obese (SF-6D), lack of physical exercise (all) and polypharmacy (all) were associated with significantly lower utilities. PROPr yielded the lowest and EQ-5D-5L the highest mean utilities in 28 of 30 chronic health conditions.

Conclusions: This study presents the first set of Hungarian population norms for the EQ-5D-5L, PROPr and SF-6D. Our findings can serve as reference values in clinical trials and observational studies and contribute to the monitoring of population health and the assessment of disease burden in Hungary.

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来源期刊
PharmacoEconomics
PharmacoEconomics 医学-药学
CiteScore
8.10
自引率
9.10%
发文量
85
审稿时长
6-12 weeks
期刊介绍: PharmacoEconomics is the benchmark journal for peer-reviewed, authoritative and practical articles on the application of pharmacoeconomics and quality-of-life assessment to optimum drug therapy and health outcomes. An invaluable source of applied pharmacoeconomic original research and educational material for the healthcare decision maker. PharmacoEconomics is dedicated to the clear communication of complex pharmacoeconomic issues related to patient care and drug utilization. PharmacoEconomics offers a range of additional features designed to increase the visibility, readership and educational value of the journal’s content. Each article is accompanied by a Key Points summary, giving a time-efficient overview of the content to a wide readership. Articles may be accompanied by plain language summaries to assist readers who have some knowledge of, but not in-depth expertise in, the area to understand the scientific content and overall implications of the article.
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