比较经典霍奇金淋巴瘤幸存者的 EQ-5D-5 L、SF-6Dv2、QLU-C10D 和 FACT-8D 的测量特性。

IF 3.1 3区 医学 Q1 ECONOMICS European Journal of Health Economics Pub Date : 2024-10-17 DOI:10.1007/s10198-024-01730-x
Richard Huan Xu, Zuyi Zhao, Tianxin Pan, Andrea Monteiro, Hongfei Gu, Dong Dong
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引用次数: 0

摘要

研究目的本研究旨在评估经典霍奇金淋巴瘤(CHL)幸存者的EQ-5D-5 L、SF-6Dv2、QLU-C10D和FACT-8D的测量属性:方法:2022 年 5 月至 8 月进行了一项横断面网络调查,以收集数据。EQ-5D-5 L、SF-6Dv2和QLU-C10D的效用评分采用中文值集估算,FACT-8D采用澳大利亚值集估算。评估的测量特性包括上限和下限效应、收敛效度(使用斯皮尔曼等级相关性和类内相关系数评估相似维度/效用分数之间的关联)和已知组效度(测量可区分不同风险组的健康相关生活质量(HRQoL)):共有 534 名慢性淋巴细胞白血病幸存者参与了调查并填写了问卷。EQ-5D-5 L、SF-6D(生命力除外)、QLU-C10D和FACT-8D的所有维度均显示出上限效应,从18%到91.6%不等。与其他量表相比,EQ-5D-5 L 显示出更高的上限效应,33% 的患者在该量表中报告完全健康。四种测量方法中相似维度之间的 30 对关联均具有统计学意义,相关系数从 0.29 到 0.77 不等。在效用评分方面,EQ-5D-5 L 效用评分与 SF-6Dv2 的相关性强于与其他两个测量指标的相关性。四种测量方法之间的效用得分具有统计学意义的相关性。EQ-5D-5 L能显著区分所有已知群体的HRQoL,而SF-6Dv2、QLU-C10D和FACT-8D的区分能力较弱:结论:就与癌症特异性 PRMs 的一致性和判别能力而言,EQ-5D-5 L 优于 SF-6Dv2。然而,SF-6Dv2与QLU-C10D和FACT-8D的相似维度显示出更强的关联性,表明其具有较高的收敛效度。通用 PBMs 对测量 CHL 幸存者的 HRQoL 足够敏感。
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Comparing the measurement properties of the EQ-5D-5 L, SF-6Dv2, QLU-C10D and FACT-8D among survivors of classical Hodgkin's lymphoma.

Objective: This study aimed to evaluate the measurement properties of EQ-5D-5 L, SF-6Dv2, QLU-C10D, and FACT-8D in survivors of Classical Hodgkin's Lymphoma (CHL).

Methods: A cross-sectional, web-based survey was conducted from May to August 2022 to collect data. Chinese value sets were used to estimate the utility scores for EQ-5D-5 L, SF-6Dv2, and QLU-C10D, while the Australian value set was used for FACT-8D. The measurement properties assessed included ceiling and floor effects, convergent validity (assessing associations between similar dimensions/utility scores using Spearman's rank correlation and intraclass correlation coefficient), and known-group validity (measures could differentiate health-related quality of life (HRQoL) between risk groups).

Results: A total of 534 CHL survivors participated in the survey and completed the questionnaire. All dimensions of EQ-5D-5 L, SF-6D (except for vitality), QLU-C10D, and FACT-8D showed ceiling effects, ranging from 18 to 91.6%. The EQ-5D-5 L demonstrated the higher ceiling effects compared to other measures, with 33% of patients reporting full health on this scale. All 30 pairs of associations between similar dimensions from the four measures were statistically significant, with correlation coefficients ranging from 0.29 to 0.77. Regarding utility scores, the EQ-5D-5 L utility score showed a stronger correlation with SF-6Dv2 than with the other two measures. Statistically significant correlations of utility scores between the four measures were observed. EQ-5D-5 L can significantly differentiate HRQoL among all known-groups, while SF-6Dv2, QLU-C10D, and FACT-8D showed a less strong discriminant ability.

Conclusions: EQ-5D-5 L outperformed SF-6Dv2 in terms of agreement with cancer-specific PRMs and discriminant ability. However, SF-6Dv2 showed stronger associations with similar dimensions of QLU-C10D and FACT-8D, indicating high convergent validity. The generic PBMs are sensitive enough to measure HRQoL in survivors of CHL.

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来源期刊
CiteScore
6.10
自引率
2.30%
发文量
131
期刊介绍: The European Journal of Health Economics is a journal of Health Economics and associated disciplines. The growing demand for health economics and the introduction of new guidelines in various European countries were the motivation to generate a highly scientific and at the same time practice oriented journal considering the requirements of various health care systems in Europe. The international scientific board of opinion leaders guarantees high-quality, peer-reviewed publications as well as articles for pragmatic approaches in the field of health economics. We intend to cover all aspects of health economics: • Basics of health economic approaches and methods • Pharmacoeconomics • Health Care Systems • Pricing and Reimbursement Systems • Quality-of-Life-Studies The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfill the above-mentioned requirements. Officially cited as: Eur J Health Econ
期刊最新文献
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