An evaluation of EQ-5D-3L health utility scores using five country-specific tariffs in a rural population aged 45–69 years in Hua county, Henan province, China
Abstract Background This study aims to compare the performance of the recently developed Chinese (city) tariff of the EQ-5D-3L against the UK, US, Japanese and Korean tariffs in a general rural population in China. Methods From November 2015 to September 2016, 12,085 permanent residents aged 45–69 f...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-07-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12955-020-01476-z |
| _version_ | 1819066345928523776 |
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| author | Hui Wang Changqi Cao Chuanhai Guo Yu He Fenglei Li Ruiping Xu Mengfei Liu Zhen Liu Yaqi Pan Fangfang Liu Ying Liu Jingjing Li Hong Cai Zhonghu He Yang Ke |
| author_facet | Hui Wang Changqi Cao Chuanhai Guo Yu He Fenglei Li Ruiping Xu Mengfei Liu Zhen Liu Yaqi Pan Fangfang Liu Ying Liu Jingjing Li Hong Cai Zhonghu He Yang Ke |
| author_sort | Hui Wang |
| collection | DOAJ |
| description | Abstract Background This study aims to compare the performance of the recently developed Chinese (city) tariff of the EQ-5D-3L against the UK, US, Japanese and Korean tariffs in a general rural population in China. Methods From November 2015 to September 2016, 12,085 permanent residents aged 45–69 from 257 villages randomly selected from Hua County, Henan Province, China, were interviewed using EQ-5D-3L, and a one-on-one questionnaire investigation was used to collect data on factors associated with HRQOL. The health utility scores were calculated using the UK, US, Japanese, Korean and Chinese (city) tariffs. The agreement, known-groups validity and sensitivity of these five tariffs were evaluated. Transition scores for pairs of observed EQ-5D-3L health states were calculated and compared. Results The Korean tariff yielded the highest mean health utility score (0.963), followed by the Chinese (city) (0.948), US (0.943), UK (0.930) and Japanese (0.921) tariffs, but the differences in the scores of any two tariffs did not exceed the MCID. The Chinese (city) tariff showed higher ICC values (ICCs> 0.89, 95% CI:0.755–0.964) and narrower limits of agreement (0.099–0.167) than the Korean tariff [(ICCs> 0.71, 95% CI:0.451–0.955); (0.146–0.253)]. The Chinese (city) tariff had a higher relative efficiency and effect size statistics in 10 out of 11 variables as compared to the UK, US and Japanese tariffs. The Chinese (city) tariff (0.215) was associated with moderate mean absolute transition scores compared with the UK (0.342), US (0.230), Japanese (0.149) and Korean (0.189) tariffs for 1485 observed pairs of the EQ-5D-3L health states. Conclusions Health utility scores derived from the five tariffs differed. The Chinese (city) tariff was the most suitable of these tariffs and was without obvious weakness. We recommend adopting the Chinese (city) tariff when applying EQ-5D-3L to assess quality of life among the elderly in China’s agricultural region with socio-economic status similar to Hua County. Results of this study had provided a crucial basis for health surveys, health promotion projects, health intervention trials, and health economic evaluation taking HRQOL as a target in rural areas of China. |
| first_indexed | 2024-12-21T16:00:53Z |
| format | Article |
| id | doaj.art-37f3a34ac9a04ba7a2896148a2f87ebe |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-12-21T16:00:53Z |
| publishDate | 2020-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-37f3a34ac9a04ba7a2896148a2f87ebe2022-12-21T18:58:00ZengBMCHealth and Quality of Life Outcomes1477-75252020-07-0118111010.1186/s12955-020-01476-zAn evaluation of EQ-5D-3L health utility scores using five country-specific tariffs in a rural population aged 45–69 years in Hua county, Henan province, ChinaHui Wang0Changqi Cao1Chuanhai Guo2Yu He3Fenglei Li4Ruiping Xu5Mengfei Liu6Zhen Liu7Yaqi Pan8Fangfang Liu9Ying Liu10Jingjing Li11Hong Cai12Zhonghu He13Yang Ke14Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & InstituteKey laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Endoscopy Center, Peking University Cancer Hospital & InstituteKey laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & InstituteDepartment of Non-communicable Disease Epidemiology, London School of Hygiene & Tropical MedicineHua County People’s HospitalAnyang Cancer HospitalKey laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & InstituteKey laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & InstituteKey laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & InstituteKey laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & InstituteKey laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & InstituteKey laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & InstituteKey laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & InstituteKey laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & InstituteKey laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & InstituteAbstract Background This study aims to compare the performance of the recently developed Chinese (city) tariff of the EQ-5D-3L against the UK, US, Japanese and Korean tariffs in a general rural population in China. Methods From November 2015 to September 2016, 12,085 permanent residents aged 45–69 from 257 villages randomly selected from Hua County, Henan Province, China, were interviewed using EQ-5D-3L, and a one-on-one questionnaire investigation was used to collect data on factors associated with HRQOL. The health utility scores were calculated using the UK, US, Japanese, Korean and Chinese (city) tariffs. The agreement, known-groups validity and sensitivity of these five tariffs were evaluated. Transition scores for pairs of observed EQ-5D-3L health states were calculated and compared. Results The Korean tariff yielded the highest mean health utility score (0.963), followed by the Chinese (city) (0.948), US (0.943), UK (0.930) and Japanese (0.921) tariffs, but the differences in the scores of any two tariffs did not exceed the MCID. The Chinese (city) tariff showed higher ICC values (ICCs> 0.89, 95% CI:0.755–0.964) and narrower limits of agreement (0.099–0.167) than the Korean tariff [(ICCs> 0.71, 95% CI:0.451–0.955); (0.146–0.253)]. The Chinese (city) tariff had a higher relative efficiency and effect size statistics in 10 out of 11 variables as compared to the UK, US and Japanese tariffs. The Chinese (city) tariff (0.215) was associated with moderate mean absolute transition scores compared with the UK (0.342), US (0.230), Japanese (0.149) and Korean (0.189) tariffs for 1485 observed pairs of the EQ-5D-3L health states. Conclusions Health utility scores derived from the five tariffs differed. The Chinese (city) tariff was the most suitable of these tariffs and was without obvious weakness. We recommend adopting the Chinese (city) tariff when applying EQ-5D-3L to assess quality of life among the elderly in China’s agricultural region with socio-economic status similar to Hua County. Results of this study had provided a crucial basis for health surveys, health promotion projects, health intervention trials, and health economic evaluation taking HRQOL as a target in rural areas of China.http://link.springer.com/article/10.1186/s12955-020-01476-zEQ-5D-3LHealth utility scoresTariffsRural China |
| spellingShingle | Hui Wang Changqi Cao Chuanhai Guo Yu He Fenglei Li Ruiping Xu Mengfei Liu Zhen Liu Yaqi Pan Fangfang Liu Ying Liu Jingjing Li Hong Cai Zhonghu He Yang Ke An evaluation of EQ-5D-3L health utility scores using five country-specific tariffs in a rural population aged 45–69 years in Hua county, Henan province, China Health and Quality of Life Outcomes EQ-5D-3L Health utility scores Tariffs Rural China |
| title | An evaluation of EQ-5D-3L health utility scores using five country-specific tariffs in a rural population aged 45–69 years in Hua county, Henan province, China |
| title_full | An evaluation of EQ-5D-3L health utility scores using five country-specific tariffs in a rural population aged 45–69 years in Hua county, Henan province, China |
| title_fullStr | An evaluation of EQ-5D-3L health utility scores using five country-specific tariffs in a rural population aged 45–69 years in Hua county, Henan province, China |
| title_full_unstemmed | An evaluation of EQ-5D-3L health utility scores using five country-specific tariffs in a rural population aged 45–69 years in Hua county, Henan province, China |
| title_short | An evaluation of EQ-5D-3L health utility scores using five country-specific tariffs in a rural population aged 45–69 years in Hua county, Henan province, China |
| title_sort | evaluation of eq 5d 3l health utility scores using five country specific tariffs in a rural population aged 45 69 years in hua county henan province china |
| topic | EQ-5D-3L Health utility scores Tariffs Rural China |
| url | http://link.springer.com/article/10.1186/s12955-020-01476-z |
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