Comparing the performance of the EQ-5D and SF-6D when measuring the benefits of alleviating knee pain

<p>Abstract</p> <p>Objective</p> <p>To assess the practicality, validity and responsiveness of using each of two utility measures (the EQ-5D and SF-6D) to measure the benefits of alleviating knee pain.</p> <p>Methods</p> <p>Participants in a rand...

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Main Authors: Avery Anthony J, Sach Tracey H, Barton Garry R, Doherty Michael, Jenkinson Claire, Muir Kenneth R
Format: Article
Language:English
Published: BMC 2009-07-01
Series:Cost Effectiveness and Resource Allocation
Online Access:http://www.resource-allocation.com/content/7/1/12
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author Avery Anthony J
Sach Tracey H
Barton Garry R
Doherty Michael
Jenkinson Claire
Muir Kenneth R
author_facet Avery Anthony J
Sach Tracey H
Barton Garry R
Doherty Michael
Jenkinson Claire
Muir Kenneth R
author_sort Avery Anthony J
collection DOAJ
description <p>Abstract</p> <p>Objective</p> <p>To assess the practicality, validity and responsiveness of using each of two utility measures (the EQ-5D and SF-6D) to measure the benefits of alleviating knee pain.</p> <p>Methods</p> <p>Participants in a randomised controlled trial, which was designed to compare four different interventions for people with self-reported knee pain, were asked to complete the EQ-5D, SF-6D, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at both pre- and post-intervention. For both utility measures, we assessed their practicality (completion rate), construct validity (ability to discriminate between baseline WOMAC severity levels), and responsiveness (ability to discriminate between three groups: those whose total WOMAC score, i) did not improve, ii) improved by <20%, and iii) improved by ≥20%).</p> <p>Results</p> <p>The EQ-5D was completed by 97.7% of the 389 participants, compared to 93.3% for the SF-6D. Both the EQ-5D and SF-6D were able to discriminate between participants with different levels of WOMAC severity (p < 0.001). The mean EQ-5D change was -0.036 for group i), 0.091 for group ii), and 0.127 for group iii), compared to 0.021, 0.023 and 0.053 on the SF-6D. These change scores were significantly different according to the EQ-5D (p < 0.001), but not the SF-6D.</p> <p>Conclusion</p> <p>The EQ-5D and SF-6D had largely comparable practicality and construct validity. However, in contrast to the EQ-5D, the SF-6D could not discriminate between those who improved post-intervention, and those who did not. This suggests that it is more appropriate to use the EQ-5D in future cost-effectiveness analyses of interventions which are designed to alleviate knee pain.</p> <p>Trial registration</p> <p>Current Controlled Trials ISRCTN93206785</p>
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spelling doaj.art-5294283cc5db4e72a02ec0a5a733f6a02022-12-21T20:29:01ZengBMCCost Effectiveness and Resource Allocation1478-75472009-07-01711210.1186/1478-7547-7-12Comparing the performance of the EQ-5D and SF-6D when measuring the benefits of alleviating knee painAvery Anthony JSach Tracey HBarton Garry RDoherty MichaelJenkinson ClaireMuir Kenneth R<p>Abstract</p> <p>Objective</p> <p>To assess the practicality, validity and responsiveness of using each of two utility measures (the EQ-5D and SF-6D) to measure the benefits of alleviating knee pain.</p> <p>Methods</p> <p>Participants in a randomised controlled trial, which was designed to compare four different interventions for people with self-reported knee pain, were asked to complete the EQ-5D, SF-6D, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at both pre- and post-intervention. For both utility measures, we assessed their practicality (completion rate), construct validity (ability to discriminate between baseline WOMAC severity levels), and responsiveness (ability to discriminate between three groups: those whose total WOMAC score, i) did not improve, ii) improved by <20%, and iii) improved by ≥20%).</p> <p>Results</p> <p>The EQ-5D was completed by 97.7% of the 389 participants, compared to 93.3% for the SF-6D. Both the EQ-5D and SF-6D were able to discriminate between participants with different levels of WOMAC severity (p < 0.001). The mean EQ-5D change was -0.036 for group i), 0.091 for group ii), and 0.127 for group iii), compared to 0.021, 0.023 and 0.053 on the SF-6D. These change scores were significantly different according to the EQ-5D (p < 0.001), but not the SF-6D.</p> <p>Conclusion</p> <p>The EQ-5D and SF-6D had largely comparable practicality and construct validity. However, in contrast to the EQ-5D, the SF-6D could not discriminate between those who improved post-intervention, and those who did not. This suggests that it is more appropriate to use the EQ-5D in future cost-effectiveness analyses of interventions which are designed to alleviate knee pain.</p> <p>Trial registration</p> <p>Current Controlled Trials ISRCTN93206785</p>http://www.resource-allocation.com/content/7/1/12
spellingShingle Avery Anthony J
Sach Tracey H
Barton Garry R
Doherty Michael
Jenkinson Claire
Muir Kenneth R
Comparing the performance of the EQ-5D and SF-6D when measuring the benefits of alleviating knee pain
Cost Effectiveness and Resource Allocation
title Comparing the performance of the EQ-5D and SF-6D when measuring the benefits of alleviating knee pain
title_full Comparing the performance of the EQ-5D and SF-6D when measuring the benefits of alleviating knee pain
title_fullStr Comparing the performance of the EQ-5D and SF-6D when measuring the benefits of alleviating knee pain
title_full_unstemmed Comparing the performance of the EQ-5D and SF-6D when measuring the benefits of alleviating knee pain
title_short Comparing the performance of the EQ-5D and SF-6D when measuring the benefits of alleviating knee pain
title_sort comparing the performance of the eq 5d and sf 6d when measuring the benefits of alleviating knee pain
url http://www.resource-allocation.com/content/7/1/12
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