Estimating the association between SF-12 responses and EQ-5D utility values by response mapping.

BACKGROUND: Reliably mapping from generic or disease-specific health status measures into health state utilities would assist health economists. Existing studies mainly use ordinary least squares (OLS) regression equations to predict utility values for particular health states. The authors examine...

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Main Authors: Gray, A, Rivero-Arias, O, Clarke, P
Format: Journal article
Language:English
Published: 2006
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author Gray, A
Rivero-Arias, O
Clarke, P
author_facet Gray, A
Rivero-Arias, O
Clarke, P
author_sort Gray, A
collection OXFORD
description BACKGROUND: Reliably mapping from generic or disease-specific health status measures into health state utilities would assist health economists. Existing studies mainly use ordinary least squares (OLS) regression equations to predict utility values for particular health states. The authors examine an alternative approach to map between 2 generic health status instruments, the SF-12 and the EQ-5D. METHODS: Multinomial logit regression is used to estimate the probability that a respondent will select a particular level of response to questions in the EQ-5D, using individual question responses and summary scores from the SF-12 as predictors. Monte Carlo simulation methods are used to generate predicted EQ-5D responses, and utility scores (tariffs) are then attached. Results are compared with an alternative approach based on direct mapping to utility scores using OLS. DATA: The authors estimate equations using 12,967 adult survey responses-from the 2000 US Medical Expenditure Panel Survey. They report mean squared error (MSE) and mean absolute error (MAE) of their predicted utilities within this sample, and out-of-sample using 13,304 adults from the 1996 Health Survey for England. RESULTS: The authors obtain an in-sample and out-of-sample MSE of 0.03, compared with 0.02 for the OLS approach. Their MAE of 0.11 is similar to OLS results. The authors' method predicts group mean utility scores and differentiates between groups with or without known existing illness. CONCLUSIONS: The authors' approach has higher MSE than the direct OLS approach but gives more descriptive data on domains of health effects. Further out of sample prediction work will help test the validity of these methods.
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spelling oxford-uuid:6a0fd4b6-e03d-4a1d-883c-78a61eff371e2022-03-26T18:55:10ZEstimating the association between SF-12 responses and EQ-5D utility values by response mapping.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6a0fd4b6-e03d-4a1d-883c-78a61eff371eEnglishSymplectic Elements at Oxford2006Gray, ARivero-Arias, OClarke, P BACKGROUND: Reliably mapping from generic or disease-specific health status measures into health state utilities would assist health economists. Existing studies mainly use ordinary least squares (OLS) regression equations to predict utility values for particular health states. The authors examine an alternative approach to map between 2 generic health status instruments, the SF-12 and the EQ-5D. METHODS: Multinomial logit regression is used to estimate the probability that a respondent will select a particular level of response to questions in the EQ-5D, using individual question responses and summary scores from the SF-12 as predictors. Monte Carlo simulation methods are used to generate predicted EQ-5D responses, and utility scores (tariffs) are then attached. Results are compared with an alternative approach based on direct mapping to utility scores using OLS. DATA: The authors estimate equations using 12,967 adult survey responses-from the 2000 US Medical Expenditure Panel Survey. They report mean squared error (MSE) and mean absolute error (MAE) of their predicted utilities within this sample, and out-of-sample using 13,304 adults from the 1996 Health Survey for England. RESULTS: The authors obtain an in-sample and out-of-sample MSE of 0.03, compared with 0.02 for the OLS approach. Their MAE of 0.11 is similar to OLS results. The authors' method predicts group mean utility scores and differentiates between groups with or without known existing illness. CONCLUSIONS: The authors' approach has higher MSE than the direct OLS approach but gives more descriptive data on domains of health effects. Further out of sample prediction work will help test the validity of these methods.
spellingShingle Gray, A
Rivero-Arias, O
Clarke, P
Estimating the association between SF-12 responses and EQ-5D utility values by response mapping.
title Estimating the association between SF-12 responses and EQ-5D utility values by response mapping.
title_full Estimating the association between SF-12 responses and EQ-5D utility values by response mapping.
title_fullStr Estimating the association between SF-12 responses and EQ-5D utility values by response mapping.
title_full_unstemmed Estimating the association between SF-12 responses and EQ-5D utility values by response mapping.
title_short Estimating the association between SF-12 responses and EQ-5D utility values by response mapping.
title_sort estimating the association between sf 12 responses and eq 5d utility values by response mapping
work_keys_str_mv AT graya estimatingtheassociationbetweensf12responsesandeq5dutilityvaluesbyresponsemapping
AT riveroariaso estimatingtheassociationbetweensf12responsesandeq5dutilityvaluesbyresponsemapping
AT clarkep estimatingtheassociationbetweensf12responsesandeq5dutilityvaluesbyresponsemapping