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Published in: PharmacoEconomics 10/2023

Open Access 18-06-2023 | Original Research Article

Catalogues of EQ-5D-3L Health-Related Quality of Life Scores for 199 Chronic Conditions and Health Risks for Use in the UK and the USA

Authors: Michael Falk Hvidberg, Mónica Hernández Alava

Published in: PharmacoEconomics | Issue 10/2023

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Abstract

Background

Health-related quality of life (HRQoL) measures are essential in economic evaluation, but sometimes primary sources are unavailable, and information from secondary sources is required. Existing HRQoL UK/US catalogues are based on earlier diagnosis classification systems, amongst other issues. A recently published Danish catalogue merged EQ-5D-3L data from national health surveys with national registers containing patient information on ICD-10 diagnoses, healthcare activities and socio-demographics.

Aims

To provide (1) UK/US EQ-5D-3L-based HRQoL utility population catalogues for 199 chronic conditions on the basis of ICD-10 codes and health risks and (2) regression models controlling for age, sex, comorbidities and health risks to enable predictions in other populations.

Methods

UK and US EQ-5D-3L value sets were applied to the EQ-5D-3L responses of the Danish dataset and modelled using adjusted limited dependent variable mixture models (ALDVMMs).

Results

Unadjusted mean utilities, percentiles and adjusted disutilities based on two ALDVMMs with different control variables were provided for both countries. Diseases from groups M, G, and F consistently had the smallest utilities and the largest negative disutilities: fibromyalgia (M797), sclerosis (G35), rheumatism (M790), dorsalgia (M54), cerebral palsy (G80-G83), post-traumatic stress disorder (F431), dementia (F00-2), and depression (F32, etc.). Risk factors, including stress, loneliness, and BMI30+, were also associated with lower HRQoL.

Conclusions

This study provides comprehensive catalogues of UK/US EQ-5D-3L HRQoL utilities. Results are relevant in cost-effectiveness analysis, for NICE submissions, and for comparing and identifying facets of disease burden.
Appendix
Available only for authorised users
Footnotes
1
The ethnicity variable defined as Danish, western or non-western used Danish standard programming based on register variables agreed on in the joint collaboration regarding the national health profiles between the five Danish regions and the National Institute of Public health (Christensen et al. [53]).
 
2
A third model including similar covariates to Sullivan et al.’s work [26, 28] was also estimated. This model is not discussed here as the fit was similar to the base model, but can be provided by the authors on request.
 
3
Furthermore, a simplified example of how to use the estimates has been provided in an earlier publication using the Danish value set in the results section [32].
 
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Metadata
Title
Catalogues of EQ-5D-3L Health-Related Quality of Life Scores for 199 Chronic Conditions and Health Risks for Use in the UK and the USA
Authors
Michael Falk Hvidberg
Mónica Hernández Alava
Publication date
18-06-2023
Publisher
Springer International Publishing
Published in
PharmacoEconomics / Issue 10/2023
Print ISSN: 1170-7690
Electronic ISSN: 1179-2027
DOI
https://doi.org/10.1007/s40273-023-01285-4

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