Skip to main content
Top
Published in: Quality of Life Research 10/2013

Open Access 01-12-2013

Mapping CushingQOL scores to EQ-5D utility values using data from the European Registry on Cushing’s syndrome (ERCUSYN)

Authors: X. Badia, M. Roset, E. Valassi, H. Franz, A. Forsythe, S. M. Webb

Published in: Quality of Life Research | Issue 10/2013

Login to get access

Abstract

Purpose

To construct a model to predict preference-adjusted EuroQol 5D (EQ-5D) health utilities for CS using the disease-specific health-related quality of life measure (CushingQOL).

Methods

Data were obtained from the European Registry on CS (ERCUSYN). ERCUSYN is a web-based, multicenter, observational study that enrolled 508 CS patients from 36 centers in 23 European countries. Patients included in the study completed both the EQ-5D and the disease-specific CushingQOL questionnaire. Socio-demographic and clinical data were also collected. The UK tariff values were used to calculate EQ-5D utility scores. Various predictive models were tested, and the final model was selected based on four criteria: explanatory power (adjusted R-squared), consistency of estimated coefficients (sign and parameter estimation), normality of prediction errors (mean error, mean absolute error, root mean squared error), and parsimony.

Results

For the mapping analysis, data were available from a total of 129 patients. Mean (SD) age was 43.1 (13) years, and the sample was predominantly female (84.5 %). Patients had a mean (SD) CushingQOL score of 39.7 (17.1) and a mean (SD) ‘tariff’ value on the EQ-5D of 0.55 (0.3). The model which best met the criteria for selection included the intercept and 3 CushingQOL’s questions and had an R2 of 0.506 and a root mean square error of 0.216.

Conclusions

It was possible to find a mapping function which successfully predicted the EQ-5D UK utilities from disease-specific CushingQOL scores. The function may be useful in calculating EQ-5D scores when EQ-5D data have not been gathered directly in a study.
Literature
1.
go back to reference Steffensen, C., Bak, A. M., Rubeck, K. Z., & Jørgensen, J. O. (2010). Epidemiology of Cushing’s syndrome. Neuroendocrinology, 92(Suppl 1), 1–5.PubMedCrossRef Steffensen, C., Bak, A. M., Rubeck, K. Z., & Jørgensen, J. O. (2010). Epidemiology of Cushing’s syndrome. Neuroendocrinology, 92(Suppl 1), 1–5.PubMedCrossRef
2.
go back to reference Arnaldi, G., Angeli, A., Atkinson, A. B., Bertagna, X., Cavagnini, F., Chrousos, G. P., et al. (2003). Diagnosis and complications of Cushing’s syndrome: a consensus statement. Journal of Clinical Endocrinology and Metabolism, 88, 5593–5602.PubMedCrossRef Arnaldi, G., Angeli, A., Atkinson, A. B., Bertagna, X., Cavagnini, F., Chrousos, G. P., et al. (2003). Diagnosis and complications of Cushing’s syndrome: a consensus statement. Journal of Clinical Endocrinology and Metabolism, 88, 5593–5602.PubMedCrossRef
3.
go back to reference Sonino, N., Fallo, F., & Fava, G. A. (2010). Psychosomatic aspects of Cushing’s syndrome. Reviews in Endocrine and Metabolic Disorders, 11(2), 95–104.PubMedCrossRef Sonino, N., Fallo, F., & Fava, G. A. (2010). Psychosomatic aspects of Cushing’s syndrome. Reviews in Endocrine and Metabolic Disorders, 11(2), 95–104.PubMedCrossRef
4.
go back to reference Gotch, P. M. (1994). Cushing’s syndrome from the patient’s perspective. Endocrinology and Metabolism Clinics of North America, 23(3), 607–617.PubMed Gotch, P. M. (1994). Cushing’s syndrome from the patient’s perspective. Endocrinology and Metabolism Clinics of North America, 23(3), 607–617.PubMed
5.
go back to reference van Aken, M. O., Pereira, A. M., Biermasz, N. R., van Thiel, S. W., Hoftijzer, H. C., Smit, J. W., et al. (2005). Quality of life in patients after long-term biochemical cure of Cushing’s disease. Journal of Clinical Endocrinology and Metabolism, 90, 3279–3286.PubMedCrossRef van Aken, M. O., Pereira, A. M., Biermasz, N. R., van Thiel, S. W., Hoftijzer, H. C., Smit, J. W., et al. (2005). Quality of life in patients after long-term biochemical cure of Cushing’s disease. Journal of Clinical Endocrinology and Metabolism, 90, 3279–3286.PubMedCrossRef
6.
go back to reference Webb, S. M., Badia, X., Barahona, M. J., Colao, A., Strasburger, C. J., Tabarin, A., et al. (2008). Evaluation of health-related quality of life in patients with Cushing’s syndrome with a new questionnaire. European Journal of Endocrinology, 158, 623–630.PubMedCrossRef Webb, S. M., Badia, X., Barahona, M. J., Colao, A., Strasburger, C. J., Tabarin, A., et al. (2008). Evaluation of health-related quality of life in patients with Cushing’s syndrome with a new questionnaire. European Journal of Endocrinology, 158, 623–630.PubMedCrossRef
7.
go back to reference Hawn, M. T., Cook, D., Deveney, C., & Sheppard, B. C. (2002). Quality of life after laparoscopic bilateral adrenalectomy for Cushing’s disease. Surgery, 132(6), 1064–1068. discussion 1068–1069.PubMedCrossRef Hawn, M. T., Cook, D., Deveney, C., & Sheppard, B. C. (2002). Quality of life after laparoscopic bilateral adrenalectomy for Cushing’s disease. Surgery, 132(6), 1064–1068. discussion 1068–1069.PubMedCrossRef
8.
go back to reference Thompson, S. K., Hayman, A. V., Ludlam, W. H., Deveney, C. W., Loriaux, D. L., & Sheppard, B. C. (2007). Improved quality of life after bilateral laparoscopic adrenalectomy for Cushing’s disease: a 10-year experience. Annals of Surgery, 245(5), 790–794.PubMedCrossRef Thompson, S. K., Hayman, A. V., Ludlam, W. H., Deveney, C. W., Loriaux, D. L., & Sheppard, B. C. (2007). Improved quality of life after bilateral laparoscopic adrenalectomy for Cushing’s disease: a 10-year experience. Annals of Surgery, 245(5), 790–794.PubMedCrossRef
9.
go back to reference van der Klaauw, A. A., Kars, M., Biermasz, N. R., Roelfsema, F., Dekkers, O. M., Corssmit, E. P., et al. (2008). Disease-specific impairments in quality of life during long-term follow-up of patients with different pituitary adenomas. Clinical Endocrinology (Oxf), 69(5), 775–784.CrossRef van der Klaauw, A. A., Kars, M., Biermasz, N. R., Roelfsema, F., Dekkers, O. M., Corssmit, E. P., et al. (2008). Disease-specific impairments in quality of life during long-term follow-up of patients with different pituitary adenomas. Clinical Endocrinology (Oxf), 69(5), 775–784.CrossRef
10.
go back to reference Badia, X., Barahona, M. J., Glusman, J., Pérez, P., \& Webb, S. M. (2007). Strategy for developing a specific Cushing’s syndrome QoL questionnaire. In 12th ISOQOL Conference on patient reported outcomes in clinical practice. Hungary: Budapest, 24–26 (Abstract). Badia, X., Barahona, M. J., Glusman, J., Pérez, P., \& Webb, S. M. (2007). Strategy for developing a specific Cushing’s syndrome QoL questionnaire. In 12th ISOQOL Conference on patient reported outcomes in clinical practice. Hungary: Budapest, 24–26 (Abstract).
11.
go back to reference Tiemensma, J., Kaptein, A. A., Pereira, A. M., Smit, J. W., Romijn, J. A., & Biermasz, N. R. (2011). Negative illness perceptions are associated with impaired quality of life in patients after long-term remission of Cushing’s syndrome. European Journal of Endocrinology, 165(4), 527–535.PubMedCrossRef Tiemensma, J., Kaptein, A. A., Pereira, A. M., Smit, J. W., Romijn, J. A., & Biermasz, N. R. (2011). Negative illness perceptions are associated with impaired quality of life in patients after long-term remission of Cushing’s syndrome. European Journal of Endocrinology, 165(4), 527–535.PubMedCrossRef
12.
go back to reference Valassi, E., Santos, A., Yaneva, M., Tóth, M., Strasburger, C. J., Chanson, P., et al. (2011). The European Registry on Cushing’s syndrome: 2-year experience. Baseline demographic and clinical characteristics. European Journal of Endocrinology, 165(3), 383–392.PubMedCrossRef Valassi, E., Santos, A., Yaneva, M., Tóth, M., Strasburger, C. J., Chanson, P., et al. (2011). The European Registry on Cushing’s syndrome: 2-year experience. Baseline demographic and clinical characteristics. European Journal of Endocrinology, 165(3), 383–392.PubMedCrossRef
13.
go back to reference Rabin, R., & de Charro, F. (2001). EQ-5D: a measure of health status from the EuroQol Group. Annals of Medicine, 33, 337–343.PubMedCrossRef Rabin, R., & de Charro, F. (2001). EQ-5D: a measure of health status from the EuroQol Group. Annals of Medicine, 33, 337–343.PubMedCrossRef
14.
go back to reference Brazier, J., Usherwood, T., Harper, R., & Thomas, K. (1998). Deriving a preference-based single index from the UK SF-36 Health Survey. Journal of Clinical Epidemiology, 51, 1115–1128.PubMedCrossRef Brazier, J., Usherwood, T., Harper, R., & Thomas, K. (1998). Deriving a preference-based single index from the UK SF-36 Health Survey. Journal of Clinical Epidemiology, 51, 1115–1128.PubMedCrossRef
15.
go back to reference Brazier, J., Roberts, J., & Deverill, M. (2002). The estimation of a preference based single index measure for health from the SF-36. Journal of Health Economics, 21, 271–292.PubMedCrossRef Brazier, J., Roberts, J., & Deverill, M. (2002). The estimation of a preference based single index measure for health from the SF-36. Journal of Health Economics, 21, 271–292.PubMedCrossRef
16.
go back to reference Feeny, D., Furlong, W., Boyle, M., & Torrance, G. W. (1995). Multi-attribute health status classification systems. Health Utilities Index. Pharmacoeconomics, 7, 490–502.PubMedCrossRef Feeny, D., Furlong, W., Boyle, M., & Torrance, G. W. (1995). Multi-attribute health status classification systems. Health Utilities Index. Pharmacoeconomics, 7, 490–502.PubMedCrossRef
17.
go back to reference Brazier, J. E., Yang, Y., Tsuchiya, A., & Rowen, D. L. (2010). A review of studies mapping (or cross walking) non-preference based measures of health to generic preference-based measures. European Journal of Health Economics, 11, 215–225.PubMedCrossRef Brazier, J. E., Yang, Y., Tsuchiya, A., & Rowen, D. L. (2010). A review of studies mapping (or cross walking) non-preference based measures of health to generic preference-based measures. European Journal of Health Economics, 11, 215–225.PubMedCrossRef
18.
go back to reference Kind, P., Brooks, R., & Rabin, R. (Eds.). (2005). EQ-5D concepts and methods: a developmental history. Dordrecht: Springer. Kind, P., Brooks, R., & Rabin, R. (Eds.). (2005). EQ-5D concepts and methods: a developmental history. Dordrecht: Springer.
19.
go back to reference Szende, A., Oppe, M., & Devlin, N. (2007). EQ-5D value sets. Inventory, comparative review and user guide. Dordrecht: Springer.CrossRef Szende, A., Oppe, M., & Devlin, N. (2007). EQ-5D value sets. Inventory, comparative review and user guide. Dordrecht: Springer.CrossRef
20.
go back to reference Dolan, P. (1997). Modeling valuations for EuroQol health states. Medical Care, 35(11), 1095–1108.PubMedCrossRef Dolan, P. (1997). Modeling valuations for EuroQol health states. Medical Care, 35(11), 1095–1108.PubMedCrossRef
21.
go back to reference Nichol, M. B., Sengupta, N., & Globe, D. R. (2001). Evaluating quality-adjusted life years: estimation of the health utility index (HUI2) from the SF-36. Medical Decision Making, 21, 105–112.PubMed Nichol, M. B., Sengupta, N., & Globe, D. R. (2001). Evaluating quality-adjusted life years: estimation of the health utility index (HUI2) from the SF-36. Medical Decision Making, 21, 105–112.PubMed
22.
go back to reference Sengupta, N., Nichol, M. B., Wu, J., et al. (2004). Mapping the SF-12 to the HUI3 and VAS in a managed care population. Medical Care, 42, 927–937.PubMedCrossRef Sengupta, N., Nichol, M. B., Wu, J., et al. (2004). Mapping the SF-12 to the HUI3 and VAS in a managed care population. Medical Care, 42, 927–937.PubMedCrossRef
23.
go back to reference Franks, P., Lubetkin, E., Gold, M., et al. (2004). Mapping the SF-12 to the EuroQol EQ-5D index in a national US sample. Medical Decision Making, 24, 247–254.PubMedCrossRef Franks, P., Lubetkin, E., Gold, M., et al. (2004). Mapping the SF-12 to the EuroQol EQ-5D index in a national US sample. Medical Decision Making, 24, 247–254.PubMedCrossRef
24.
go back to reference Gray, A. M., Rivero-Arias, O., & Clarke, P. M. (2006). Estimating the association between SF-12 response and EQ-5D utility values by response mapping. Medical Decision Making, 26, 18–29.PubMedCrossRef Gray, A. M., Rivero-Arias, O., & Clarke, P. M. (2006). Estimating the association between SF-12 response and EQ-5D utility values by response mapping. Medical Decision Making, 26, 18–29.PubMedCrossRef
25.
go back to reference Wu, E. Q., Mulani, P., Farrell, M. H., & Sleep, D. (2007). Mapping FACT-P and EORTC QLQ-C30 to patient health status measured by EQ-5D in metastatic hormone-refractory prostate cancer patients. Value Health, 10, 408–414.PubMedCrossRef Wu, E. Q., Mulani, P., Farrell, M. H., & Sleep, D. (2007). Mapping FACT-P and EORTC QLQ-C30 to patient health status measured by EQ-5D in metastatic hormone-refractory prostate cancer patients. Value Health, 10, 408–414.PubMedCrossRef
26.
go back to reference Oppe, M., Devlin, N., & Black, N. (2011). Comparison of the underlying constructs of the EQ-5D and Oxford Hip Score: implications for mapping. Value Health, 14, 884–891.PubMedCrossRef Oppe, M., Devlin, N., & Black, N. (2011). Comparison of the underlying constructs of the EQ-5D and Oxford Hip Score: implications for mapping. Value Health, 14, 884–891.PubMedCrossRef
27.
go back to reference Calvert, M. J., Freemantle, N., & Cleland, J. G. (2005). The impact of chronic heart failure on health-related quality of life data acquired in the baseline phase of the CARE-HF study. European Journal of Heart Failure, 7(2), 243–251.PubMedCrossRef Calvert, M. J., Freemantle, N., & Cleland, J. G. (2005). The impact of chronic heart failure on health-related quality of life data acquired in the baseline phase of the CARE-HF study. European Journal of Heart Failure, 7(2), 243–251.PubMedCrossRef
28.
go back to reference Pickard, A. S., Yang, Y., & Lee, T. A. (2011). Comparison of health-related quality of life measures in chronic obstructive pulmonary disease. Health and Quality of Life Outcomes, 9, 26.PubMedCrossRef Pickard, A. S., Yang, Y., & Lee, T. A. (2011). Comparison of health-related quality of life measures in chronic obstructive pulmonary disease. Health and Quality of Life Outcomes, 9, 26.PubMedCrossRef
29.
go back to reference Sobocki, P., Ekman, M., Agren, H., Krakau, I., Runeson, B., Mårtensson, B., et al. (2007). Health-related quality of life measured with EQ-5D in patients treated for depression in primary care. Value in Health, 10(2), 153–160.PubMedCrossRef Sobocki, P., Ekman, M., Agren, H., Krakau, I., Runeson, B., Mårtensson, B., et al. (2007). Health-related quality of life measured with EQ-5D in patients treated for depression in primary care. Value in Health, 10(2), 153–160.PubMedCrossRef
30.
go back to reference Hsieh, F. Y., Bloch, D. A., & Larsen, M. D. (2001). A simple method of sample size calculation for linear and logistic regression. Statistics in Medicine, 17, 1623–1634.CrossRef Hsieh, F. Y., Bloch, D. A., & Larsen, M. D. (2001). A simple method of sample size calculation for linear and logistic regression. Statistics in Medicine, 17, 1623–1634.CrossRef
31.
go back to reference Badia, X., Roset, M., Herdman, M., & Kind, P. (2001). A comparison of United Kingdom and Spanish general population time trade-off values for EQ-5D health states. Medical Decision Making, 21(1), 7–16.PubMedCrossRef Badia, X., Roset, M., Herdman, M., & Kind, P. (2001). A comparison of United Kingdom and Spanish general population time trade-off values for EQ-5D health states. Medical Decision Making, 21(1), 7–16.PubMedCrossRef
Metadata
Title
Mapping CushingQOL scores to EQ-5D utility values using data from the European Registry on Cushing’s syndrome (ERCUSYN)
Authors
X. Badia
M. Roset
E. Valassi
H. Franz
A. Forsythe
S. M. Webb
Publication date
01-12-2013
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 10/2013
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0396-7

Other articles of this Issue 10/2013

Quality of Life Research 10/2013 Go to the issue