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Published in: Quality of Life Research 8/2007

Open Access 01-10-2007

Choosing between measures: comparison of EQ-5D, HUI2 and HUI3 in persons with hearing complaints

Authors: Janneke P. C. Grutters, Manuela A. Joore, Frans van der Horst, Hans Verschuure, Wouter A. Dreschler, Lucien J. C. Anteunis

Published in: Quality of Life Research | Issue 8/2007

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Abstract

Objectives

To generate insight into the differences between utility measures EuroQol 5D (EQ-5D), Health Utilities Index Mark II (HUI2) and Mark III (HUI3) and their impact on the incremental cost-effectiveness ratio (ICER) for hearing aid fitting

Methods

Persons with hearing complaints completed EQ-5D, HUI2 and HUI3 at baseline and, when applicable, after hearing aid fitting. Practicality, construct validity, agreement, responsiveness and impact on the ICER were examined.

Results

All measures had high completion rates. HUI3 was capable of discriminating between clinically distinctive groups. Utility scores (n = 315) for EQ-5D UK and Dutch tariff (0.83; 0.86), HUI2 (0.77) and HUI3 (0.61) were significantly different, agreement was low to moderate. Change after hearing aid fitting (n = 70) for HUI2 (0.07) and HUI3 (0.12) was statistically significant, unlike the EQ-5D UK (0.01) and Dutch (0.00) tariff. ICERs varied from €647,209/QALY for the EQ-5D Dutch tariff to €15,811/QALY for HUI3.

Conclusion

Utility scores, utility gain and ICERs heavily depend on the measure that is used to elicit them. This study indicates HUI3 as the instrument of first choice when measuring utility in a population with hearing complaints, but emphasizes the importance of a clear notion of what constitutes utility with regard to economic analyses.
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Metadata
Title
Choosing between measures: comparison of EQ-5D, HUI2 and HUI3 in persons with hearing complaints
Authors
Janneke P. C. Grutters
Manuela A. Joore
Frans van der Horst
Hans Verschuure
Wouter A. Dreschler
Lucien J. C. Anteunis
Publication date
01-10-2007
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 8/2007
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-007-9237-x

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