Skip to main content
Top
Published in: Supportive Care in Cancer 12/2012

01-12-2012 | Original Article

Validity and reliability of the EQ-5D for cancer patients in Korea

Authors: Seon Ha Kim, Jung Sung Hwang, Tae Won Kim, Yong Sang Hong, Min-Woo Jo

Published in: Supportive Care in Cancer | Issue 12/2012

Login to get access

Abstract

Purpose

The purpose of this study was to assess the validity and reliability of the Korean version of the EQ-5D health questionnaire for use in patients with cancer in Korea.

Methods

Patients with colorectal cancer were recruited from one ambulatory cancer center. Each participant consecutively self-administered the EQ-5D, the EORTC QLQ-C30, and the Short Form-36 (SF-36). Discriminatory ability was evaluated by comparing the SF-36 subscales with their corresponding EQ-5D dimensions. Convergent validity was assessed by examining the correlations between the EQ-5D index, EORTC QLQ-C30 subscales, and SF-36 scale and summary scores. Test-retest reliability was also evaluated.

Results

Subjects reporting problems in each EQ-5D dimension showed lower scores on all SF-36 subscales. As expected, the relationships were stronger between the EQ-5D functional dimensions and physical function on the EORTC QLQ-C30 and between the EQ-5D anxiety/depression dimension and emotional function on the EORTC QLQ-C30. The EQ-5D index and SF-36 scales were moderately or highly correlated. intraclass correlation coefficient of the EQ-5D index was 0.45.

Conclusions

The Korean version of the EQ-5D may be a valid tool for assessing the health-related quality of life of patients with cancer. However, further research is needed to determine the reliability of the Korean EQ-5D over different time intervals and disease conditions.
Literature
1.
go back to reference The Korea Central Cancer Registry, National Cancer Center (2010) Annual report of cancer statistics in Korea in 2008. Ministry of Health and Welfare The Korea Central Cancer Registry, National Cancer Center (2010) Annual report of cancer statistics in Korea in 2008. Ministry of Health and Welfare
2.
go back to reference Nayfield SG, Ganz PA, Moinpour CM et al (1992) Report from a National Cancer Institute (USA) workshop on quality of life assessment in cancer clinical trials. Qual Life Res 1(3):203–210PubMedCrossRef Nayfield SG, Ganz PA, Moinpour CM et al (1992) Report from a National Cancer Institute (USA) workshop on quality of life assessment in cancer clinical trials. Qual Life Res 1(3):203–210PubMedCrossRef
3.
go back to reference Torrance GW (1986) Measurement of health state utilities for economic appraisal. J Health Econ 5(1):1–30PubMedCrossRef Torrance GW (1986) Measurement of health state utilities for economic appraisal. J Health Econ 5(1):1–30PubMedCrossRef
4.
go back to reference Cost-effectiveness in health and medicine. In Gold MR, Siegal JE, Russell LB, et al (Eds.) (1996) Oxford University Press. New York Cost-effectiveness in health and medicine. In Gold MR, Siegal JE, Russell LB, et al (Eds.) (1996) Oxford University Press. New York
5.
go back to reference Räsänen P, Roine E, Sintonen H et al (2006) Use of quality-adjusted life years for the estimation of effectiveness of health care: a systematic literature review. Int J Technol Assess Health Care 22(2):235–41PubMedCrossRef Räsänen P, Roine E, Sintonen H et al (2006) Use of quality-adjusted life years for the estimation of effectiveness of health care: a systematic literature review. Int J Technol Assess Health Care 22(2):235–41PubMedCrossRef
6.
go back to reference Aaronson NK, Ahmedzai S, Bergman B et al (1993) The European Organization for Research and Treatment of Cancer QLQ C-30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85:365–76PubMedCrossRef Aaronson NK, Ahmedzai S, Bergman B et al (1993) The European Organization for Research and Treatment of Cancer QLQ C-30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85:365–76PubMedCrossRef
7.
go back to reference Rowen D, Brazier J, Young T et al (2011) Deriving a preference-based measure for cancer using the EORTC QLQ-C30. Value Health 14(5):721–31PubMedCrossRef Rowen D, Brazier J, Young T et al (2011) Deriving a preference-based measure for cancer using the EORTC QLQ-C30. Value Health 14(5):721–31PubMedCrossRef
8.
go back to reference (1996) Quality of life and pharmacoeconomics in clinical trials. 2nd edn. In Spilker, B. (Ed.) Lippincott-Raven. Philadelphia (1996) Quality of life and pharmacoeconomics in clinical trials. 2nd edn. In Spilker, B. (Ed.) Lippincott-Raven. Philadelphia
9.
go back to reference Health Insurance Review and Assessment service (2006) Guidelines for economic evaluation of pharmaceuticals Health Insurance Review and Assessment service (2006) Guidelines for economic evaluation of pharmaceuticals
10.
go back to reference Kim MH, Cho YS, Uhm WS et al (2005) Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases. Qual Life Res 14(5):1401–1406PubMedCrossRef Kim MH, Cho YS, Uhm WS et al (2005) Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases. Qual Life Res 14(5):1401–1406PubMedCrossRef
11.
go back to reference Kim SH, Kim HJ, Lee SI, et al. Comparing the psychometric properties of the EQ-5D-3L and EQ-5D-5L in cancer patients in Korea. Qual Life Res. 2011 Sep 23. DOI 10.1007/s11136-011-0018-1 Kim SH, Kim HJ, Lee SI, et al. Comparing the psychometric properties of the EQ-5D-3L and EQ-5D-5L in cancer patients in Korea. Qual Life Res. 2011 Sep 23. DOI 10.1007/s11136-011-0018-1
12.
go back to reference Brooks R, Rabin RE, de Charro F (2003) The measurement and valuation of health status using EQ-5D: a European perspective. Kluwer Academic Publishers, Dordrecht Brooks R, Rabin RE, de Charro F (2003) The measurement and valuation of health status using EQ-5D: a European perspective. Kluwer Academic Publishers, Dordrecht
13.
go back to reference Yun YH, Park YS, Lee ES et al (2004) Validation of the Korean version of the EORTC QLQ-C30. Qual Life Res 13(4):863–868PubMedCrossRef Yun YH, Park YS, Lee ES et al (2004) Validation of the Korean version of the EORTC QLQ-C30. Qual Life Res 13(4):863–868PubMedCrossRef
14.
go back to reference Ware JE Jr, Kosinski MB, Bjorner JB et al (2007) User's manual for the SF-36v2® health survey, 2nd edn. Quality Metric Incorporated, Lincoln Ware JE Jr, Kosinski MB, Bjorner JB et al (2007) User's manual for the SF-36v2® health survey, 2nd edn. Quality Metric Incorporated, Lincoln
15.
go back to reference Han CW, Lee EJ, Iwaya T et al (2004) Development of the Korean version of short-form 36-item health survey: health related QOL of healthy elderly people and elderly patients in Korea. Tohoku J Exp Med 203(3):189–194PubMedCrossRef Han CW, Lee EJ, Iwaya T et al (2004) Development of the Korean version of short-form 36-item health survey: health related QOL of healthy elderly people and elderly patients in Korea. Tohoku J Exp Med 203(3):189–194PubMedCrossRef
16.
go back to reference McHorney CA, Ware JE Jr, Raczek AE (1993) The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 31(3):247–263PubMedCrossRef McHorney CA, Ware JE Jr, Raczek AE (1993) The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 31(3):247–263PubMedCrossRef
17.
go back to reference Brazier JE, Harper R, Jones NM et al (1992) Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ 305(6846):160–164PubMedCrossRef Brazier JE, Harper R, Jones NM et al (1992) Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ 305(6846):160–164PubMedCrossRef
18.
go back to reference McHorney CA, Ware JE Jr, Lu JF et al (1994) The MOS 36-item short-form health survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 32(1):40–66PubMedCrossRef McHorney CA, Ware JE Jr, Lu JF et al (1994) The MOS 36-item short-form health survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 32(1):40–66PubMedCrossRef
19.
go back to reference Lee YK, Nam HS, Chuang LH et al (2009) South Korean time trade-off values for EQ-5D health states: modeling with observed values for 101 health states. Value Health 12(8):1187–1193PubMedCrossRef Lee YK, Nam HS, Chuang LH et al (2009) South Korean time trade-off values for EQ-5D health states: modeling with observed values for 101 health states. Value Health 12(8):1187–1193PubMedCrossRef
20.
go back to reference Brazier J, Roberts J, Deverill M (2002) The estimation of a preference-based measure of health from the SF-36. J Health Econ 21(2):271–292PubMedCrossRef Brazier J, Roberts J, Deverill M (2002) The estimation of a preference-based measure of health from the SF-36. J Health Econ 21(2):271–292PubMedCrossRef
21.
go back to reference Brazier J, Jones N, Kind P (1993) Testing the validity of the Euroqol and comparing it with the SF-36 health survey questionnaire. Qual Life Res 2(3):169–180PubMedCrossRef Brazier J, Jones N, Kind P (1993) Testing the validity of the Euroqol and comparing it with the SF-36 health survey questionnaire. Qual Life Res 2(3):169–180PubMedCrossRef
22.
go back to reference Kontodimopoulos N, Pappa E, Niakas D et al (2008) Validity of the EuroQoL (EQ-5D) instrument in a Greek general population. Value Health 11(7):1162–1169PubMedCrossRef Kontodimopoulos N, Pappa E, Niakas D et al (2008) Validity of the EuroQoL (EQ-5D) instrument in a Greek general population. Value Health 11(7):1162–1169PubMedCrossRef
23.
go back to reference Chang TJ, Tarn YH, Hsieh CL et al (2007) Taiwanese version of the EQ-5D: validation in a representative sample of the Taiwanese population. J Formos Med Assoc 106(12):1023–1031PubMedCrossRef Chang TJ, Tarn YH, Hsieh CL et al (2007) Taiwanese version of the EQ-5D: validation in a representative sample of the Taiwanese population. J Formos Med Assoc 106(12):1023–1031PubMedCrossRef
24.
go back to reference Johnson JA, Coons SJ (1998) Comparison of the EQ-5D and SF-12 in an adult US sample. Qual Life Res 7(2):155–166PubMedCrossRef Johnson JA, Coons SJ (1998) Comparison of the EQ-5D and SF-12 in an adult US sample. Qual Life Res 7(2):155–166PubMedCrossRef
25.
go back to reference Johnson JA, Pickard AS (2000) Comparison of the EQ-5D and SF-12 health surveys in a general population survey in Alberta, Canada. Med Care 38(1):115–121PubMedCrossRef Johnson JA, Pickard AS (2000) Comparison of the EQ-5D and SF-12 health surveys in a general population survey in Alberta, Canada. Med Care 38(1):115–121PubMedCrossRef
26.
go back to reference Lang HC, Chuang L, Shun SC et al (2010) Validation of EQ-5D in patients with cervical cancer in Taiwan. Support Care Cancer 18(10):1279–1286PubMedCrossRef Lang HC, Chuang L, Shun SC et al (2010) Validation of EQ-5D in patients with cervical cancer in Taiwan. Support Care Cancer 18(10):1279–1286PubMedCrossRef
27.
go back to reference Fleiss JL (1981) Statistical methods for rates and proportions, 2nd edn. Wiley, New York Fleiss JL (1981) Statistical methods for rates and proportions, 2nd edn. Wiley, New York
28.
go back to reference Hripcsak G, Heitjan DF (2002) Measuring agreement in medical informatics reliability studies. J Biomed Inform 35(2):99–110PubMedCrossRef Hripcsak G, Heitjan DF (2002) Measuring agreement in medical informatics reliability studies. J Biomed Inform 35(2):99–110PubMedCrossRef
29.
go back to reference Hurst NP, Kind P, Ruta D et al (1997) Measuring health-related quality of life in rheumatoid arthritis: validity, responsiveness and reliability of EuroQol (EQ-5D). Br J Rheumatol 36(5):551–559PubMedCrossRef Hurst NP, Kind P, Ruta D et al (1997) Measuring health-related quality of life in rheumatoid arthritis: validity, responsiveness and reliability of EuroQol (EQ-5D). Br J Rheumatol 36(5):551–559PubMedCrossRef
Metadata
Title
Validity and reliability of the EQ-5D for cancer patients in Korea
Authors
Seon Ha Kim
Jung Sung Hwang
Tae Won Kim
Yong Sang Hong
Min-Woo Jo
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 12/2012
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-012-1457-0

Other articles of this Issue 12/2012

Supportive Care in Cancer 12/2012 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine