A comparison of EQ-5D-3L population norms in Queensland, Australia, estimated using utility value sets from Australia, the UK and USA

Abstract

Purpose To provide population norms for the EQ-5D-3L by age and gender based on a representative adult sample in Queensland, Australia; to assess differences in health-related quality of life by applying the Australian, UK and USA value sets to these data; and to assess differences in utility scores for key preventive health indicators. Methods A cross-sectional computer-assisted telephone interview survey (March–June 2011) with 5,555 adults. Respondents rated their impairment (none, moderate, severe problems) across five domains (mobility, self-care, usual activities, pain and discomfort, anxiety or depression) using the validated EQ-5D-3L health-related quality of life instrument. Utility score indexes were derived using the Australian, UK and USA value sets. Results Forty per cent of adults reported pain and discomfort while 3 % indicated problems with self-care. Approximately one in six had limitations with mobility, usual activities or anxiety or depression. The three value sets performed similarly in discriminating differences based on most characteristics, and clinically meaningful differences were seen for age, body weight, physical activity and daily smoking. There were no differences in utility scores for gender. Conclusions This is the first study to report general population findings for the Australian EQ-5D-3L value set. Overall, the Australian value set performed comparably with other value sets commonly used in the Australian population; however, differences were observed. Results will enable further refinement to health and economic studies in an Australian-specific context

Investigating consumers' and informal carers' views and preferences for consumer directed care: A discrete choice experiment

“…Similar to other Australian statistics reporting on CACSs consumers [71], the majority of consumers in our sample (75%) were female. The consumers in our sample had noticeably lower QoL as measured by the EQ-5D (mean score of 0.52) than that found in the general Australian population of people aged 75+ (mean score of 0.80) [72]. This finding is unsurprising as CACSs consumers are typically representative of a more dependant population.…”

Feasibility and diagnostic accuracy of the Patient‐Reported Outcomes Measurement Information System (PROMIS) item banks for routine surveillance of sleep and fatigue problems in ambulatory cancer care

“…43 For instance, a cut off score on FACIT-Fatigue of 30 is shown to be equivalent to a PROMIS T-score of 57.8, whereas we found optimal sensitivity and specificity at a T-score of 56.6. This finding may be due to the use of the US general population based norms for determining T-scores as other measures have shown norms may differ based on country 62 or due to the non-random nature of our sample. Moreover, our sample was cancer and up to one third had advanced stages of the disease.…”

Hemiplegic Shoulder Pain Reduces Quality of Life After Acute Stroke

“…16 Australian weight EQ-5D-3L summary index (EQindex) score ranges from -0.217 to 1, with death represented by 0, with negative values represented worse than death and full health represented by 1. 17,18 Baseline variables included age, sex, stroke type (ischaemic vs haemorrhagic, Oxfordshire stroke classification and baseline stroke severity as measured by the National Institute of Health Stroke Scale (NIHSS). Hemiplegic Shoulder Pain (visual analogue scale; VAS) and depression (Geriatric Depression Scale; GDS) scores were calculated as quantitative exposure values and averaged over all follow up periods.…”