Comparison of Population Health Status in Six European Countries

König, Hans Helmut; Bernert, Sebastian; Angermeyer, Matthias C.; Matschinger, Herbert; Martinez, Montse; Vilagut, Gemma; Haro, Josep María; Girolamo, Giovanni de; Graaf, Ron de; Kovess, Viviane; Alonso, Jordi

doi:10.1097/mlr.0b013e318184759e

Cited by 194 publications

(105 citation statements)

References 15 publications

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“…Comparison of our results with population studies in other countries showed similar findings, with most problems reported in the pain/discomfort dimension, followed by the anxiety/depression dimension, more problems with increased age and women reporting worse health than men (Burström et al, 2001;Kind et al, 1998;König et al, 2009;Leung et al, 2007;Lubetkin et al, 2005;Sun et al, 2010;Sorensen et al, 2009;Szende & Williams, 2004;).…”

Section: Discussionsupporting

confidence: 73%

“…EQ-5D population health studies have been performed mostly in Europe (Burström, Johannesson, & Diderichsen, 2001;Kind, Dolan, Gudex, & Williams, 1998;König et al, 2009;Sorensen, Davidsen, Gudex, Pedersen, & Bronnum-Hansen, 2009;Szende & Williams, 2004), USA (Fryback, Dunham, Palta, Hanmer, Buechner, & Cherepanov, 2007;Lubetkin, Jia, Franks, & Gold, 2005;Luo, Johnson, Shaw, Feeny, & Coons, 2005), Canada (Leung, Luo, So, & Quan, 2007) and Asia (Kil, Lee, Yun, An, & Jo, 2008;Shafie, Hassali, & Liau, 2010;Ting, Tarn, Ching, Liou, Shaw, & Chiou, 2007;Tsuchiya, & et al, 2002), including China (Sun et al, 2010;Wang, David, Mullahy, & Mullahy, 2005). Studies among other Chinese populations have also been performed in Singapore (Luo, Chew, Fong, Koh, Ng, & Yoon, 2003), the USA (Lubetkin et al, 2007;Luo et al, 2005) and Canada (Leung et al, 2007).…”

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confidence: 99%

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Regional differences in health status in China: Population health-related quality of life results from the National Health Services Survey 2008

et al. 2011

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Purpose: to measure, describe and analyse regional differences in health-related quality of life measured by EQ-5D in China. Data were obtained via face-to-face interviews on a national representative sample (n=120,703, 15-103 years). The EQ-5D instrument was used to measure health status. Results: Rural areas had worse health status than urban areas. Health status was worst in western areas and best in eastern areas, and such disparities were profounder in rural areas. In urban areas, health status was best in middle-sized cities. In rural areas, health status increased with the economic development level of a county. Conclusion: Our study enhances understanding of the urban-rural differences and east-middle-west differences in health and sheds light on inequalities in health status between different city categories in the urban areas and county categories in the rural areas.

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Section: Discussionsupporting

confidence: 73%

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confidence: 99%

Regional differences in health status in China: Population health-related quality of life results from the National Health Services Survey 2008

et al. 2011

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“…Secondary endpoints included change from baseline in the following: LBP VAS at other time points, ASLR for the affected side, ODI, and EQ-5D, walking distance, and adverse events. Age and sex norms for EQ-5D were taken from König et al [33] and values in the current trial were compared with those from the Swedish Spine Registry [34]. Continuous endpoints were compared using methods similar to the primary endpoint using all available data.…”

Section: Study Endpoints Cohorts and Statistical Analysismentioning

confidence: 99%

Six-month outcomes from a randomized controlled trial of minimally invasive SI joint fusion with triangular titanium implants vs conservative management

et al. 2016

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Purpose To compare the safety and effectiveness of minimally invasive sacroiliac joint fusion (SIJF) using triangular titanium implants vs conservative management (CM) in patients with chronic sacroiliac joint (SIJ) pain. Methods 103 adults with chronic SIJ pain at nine sites in four European countries were randomly assigned to and underwent either minimally invasive SIJF using triangular titanium implants (N = 52) or CM (N = 51). CM was performed according to the European guidelines for the diagnosis and management of pelvic girdle pain and consisted of optimization of medical therapy, individualized physical therapy (PT) and adequate information and reassurance as part of a multifactorial treatment. The primary outcome was the difference in change in self-rated low back pain (LBP) at 6 months. Additional endpoints included quality of life using EQ-5D-3L, disability using Oswestry Disability Index (ODI), SIJ function using active straight leg raise (ASLR) test and adverse events. NCT01741025. Results At 6 months, mean LBP improved by 43.3 points in the SIJF group and 5.7 points in the CM group (difference of 38.1 points, p \ 0.0001). Mean ODI improved by 26 points in the SIJF group and 6 points in the CM group (p \ 0.0001). ASLR, EQ-5D-3L, walking distance and satisfaction were statistically superior in the SIJF group. The frequency of adverse events did not differ between groups. One case of postoperative nerve impingement occurred in the surgical group. Conclusions In patients with chronic SIJ pain, minimally invasive SIJF using triangular titanium implants was safe and more effective than CM in relieving pain, reducing disability, improving patient function and quality of life.

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“…8 The EQ-5D instrument has widely been used in North America, Europe, and a few low-and middle-income countries in Asia and Africa. [9][10][11][12][13][14][15] In Bangladesh, a few studies have used the EQ-5D instrument for measuring health status. This instrument was employed by Saleh et al 16 to measure the health-related quality of life among patients with type 2 diabetes and used Shaheen and Lindholm 17 to measure the quality of life among pregnant women with chronic energy deficiency in rural Bangladesh.…”

Section: Key Messagesmentioning

confidence: 99%

Inequalities in Health Status from EQ-5D Findings: A Cross-Sectional Study in Low-Income Communities of Bangladesh

Sultana

Sarker

Mahumud

et al. 2016

Int J Health Policy Manag

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Background: Measuring health status by using standardized and validated instrument has become a growing concern over the past few decades throughout the developed and developing countries. The aim of the study was to investigate the overall self-reported health status along with potential inequalities by using EuroQol 5 dimensions (EQ-5D) instrument among low-income people of Bangladesh. Methods: A cross-sectional household survey was conducted in Chandpur district of Bangladesh. Bangla version of the EQ-5D questionnaire was employed along with socio-demographic information. EQ-5D questionnaire composed of 2-part measurements: EQ-5D descriptive system and the visual analogue scale (VAS). For measuring health status, UK-based preference weights were applied while higher score indicated better health status. For facilitating the consistency with EQ-5D score, VASs were converted to a scale with scores ranging from 0 to 1. Multiple logistic regression models were also employed to examine differences among EQ-5D dimensions. Results: A total of 1433 respondents participated in the study. The mean EQ-5D and VAS score was 0.76 and 0.77, respectively. The females were more likely to report any problem than the males (P < 0.001). Compared to the younger, elderly were more than 2-3 times likely to report any health problem in all EQ-5D dimensions (OR [odds ratio] = 3.17 for mobility, OR = 3.24 for self-care). However, the respondents of the poorest income group were significantly suffered more from every EQ-5D dimension than the richest income quintile. Conclusion: Socio-economic and demographic inequalities in health status was observed in the study. Study suggests to do further investigation with country representative sample to measure the inequalities of overall health status. It would be helpful for policy-maker to find a new way aiming to reduce such inequalities. Keywords: Health Status, EQ-5D, Visual Analogue Scale (VAS), Inequality, Population Implications for policy makers • The findings of the study can help policy-makers to find out the related factors of socio-economic and demographic inequalities in health status.• It also can help policy-makers to find a new path way aiming to reduce such inequalities by making need-based supply side efficiency. Implications for publicStudy found that potential inequalities in health status exist among different socio-economic and demographic groups. Hence, factors affecting the health status should be assessed in order to improve the community health. Key MessagesBackground Bangladesh has made notable gains across a range of social and health indicators, and has further experienced enhanced economic growth over the last 3 decades. According to article 15a in the constitution of Bangladesh, advocacy for human rights is considered as a fundamental priority as health and education. Moreover, Bangladesh has authorized most international agreements and declarations like Alma-Ata Declaration, Millennium Development Goals (MDGs), etc.

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Comparison of Population Health Status in Six European Countries

Abstract: Self-reported EQ-5D health status differed considerably between countries, calling for caution when making international comparisons of disease burden and health care effectiveness.

Cited by 194 publications

References 15 publications

Regional differences in health status in China: Population health-related quality of life results from the National Health Services Survey 2008

Regional differences in health status in China: Population health-related quality of life results from the National Health Services Survey 2008

Six-month outcomes from a randomized controlled trial of minimally invasive SI joint fusion with triangular titanium implants vs conservative management

Inequalities in Health Status from EQ-5D Findings: A Cross-Sectional Study in Low-Income Communities of Bangladesh

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