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In search of a ‘pan-European value set’; application for EQ-5D-3L

Abstract:

Objectives Country-specific value sets for the EQ-5D are available which reflect preferences for health states elicited from the general population. This allows the transformation of responses on EQ-5D to health state utility values. Only twelve European countries possess country-specific value sets and no value set reflecting the preferences of Europe exists. We aim to estimate a ‘pan-European’ value set for the EQ-5D-3L, reflecting the preferences for health states of the European population that could help to evaluate health care from the perspective of the European decision-maker.

Methods We systematically assessed and compared the methodologies of available EQ-5D-3L time trade-off (TTO) value sets from twelve European countries: Denmark, France, Germany, Hungary, Italy, Netherlands, Poland, Portugal, Romania, Slovenia, Spain and UK. Using their published coefficients, a dataset with utility values for all 243 health states was simulated. Different modelling techniques and model specifications including interaction terms were tested. Model selection was based on goodness-of-fit criteria. We also explored results with application of population size weights.

Results Methodological, procedural and analytical characteristics of the included EQ-5D-3L valuation studies were quite comparable. An OLS based model was the preferred model to represent European preferences. Weighting with population size made little difference.

Conclusions EQ-5D-3L valuation studies were considered of sufficient comparability to form the basis for a new ‘pan-European’ value set. The method used allows for an easy update when new national value sets become available.

Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1186/s12874-022-01830-3

Authors

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Institution:
University of Oxford
Division:
MSD
Department:
Nuffield Department of Population Health
Research group:
Psychiatry
Role:
Author
ORCID:
0000-0001-9279-8627


Publisher:
BioMed Central
Journal:
BMC Medical Research Methodology More from this journal
Volume:
23
Issue:
1
Article number:
13
Place of publication:
England
Publication date:
2023-01-12
Acceptance date:
2022-12-23
DOI:
EISSN:
1471-2288
Pmid:
36635625


Language:
English
Keywords:
Pubs id:
1326841
Local pid:
pubs:1326841
Deposit date:
2023-09-05
ARK identifier:

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