Evaluating the psychometric properties of the EQ-5D-5L and SF-6D among patients with haemophilia

Objective The aim of this study was to evaluate the psychometric properties of the EQ-5D-5L and SF-6D, and to compare their performance among patients living with haemophilia in China. Methods A total of 875 Chinese patients completed the EQ-5D-5L, SF-6D, and Haem-A-QoL questionnaires. Construct val...

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Veröffentlicht in:The European journal of health economics 2021-06, Vol.22 (4), p.547-557
Hauptverfasser: Xu, Richard Huan, Dong, Dong, Luo, Nan, Wong, Eliza Lai-Yi, Wu, Yushan, Yu, Siyue, Yang, Renchi, Liu, Junshuai, Yuan, Huiqin, Zhang, Shuyang
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container_end_page 557
container_issue 4
container_start_page 547
container_title The European journal of health economics
container_volume 22
creator Xu, Richard Huan
Dong, Dong
Luo, Nan
Wong, Eliza Lai-Yi
Wu, Yushan
Yu, Siyue
Yang, Renchi
Liu, Junshuai
Yuan, Huiqin
Zhang, Shuyang
description Objective The aim of this study was to evaluate the psychometric properties of the EQ-5D-5L and SF-6D, and to compare their performance among patients living with haemophilia in China. Methods A total of 875 Chinese patients completed the EQ-5D-5L, SF-6D, and Haem-A-QoL questionnaires. Construct validity of the EQ-5D-5L and SF-6D dimensions and indices was assessed by testing hypotheses relating these measures to Haem-A-QoL and clinical measures. The Spearman correlation coefficient was used to assess convergent validity, and oneway analysis of variance (F statistic) was used to assess the known-groups validity (discriminatory power). The agreement between EQ-5D-5L and SF-6D indices was assessed using the intraclass correlation coefficient (ICC) and the Bland-Altman plot. Results Both the EQ-5D-5L and SF-6D indices showed acceptable ceiling and floor effects. As hypothesised, both EQ-5D-5L and SF-6D were significantly correlated with Haem-A-QoL (both dimensions and overall score). EQ-5D-5L and SF-6D indices as well as EQ-VAS differentiated patients are known to differ in severity of haemophilia, bleeding status, disabling levels, and comorbidity. The F statistics in the known-groups comparisons suggested that the EQ-5D-5L was slightly more discriminative than the SF-6D. ICC (0.41) and Bland-Altman plot confirmed that the agreement between the EQ-5D-5L and SF-6D indices was poor. Conclusion Both EQ-5D-5L and SF-6D showed satisfactory construct validity in the measurement of the HRQoL among patients with haemophilia. However, the two instruments may not be used interchangeably in this patient population due to their poor agreement and differing discriminatory power.
doi_str_mv 10.1007/s10198-021-01273-5
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Methods A total of 875 Chinese patients completed the EQ-5D-5L, SF-6D, and Haem-A-QoL questionnaires. Construct validity of the EQ-5D-5L and SF-6D dimensions and indices was assessed by testing hypotheses relating these measures to Haem-A-QoL and clinical measures. The Spearman correlation coefficient was used to assess convergent validity, and oneway analysis of variance (F statistic) was used to assess the known-groups validity (discriminatory power). The agreement between EQ-5D-5L and SF-6D indices was assessed using the intraclass correlation coefficient (ICC) and the Bland-Altman plot. Results Both the EQ-5D-5L and SF-6D indices showed acceptable ceiling and floor effects. As hypothesised, both EQ-5D-5L and SF-6D were significantly correlated with Haem-A-QoL (both dimensions and overall score). EQ-5D-5L and SF-6D indices as well as EQ-VAS differentiated patients are known to differ in severity of haemophilia, bleeding status, disabling levels, and comorbidity. The F statistics in the known-groups comparisons suggested that the EQ-5D-5L was slightly more discriminative than the SF-6D. ICC (0.41) and Bland-Altman plot confirmed that the agreement between the EQ-5D-5L and SF-6D indices was poor. Conclusion Both EQ-5D-5L and SF-6D showed satisfactory construct validity in the measurement of the HRQoL among patients with haemophilia. However, the two instruments may not be used interchangeably in this patient population due to their poor agreement and differing discriminatory power.</description><identifier>ISSN: 1618-7598</identifier><identifier>EISSN: 1618-7601</identifier><identifier>DOI: 10.1007/s10198-021-01273-5</identifier><identifier>PMID: 33761029</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer</publisher><subject>Correlation coefficient ; Economic Policy ; Health Care Management ; Health Economics ; Hemophilia ; Medicine ; Medicine &amp; Public Health ; Original Paper ; Pharmacoeconomics and Health Outcomes ; Public Finance ; Public Health ; Quantitative psychology ; Validation studies ; Validity ; Variance analysis</subject><ispartof>The European journal of health economics, 2021-06, Vol.22 (4), p.547-557</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-4c63697b5e51275a7092ad2b13c4d4beb3d020382d73bd3afde6e3e7a20f73583</citedby><cites>FETCH-LOGICAL-c495t-4c63697b5e51275a7092ad2b13c4d4beb3d020382d73bd3afde6e3e7a20f73583</cites><orcidid>0000-0001-9784-6472</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10198-021-01273-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10198-021-01273-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33761029$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xu, Richard Huan</creatorcontrib><creatorcontrib>Dong, Dong</creatorcontrib><creatorcontrib>Luo, Nan</creatorcontrib><creatorcontrib>Wong, Eliza Lai-Yi</creatorcontrib><creatorcontrib>Wu, Yushan</creatorcontrib><creatorcontrib>Yu, Siyue</creatorcontrib><creatorcontrib>Yang, Renchi</creatorcontrib><creatorcontrib>Liu, Junshuai</creatorcontrib><creatorcontrib>Yuan, Huiqin</creatorcontrib><creatorcontrib>Zhang, Shuyang</creatorcontrib><title>Evaluating the psychometric properties of the EQ-5D-5L and SF-6D among patients with haemophilia</title><title>The European journal of health economics</title><addtitle>Eur J Health Econ</addtitle><addtitle>Eur J Health Econ</addtitle><description>Objective The aim of this study was to evaluate the psychometric properties of the EQ-5D-5L and SF-6D, and to compare their performance among patients living with haemophilia in China. Methods A total of 875 Chinese patients completed the EQ-5D-5L, SF-6D, and Haem-A-QoL questionnaires. Construct validity of the EQ-5D-5L and SF-6D dimensions and indices was assessed by testing hypotheses relating these measures to Haem-A-QoL and clinical measures. The Spearman correlation coefficient was used to assess convergent validity, and oneway analysis of variance (F statistic) was used to assess the known-groups validity (discriminatory power). The agreement between EQ-5D-5L and SF-6D indices was assessed using the intraclass correlation coefficient (ICC) and the Bland-Altman plot. Results Both the EQ-5D-5L and SF-6D indices showed acceptable ceiling and floor effects. As hypothesised, both EQ-5D-5L and SF-6D were significantly correlated with Haem-A-QoL (both dimensions and overall score). EQ-5D-5L and SF-6D indices as well as EQ-VAS differentiated patients are known to differ in severity of haemophilia, bleeding status, disabling levels, and comorbidity. The F statistics in the known-groups comparisons suggested that the EQ-5D-5L was slightly more discriminative than the SF-6D. ICC (0.41) and Bland-Altman plot confirmed that the agreement between the EQ-5D-5L and SF-6D indices was poor. Conclusion Both EQ-5D-5L and SF-6D showed satisfactory construct validity in the measurement of the HRQoL among patients with haemophilia. 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Methods A total of 875 Chinese patients completed the EQ-5D-5L, SF-6D, and Haem-A-QoL questionnaires. Construct validity of the EQ-5D-5L and SF-6D dimensions and indices was assessed by testing hypotheses relating these measures to Haem-A-QoL and clinical measures. The Spearman correlation coefficient was used to assess convergent validity, and oneway analysis of variance (F statistic) was used to assess the known-groups validity (discriminatory power). The agreement between EQ-5D-5L and SF-6D indices was assessed using the intraclass correlation coefficient (ICC) and the Bland-Altman plot. Results Both the EQ-5D-5L and SF-6D indices showed acceptable ceiling and floor effects. As hypothesised, both EQ-5D-5L and SF-6D were significantly correlated with Haem-A-QoL (both dimensions and overall score). EQ-5D-5L and SF-6D indices as well as EQ-VAS differentiated patients are known to differ in severity of haemophilia, bleeding status, disabling levels, and comorbidity. The F statistics in the known-groups comparisons suggested that the EQ-5D-5L was slightly more discriminative than the SF-6D. ICC (0.41) and Bland-Altman plot confirmed that the agreement between the EQ-5D-5L and SF-6D indices was poor. Conclusion Both EQ-5D-5L and SF-6D showed satisfactory construct validity in the measurement of the HRQoL among patients with haemophilia. However, the two instruments may not be used interchangeably in this patient population due to their poor agreement and differing discriminatory power.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer</pub><pmid>33761029</pmid><doi>10.1007/s10198-021-01273-5</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-9784-6472</orcidid></addata></record>
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source SpringerLink Journals - AutoHoldings
subjects Correlation coefficient
Economic Policy
Health Care Management
Health Economics
Hemophilia
Medicine
Medicine & Public Health
Original Paper
Pharmacoeconomics and Health Outcomes
Public Finance
Public Health
Quantitative psychology
Validation studies
Validity
Variance analysis
title Evaluating the psychometric properties of the EQ-5D-5L and SF-6D among patients with haemophilia
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