How are you doing in the eyes of your spouse? Level of agreement between the self-completed EQ-5D-5L and two proxy perspectives in an orthopaedic population: a randomized agreement study.

Published on Dec 27, 2021in Health and Quality of Life Outcomes2.344
· DOI :10.1186/S12955-021-01679-Y
Maria C J M Tol , Jurrian P Kuipers + 2 AuthorsRudolf W. Poolman5
Estimated H-index: 5
(Loyola University Medical Center)
OBJECTIVES To determine the level of agreement between both proxy versions and the self-completed EQ-5D-5L. DESIGN A randomized agreement study. SETTING AND PARTICIPANTS We recruited 120 patients (compos mentis) and their proxies at the orthopaedic outpatient clinic. Patients completed the regular EQ-5D-5L and their proxy completed the proxy version of the EQ-5D-5L and rated the patients' health from their own (proxy-proxy) perspective (i.e. how do you rate the health of the patient), and from the patient's (proxy-patient) perspective (i.e. how do you think the patient would rate their own health if they were able to). MEASURES The primary outcome was the agreement between patients and their proxy, quantified as the intra class correlation coefficient for the EQ-5D-5L Utility score. RESULTS Average Utility scores were 0.65 with the self completed EQ-5D-5L, versus 0.60 with the proxy-patient version and 0.58 with the proxy-proxy version. The ICC was 0.66 (95% CI 0.523, 0.753) for the proxy-patient perspective and 0.58 (95% CI 0.411, 0.697) for the proxy-proxy perspective. The mean gold standard score of the VAS-Health was 69.7 whereas the proxy-proxy perspective was 66.5 and the proxy-patient perspective was 66.3. CONCLUSION AND IMPLICATIONS The proxy-patient perspective yielded substantial agreement with the self completed EQ-5D-5L, while the agreement with the proxy-proxy perspective was moderate. In this study population of patients without cognitive impairment, proxies tended to underestimate the quality of life of their relative.
#1Lotte Vestjens (EUR: Erasmus University Rotterdam)H-Index: 4
#2Jane M. Cramm (EUR: Erasmus University Rotterdam)H-Index: 29
Last. Anna P. Nieboer (EUR: Erasmus University Rotterdam)H-Index: 40
view all 4 authors...
The article reports on the cost-effectiveness of the proactive, integrated primary care program Finding and Follow-up of Frail older persons (FFF) compared with usual primary care for community-dwelling frail older persons in the Netherlands. This study had a matched quasi-experimental design (pretest and posttest). The economic evaluation was performed from a healthcare perspective with a time horizon of 12 months. The target population consisted of community-dwelling frail older persons aged ≥...
#1Jamie A. Nicholson (Edin.: University of Edinburgh)H-Index: 6
#2Henry K. C. Searle (Edin.: University of Edinburgh)H-Index: 2
Last. J. McBirnie (Edin.: University of Edinburgh)H-Index: 1
view all 4 authors...
Aims The aim of this study was to investigate the influence of age on the cost-effectiveness of arthroscopic rotator cuff repair. Patients and Methods A total of 112 patients were prospectively mon...
#1Thanaporn Bussabawalai (Health Intervention and Technology Assessment Program)H-Index: 2
#2Kittiphong Thiboonboon (UTS: University of Technology, Sydney)H-Index: 3
Last. Yot Teerawattananon (Health Intervention and Technology Assessment Program)H-Index: 35
view all 3 authors...
Background Many patients develop tumour recurrence within a few years after undergoing surgical resection of gastrointestinal stromal tumours (GIST). Adjuvant imatinib treatment is recommended for patients with high risk of GIST recurrence as it can improve recurrence-free survival and overall survival of patients. This study aims to assess the cost-utility of adjuvant imatinib in patients with high risk of GIST recurrence after surgery compared with no adjuvant therapy in Thailand.
#1Laurent BaillyH-Index: 5
#2Philippe Mossé (AMU: Aix-Marseille University)H-Index: 4
Last. Christian PradierH-Index: 47
view all 14 authors...
Background Physical activity programs (PAP) in patients with cardiovascular disease require evidence of cost-utility. To assess improvement in health-related quality of life (QoL) and reduction of health care consumption of patients following PAP, a randomized trial was used.
#1María Gómez-Gallego (CUA: The Catholic University of America)H-Index: 5
#2Juan Gómez-García (University of Murcia)H-Index: 7
Last. E. Ato-Lozano (University of Murcia)H-Index: 1
view all 3 authors...
Objectives We aimed to examine the discrepancy between patients and caregivers’ ratings of quality of life in terms of accuracy and precision, and identify factors associated with it, in order to facilitate the use of this scale as dementia progresses.
#1Angela Devine (Lond: University of London)H-Index: 16
#2Stephanie Taylor (QMUL: Queen Mary University of London)H-Index: 68
Last. Martin Underwood (Warw.: University of Warwick)H-Index: 59
view all 6 authors...
Objective Proxy measures are an alternative source of data for care home residents who are unable to complete the health utility measure, but the agreement levels between residents and care home staff for the EQ-5D have not been investigated previously. The objective of the present study was to examine the inter-rater agreement levels for the reporting of EQ-5D by care home residents and staff, adjusting for the impact of clustering.
#1Ryota Sakurai (Tokyo Metropolitan University)H-Index: 15
#2Yoshinori FujiwaraH-Index: 31
Last. Kuniyasu Imanaka (Tokyo Metropolitan University)H-Index: 17
view all 6 authors...
Background Older adults could not safely step over an obstacle unless they correctly estimated their physical ability to be capable of a successful step over action. Thus, incorrect estimation (overestimation) of ability to step over an obstacle could result in severe accident such as falls in older adults. We investigated whether older adults tended to overestimate step-over ability compared with young adults and whether such overestimation in stepping over obstacles was associated with falls.
#1Masayo Kashiwagi (University of Tsukuba)H-Index: 9
#2Nanako Tamiya (University of Tsukuba)H-Index: 18
Last. Eiji Yano (Teikyo University)H-Index: 41
view all 4 authors...
Background In Japan, there is a large increase in the number of elderly persons who potentially need home-visit nursing services (VNS). However, the number of persons using the VNS has increased only little in comparison to the number of individuals who use home social services, which are also covered by the Long-Term Care Insurance (LTCI) system. This cross-sectional study investigated the predictors of the VNS used under the LTCI system in Japan.
#1Ben A. van Hout (University of Sheffield)H-Index: 29
#2Mathieu F. JanssenH-Index: 15
Last. A. Simon Pickard (UIC: University of Illinois at Chicago)H-Index: 43
view all 10 authors...
Abstract Background A five-level version of the EuroQol five-dimensional (EQ-5D) descriptive system (EQ-5D-5L) has been developed, but value sets based on preferences directly elicited from representative general population samples are not yet available. The objective of this study was to develop values sets for the EQ-5D-5L by means of a mapping ("crosswalk") approach to the currently available three-level version of the EQ-5D (EQ-5D-3L) values sets. Methods The EQ-5D-3L and EQ-5D-5L descriptiv...
In any field, improving performance and accountability depends on having a shared goal that unites the interests and activities of all stakeholders. In health care, however, stakeholders have myriad, often conflicting goals, including access to services, profitability, high quality, cost containment, safety, convenience, patient-centeredness, and satisfaction. Lack of clarity about goals has led to divergent approaches, gaming of the system, and slow progress in performance improvement. Achievin...
Cited By0
This website uses cookies.
We use cookies to improve your online experience. By continuing to use our website we assume you agree to the placement of these cookies.
To learn more, you can find in our Privacy Policy.