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26.08.2020

EQ-5D-3L health status and health state utilities of the oldest-old (85 +) in Germany: results from the AgeCoDe-AgeQualiDe study

verfasst von: Hans-Helmut König, Christian Brettschneider, Dagmar Lühmann, Hanna Kaduszkiewicz, Anke Oey, Birgitt Wiese, Jochen Werle, Siegfried Weyerer, Angela Fuchs, Michael Pentzek, Ines Conrad, Susanne Röhr, Dagmar Weeg, Horst Bickel, Kathrin Heser, Michael Wagner, Martin Scherer, Wolfgang Maier, Steffi G. Riedel-Heller, André Hajek

Erschienen in: Quality of Life Research | Ausgabe 12/2020

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Abstract

Purpose

To describe health status and health state utilities measured by the EQ-5D-3L in a population-based sample of individuals aged 85 + in Germany, and to analyze associations with basic socio-demographic variables.

Methods

Cross-sectional data from follow-up wave 7 (n = 761) of the German AgeCoDe Study were used. The EQ-5D-3L questionnaire was used to record problems in five health dimensions, its visual analogue scale (EQ VAS) was used to record self-rated health status, and the German EQ-5D-3L index was used to derive health state utilities.

Results

Mean age of respondents was 88.9 years (SD 2.9; range 85 to 100), 67.4% were female. 81.9% reported problems in at least one of the EQ-5D dimensions, with 15.3% reporting extreme problems. Most frequent were problems with pain/discomfort (64.8%), followed by mobility (62.5%), usual activities (42.6%), self-care (28.2%), and anxiety/depression (20.5%). Mean EQ VAS score was 62.4 (SD 18.8), and mean EQ-5D index was 0.77 (SD 0.24). Multiple regression analysis showed associations of problem frequency in various EQ-5D dimensions with age, gender, living situation, marital status, and education. The EQ VAS score was negatively associated with age (β = − 0.56; p < 0.05) and female gender (β = − 3.49; p < 0.05). The EQ-5D index was negatively associated with not living in the community (β = − 0.10; p < 0.001) and being single (β = − 0.09; p < 0.05).

Conclusions

The results show a substantially impaired health status of the oldest-old population. The data can be used for comparing health status of population groups as well as for health economic models.

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Titel: EQ-5D-3L health status and health state utilities of the oldest-old (85 +) in Germany: results from the AgeCoDe-AgeQualiDe study
verfasst von: Hans-Helmut König
Christian Brettschneider
Dagmar Lühmann
Hanna Kaduszkiewicz
Anke Oey
Birgitt Wiese
Jochen Werle
Siegfried Weyerer
Angela Fuchs
Michael Pentzek
Ines Conrad
Susanne Röhr
Dagmar Weeg
Horst Bickel
Kathrin Heser
Michael Wagner
Martin Scherer
Wolfgang Maier
Steffi G. Riedel-Heller
André Hajek
Publikationsdatum: 26.08.2020
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 12/2020
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-020-02597-0

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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