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Erschienen in: Quality of Life Research 11/2015

01.11.2015

EQ-5D-3L as a health measure of Brazilian adult population

verfasst von: Renata de Miranda Menezes, Mônica Viegas Andrade, Kenya Valéria Micaela de Souza Noronha, Paul Kind

Erschienen in: Quality of Life Research | Ausgabe 11/2015

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Abstract

Purpose

This study explores the use of EQ-5D-3L as a measure of population health status in a Brazilian region with significant socioeconomic, demographic, and epidemiological heterogeneity.

Methods

Data came from a study of 3363 literate individuals aged between 18 and 64 years living in urban areas of the state of Minas Gerais. Descriptive analysis and logistic and OLS regression models were performed to analyze the relationship between EQ-5D-3L (descriptive system and EQ VAS) and other health (self-assessed health status and 8 self-reported diagnosed chronic diseases), socioeconomic (educational level and economic class), and demographic (gender and age) measures. Additionally, a grade of membership (GoM) analysis was performed to identify multidimensional health profiles.

Results

A total of 76 health statuses were identified in the Brazilian population. The most prevalent one is full health (44 % of the sample). Elderly people, women, and individuals with poor health and lower socioeconomic conditions generally report more health problems in the EQ-5D-3L dimensions. The GoM analysis demonstrated that health status of older individuals is associated with the socioeconomic condition. Arthritis exhibited the strongest association with the EQ-5D-3L instrument.

Conclusions

The results indicate that EQ-5D-3L is a good measure of health status for the Brazilian population. The instrument has a good discriminatory capacity in terms of demographic, socioeconomic, and health measures. The high prevalence of individuals with full health may indicate the presence of ceiling effect. However, this prevalence is smaller than that in other countries.
Literatur
1.
2.
Zurück zum Zitat Brazier, J., & Deverill, M. (1999). A checklist for judging preference-based measures of health related quality of life: Learning from psychometrics. Health Economics, 8, 41–51.CrossRefPubMed Brazier, J., & Deverill, M. (1999). A checklist for judging preference-based measures of health related quality of life: Learning from psychometrics. Health Economics, 8, 41–51.CrossRefPubMed
3.
Zurück zum Zitat Williams, A. (1995). A measurement and validation of health: A chronicle. Centre for health economics discussion paper 136. Williams, A. (1995). A measurement and validation of health: A chronicle. Centre for health economics discussion paper 136.
4.
Zurück zum Zitat Gudex, C. (2005). The descriptive system of the EuroQol instrument. EQ-5D concepts and methods: A development history (pp. 19–28). Netherlands: Springer.CrossRef Gudex, C. (2005). The descriptive system of the EuroQol instrument. EQ-5D concepts and methods: A development history (pp. 19–28). Netherlands: Springer.CrossRef
6.
Zurück zum Zitat Holland, R., Smith, R. D., Harvey, I., Swift, L., & Lenaghan, E. (2004). Assessing quality of life in the elderly: A direct comparison of the EQ-5D and AQoL. Health Ecomonics, 13(8), 793–805. Holland, R., Smith, R. D., Harvey, I., Swift, L., & Lenaghan, E. (2004). Assessing quality of life in the elderly: A direct comparison of the EQ-5D and AQoL. Health Ecomonics, 13(8), 793–805.
7.
Zurück zum Zitat Schulz, M. W., Chen, J., Woo, H. H., Keech, M., Watson, M. E., & Davey, P. J. (2002). A comparison of techniques for eliciting patient preferences in patients with benign prostatic hyperplasia. The Journal of Urology, 168(1), 155–159.CrossRefPubMed Schulz, M. W., Chen, J., Woo, H. H., Keech, M., Watson, M. E., & Davey, P. J. (2002). A comparison of techniques for eliciting patient preferences in patients with benign prostatic hyperplasia. The Journal of Urology, 168(1), 155–159.CrossRefPubMed
8.
Zurück zum Zitat Essink-Bot, M. (1995). Health status as a measure of outcome of disease and treatment. Erasmus/Rotterdam: Instituut Maatschappelijke Gezondheidszorg/Universiteit Rotterdam. Essink-Bot, M. (1995). Health status as a measure of outcome of disease and treatment. Erasmus/Rotterdam: Instituut Maatschappelijke Gezondheidszorg/Universiteit Rotterdam.
9.
Zurück zum Zitat Cunillera, O., Tresserras, R., Rajmil, L., Vilagut, G., Brugulat, P., Herdman, M., & Ferrer, M. (2010). Discriminative capacity of the EQ-5D, SF-6D and SF-12 as measures of health status in population health survey. Quality of Life Research, 19(6), 853–864.CrossRefPubMed Cunillera, O., Tresserras, R., Rajmil, L., Vilagut, G., Brugulat, P., Herdman, M., & Ferrer, M. (2010). Discriminative capacity of the EQ-5D, SF-6D and SF-12 as measures of health status in population health survey. Quality of Life Research, 19(6), 853–864.CrossRefPubMed
10.
Zurück zum Zitat Kind, P., Dolan, P., Gudex, C., & Williams, A. (1998). Variations in population health status: Results from a United Kingdom national questionnaire survey. BMJ, 316(7133), 736–741.PubMedCentralCrossRefPubMed Kind, P., Dolan, P., Gudex, C., & Williams, A. (1998). Variations in population health status: Results from a United Kingdom national questionnaire survey. BMJ, 316(7133), 736–741.PubMedCentralCrossRefPubMed
11.
Zurück zum Zitat Macran, S., Weatherly, H., & Kind, P. (2003). Measuring population health: A comparison of three generic health status measures. Medical Care, 41(2), 218–231.PubMed Macran, S., Weatherly, H., & Kind, P. (2003). Measuring population health: A comparison of three generic health status measures. Medical Care, 41(2), 218–231.PubMed
12.
Zurück zum Zitat Luo, N., Johnson, J. A., Shaw, J. W., Feeny, D., & Coons, S. J. (2005). Self-reported health status of the general adult US population as assessed by the EQ-5D and Health Utilities Index. Medical Care, 43(11), 1078–1086.CrossRefPubMed Luo, N., Johnson, J. A., Shaw, J. W., Feeny, D., & Coons, S. J. (2005). Self-reported health status of the general adult US population as assessed by the EQ-5D and Health Utilities Index. Medical Care, 43(11), 1078–1086.CrossRefPubMed
13.
Zurück zum Zitat Lubetkin, E. I., Jia, H., Franks, P., & Gold, M. R. (2005). Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the U.S. general population. Quality of Life Research, 14(10), 2187–2196.CrossRefPubMed Lubetkin, E. I., Jia, H., Franks, P., & Gold, M. R. (2005). Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the U.S. general population. Quality of Life Research, 14(10), 2187–2196.CrossRefPubMed
14.
Zurück zum Zitat Saarni, S. I., Härkänen, T., Sintonen, H., Suvisaari, J., Koskinen, S., Aromaa, A., & Lönnqvist, J. (2006). The impact of 29 chronic conditions on health-related quality of life: A general population survey in Finland using 15D and EQ-5D. Quality of Life Research, 15(8), 1403–1414.CrossRefPubMed Saarni, S. I., Härkänen, T., Sintonen, H., Suvisaari, J., Koskinen, S., Aromaa, A., & Lönnqvist, J. (2006). The impact of 29 chronic conditions on health-related quality of life: A general population survey in Finland using 15D and EQ-5D. Quality of Life Research, 15(8), 1403–1414.CrossRefPubMed
15.
Zurück zum Zitat Fryback, D. G., Dunham, N. C., Palta, M., Hanmer, J., Buechner, J., Cherepanov, D., & Ganiats, T. G. (2007). US norms for six generic health-related quality-of-life indexes from the National Health Measurement study. Medical Care, 45(12), 1162–1170.PubMedCentralCrossRefPubMed Fryback, D. G., Dunham, N. C., Palta, M., Hanmer, J., Buechner, J., Cherepanov, D., & Ganiats, T. G. (2007). US norms for six generic health-related quality-of-life indexes from the National Health Measurement study. Medical Care, 45(12), 1162–1170.PubMedCentralCrossRefPubMed
16.
Zurück zum Zitat Ravens-Sieberer, U., Wille, N., Badia, X., Bonsel, G., Burström, K., Cavrini, G., & Greiner, W. (2010). Feasibility, reliability, and validity of the EQ-5D-Y: Results from a multinational study. Quality of Life Research, 19(6), 887–897.PubMedCentralCrossRefPubMed Ravens-Sieberer, U., Wille, N., Badia, X., Bonsel, G., Burström, K., Cavrini, G., & Greiner, W. (2010). Feasibility, reliability, and validity of the EQ-5D-Y: Results from a multinational study. Quality of Life Research, 19(6), 887–897.PubMedCentralCrossRefPubMed
17.
Zurück zum Zitat Wang, H.-M., Patrick, D. L., Edwards, T. C., Skalicky, A. M., Zeng, H.-Y., & Gu, W.-W. (2011). Validation of the EQ-5D in general population sample in urban China. Quality of Life Research, 21(1), 155–160.CrossRefPubMed Wang, H.-M., Patrick, D. L., Edwards, T. C., Skalicky, A. M., Zeng, H.-Y., & Gu, W.-W. (2011). Validation of the EQ-5D in general population sample in urban China. Quality of Life Research, 21(1), 155–160.CrossRefPubMed
19.
Zurück zum Zitat Sun, S., Chen, J., Kind, P., Xu, L., Zhang, Y., & Burström, K. (2014). Experience-based VAS values for EQ-5D-3L health states in a national general population health survey in China. Quality of Life Research,. doi:10.1007/s11136-014-0793-6. Sun, S., Chen, J., Kind, P., Xu, L., Zhang, Y., & Burström, K. (2014). Experience-based VAS values for EQ-5D-3L health states in a national general population health survey in China. Quality of Life Research,. doi:10.​1007/​s11136-014-0793-6.
20.
Zurück zum Zitat Bharmal, M., & Thomas, J. (2006). Comparing the EQ-5D and the SF-6D descriptive systems to assess their ceiling effects in the US general population. Value in Health, 9(4), 262–271.CrossRefPubMed Bharmal, M., & Thomas, J. (2006). Comparing the EQ-5D and the SF-6D descriptive systems to assess their ceiling effects in the US general population. Value in Health, 9(4), 262–271.CrossRefPubMed
21.
Zurück zum Zitat Johnson, J. A., & Pickard, A. S. (2000). Comparison of the EQ-5D and SF-12 health surveys in a general population survey in Alberta, Canada. Medical Care, 38(1), 115–121.CrossRefPubMed Johnson, J. A., & Pickard, A. S. (2000). Comparison of the EQ-5D and SF-12 health surveys in a general population survey in Alberta, Canada. Medical Care, 38(1), 115–121.CrossRefPubMed
22.
Zurück zum Zitat Andrade, M. V., Noronha, K., Kind, P., Maia, A. C., Menezes, R. M., Reis, C. B., & Lins, C. (2013). Societal preferences for EQ-5D health states from a Brazilian population survey. Value in Health Regional Issues, 2(3), 405–412.CrossRef Andrade, M. V., Noronha, K., Kind, P., Maia, A. C., Menezes, R. M., Reis, C. B., & Lins, C. (2013). Societal preferences for EQ-5D health states from a Brazilian population survey. Value in Health Regional Issues, 2(3), 405–412.CrossRef
25.
Zurück zum Zitat Melo, F. L. B. (2006). Trajetórias no mercado de trabalho: perfis socioocupacionais de indivíduos e casais da Grande São Paulo. Centro de Desenvolvimento e Planejamento Regional, Universidade Federal de Minas Gerais, Belo Horizonte Melo, F. L. B. (2006). Trajetórias no mercado de trabalho: perfis socioocupacionais de indivíduos e casais da Grande São Paulo. Centro de Desenvolvimento e Planejamento Regional, Universidade Federal de Minas Gerais, Belo Horizonte
26.
Zurück zum Zitat Manton, K. G., Woodbury, M. A., & Tolley, H. D. (1994). Statistical applications using fuzzy sets (1st ed.). New York: Wiley. Manton, K. G., Woodbury, M. A., & Tolley, H. D. (1994). Statistical applications using fuzzy sets (1st ed.). New York: Wiley.
27.
Zurück zum Zitat Siviero, P. C. L. (2012). Causas múltiplas de morte associadas à insuficiência renal crônica no Brasil, 2000–2004. Belo Horizonte: Universidade Federal de Minas Gerais. Siviero, P. C. L. (2012). Causas múltiplas de morte associadas à insuficiência renal crônica no Brasil, 2000–2004. Belo Horizonte: Universidade Federal de Minas Gerais.
28.
Zurück zum Zitat Akaike, H. (1974). A new look at the statistical model identification. IEEE Transactions on Automatic Control, 19(6), 716–723.CrossRef Akaike, H. (1974). A new look at the statistical model identification. IEEE Transactions on Automatic Control, 19(6), 716–723.CrossRef
29.
Zurück zum Zitat Pereira, C. C. A., Machado, C. J., & Rodrigues, R. N. (2007). Profiles of multiple causes of death related to HIV/AIDS in the cities of São Paulo and Santos, Brazil, 2001. Cadernos de Saúde Pública, 23(3), 645–655.CrossRefPubMed Pereira, C. C. A., Machado, C. J., & Rodrigues, R. N. (2007). Profiles of multiple causes of death related to HIV/AIDS in the cities of São Paulo and Santos, Brazil, 2001. Cadernos de Saúde Pública, 23(3), 645–655.CrossRefPubMed
30.
Zurück zum Zitat Sawyer, D. O., Leite, I. C., & Alexandrino, R. (2002). Perfis de utilização de serviços de saúde no Brasil. Ciência e Saúde Coletiva, 7(4), 757–776.CrossRef Sawyer, D. O., Leite, I. C., & Alexandrino, R. (2002). Perfis de utilização de serviços de saúde no Brasil. Ciência e Saúde Coletiva, 7(4), 757–776.CrossRef
31.
Zurück zum Zitat PESQUISA nacional por amostra de domicílios—PNAD 2008. (2008). Rio de Janeiro: IBGE. Microdados em CD-Rom. PESQUISA nacional por amostra de domicílios—PNAD 2008. (2008). Rio de Janeiro: IBGE. Microdados em CD-Rom.
33.
Zurück zum Zitat Almeida, G., Sarti, F. M., Ferreira, F. F., Diaz, M. D. M., & Campino, A. C. (2013). Analysis of the evolution and determinants of income-related inequalities in the Brazilian health system, 1998–2008. Revista Panamericana de Salud Publica, 33(2), 90–97.CrossRefPubMed Almeida, G., Sarti, F. M., Ferreira, F. F., Diaz, M. D. M., & Campino, A. C. (2013). Analysis of the evolution and determinants of income-related inequalities in the Brazilian health system, 1998–2008. Revista Panamericana de Salud Publica, 33(2), 90–97.CrossRefPubMed
34.
Zurück zum Zitat Andrade, M. V., Noronha, K., Menezes, R. M., Souza, M. N., Reis, C. B., Martinss, D., & Gomes, L. (2013). Desigualdade socioeconômica no acesso aos serviços de saúde no Brasil: um estudo comparativo entre as regiões brasileiras em 1998 e 2008. Economia Aplicada, 17(4), 623–645.CrossRef Andrade, M. V., Noronha, K., Menezes, R. M., Souza, M. N., Reis, C. B., Martinss, D., & Gomes, L. (2013). Desigualdade socioeconômica no acesso aos serviços de saúde no Brasil: um estudo comparativo entre as regiões brasileiras em 1998 e 2008. Economia Aplicada, 17(4), 623–645.CrossRef
35.
Zurück zum Zitat Macinko, J., & Lima-Costa, M. F. (2012). Horizontal equity in health care utilization in Brazil, 1998–2008. International Journal for Equity in Health, 11(33), 1–8. Macinko, J., & Lima-Costa, M. F. (2012). Horizontal equity in health care utilization in Brazil, 1998–2008. International Journal for Equity in Health, 11(33), 1–8.
36.
Zurück zum Zitat Harper, R., Brazier, J. E., Waterhouse, J. C., Walters, S. J., Jones, N. M., & Howard, P. (1997). Comparison of outcome measures for patients with chronic obstructive pulmonary disease (COPD) in an outpatient setting. Thorax, 52(10), 879–887.PubMedCentralCrossRefPubMed Harper, R., Brazier, J. E., Waterhouse, J. C., Walters, S. J., Jones, N. M., & Howard, P. (1997). Comparison of outcome measures for patients with chronic obstructive pulmonary disease (COPD) in an outpatient setting. Thorax, 52(10), 879–887.PubMedCentralCrossRefPubMed
37.
Zurück zum Zitat Theodorou, M., Kaitelidou, D., Galanis, P., & Middleton, N. (2011). Quality of life measurement in patients with hypertension in Cyprus. Hellenic Journal of Cardiology, 52(5), 407–415.PubMed Theodorou, M., Kaitelidou, D., Galanis, P., & Middleton, N. (2011). Quality of life measurement in patients with hypertension in Cyprus. Hellenic Journal of Cardiology, 52(5), 407–415.PubMed
38.
Zurück zum Zitat Augustovski, F., Rey Ares, L., & Gibbons, L. (2013). Self-reported health status and EQ-5D-3L values of the Argentine population: Comparing 2005 versus 2009 national risk factor surveys. Value in Health, 16, A671.CrossRef Augustovski, F., Rey Ares, L., & Gibbons, L. (2013). Self-reported health status and EQ-5D-3L values of the Argentine population: Comparing 2005 versus 2009 national risk factor surveys. Value in Health, 16, A671.CrossRef
Metadaten
Titel
EQ-5D-3L as a health measure of Brazilian adult population
verfasst von
Renata de Miranda Menezes
Mônica Viegas Andrade
Kenya Valéria Micaela de Souza Noronha
Paul Kind
Publikationsdatum
01.11.2015
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 11/2015
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-0994-7

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