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在美国普通人群调查中使用香农指数评估EQ-5D、HUI2和HUI3的区分能力。

Evaluating the discriminatory power of EQ-5D, HUI2 and HUI3 in a US general population survey using Shannon's indices.

作者信息

Bas Janssen Mathieu F, Birnie Erwin, Bonsel Gouke J

机构信息

Public Health Epidemiology, Department of Social Medicine, Academic Medical Center, 22660, 1100 DD, Amsterdam, The Netherlands.

出版信息

Qual Life Res. 2007 Jun;16(5):895-904. doi: 10.1007/s11136-006-9160-6. Epub 2007 Feb 10.

DOI:10.1007/s11136-006-9160-6
PMID:17294285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1915610/
Abstract

OBJECTIVES

To compare quantitatively the discriminatory power of the EQ-5D, HUI2 and HUI3 in terms of absolute and relative informativity, using Shannon's indices.

METHODS

EQ-5D and HUI2/3 data completed by a sample of the general adult US population (N = 3,691) were used. Five dimensions allowed head-to-head comparison of informativity: Mobility/Ambulation; Anxiety/Depression/Emotion; Pain/Discomfort (EQ-5D; HUI2; HUI3); Self-Care (EQ-5D; HUI2); and Cognition (HUI2; HUI3). Shannon's index and Shannon's Evenness index were used to assess absolute and relative informativity, both by dimension and by instrument as a whole.

RESULTS

Absolute informativity was highest for HUI3, with the largest differences in Pain/Discomfort and Cognition. Relative informativity was highest for EQ-5D, with the largest differences in Mobility/Ambulation and Anxiety/Depression/Emotion. Absolute informativity by instrument was consistently highest for HUI3 and lowest for EQ-5D, and relative informativity was highest for EQ-5D and lowest for HUI3.

DISCUSSION

Performance in terms of absolute and relative informativity of the common dimensions of the three instruments varies over dimensions. Several dimensions are suboptimal: Pain/Discomfort (EQ-5D) seems too crude with only 3 levels, and the level descriptions of Ambulation (HUI3) and Self-Care (HUI2) could be improved. In absence of a formal measure, Shannon's indices provide useful measures for assessing discriminatory power of utility instruments.

摘要

目的

使用香农指数，从绝对信息量和相对信息量方面定量比较EQ-5D、HUI2和HUI3的区分能力。

方法

使用美国普通成年人群样本（N = 3691）完成的EQ-5D和HUI2/3数据。五个维度允许对信息量进行直接比较：移动性/步行能力；焦虑/抑郁/情绪；疼痛/不适（EQ-5D；HUI2；HUI3）；自我护理（EQ-5D；HUI2）；以及认知（HUI2；HUI3）。香农指数和香农均匀度指数用于按维度和按整个工具评估绝对信息量和相对信息量。

结果

HUI3的绝对信息量最高，在疼痛/不适和认知方面差异最大。EQ-5D的相对信息量最高，在移动性/步行能力和焦虑/抑郁/情绪方面差异最大。按工具计算，HUI3的绝对信息量始终最高，EQ-5D最低，而EQ-5D的相对信息量最高，HUI3最低。

讨论

这三种工具共同维度的绝对信息量和相对信息量表现因维度而异。几个维度并不理想：疼痛/不适（EQ-5D）只有3个级别，似乎过于粗略，步行能力（HUI3）和自我护理（HUI2）的级别描述可以改进。在没有正式测量方法的情况下，香农指数为评估效用工具的区分能力提供了有用的测量方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5923/1915610/4d896f674228/11136_2006_9160_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5923/1915610/dea60efd3c51/11136_2006_9160_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5923/1915610/4d896f674228/11136_2006_9160_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5923/1915610/dea60efd3c51/11136_2006_9160_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5923/1915610/4d896f674228/11136_2006_9160_Fig2_HTML.jpg

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本文引用的文献

1
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2
US valuation of the EQ-5D health states: development and testing of the D1 valuation model.美国EQ-5D健康状态的估值：D1估值模型的开发与测试
Med Care. 2005 Mar;43(3):203-20. doi: 10.1097/00005650-200503000-00003.
3
Statistical behavioristics and sequences of responses.统计行为学与反应序列
在接受微创美容手术的人群中，将附加模块添加到EQ-5D-5L所带来的心理测量学益处。
Eur J Health Econ. 2025 Mar 13. doi: 10.1007/s10198-025-01772-9.
4
Health-Related Quality of Life in Patients with Friedreich Ataxia Using Mobility Assistive Technologies: Limited Fit of the EQ-5D-3L Mobility Dimension.使用移动辅助技术的弗里德赖希共济失调患者的健康相关生活质量：EQ-5D-3L移动维度的拟合度有限。
Neurol Ther. 2025 Feb;14(1):379-398. doi: 10.1007/s40120-024-00694-7. Epub 2024 Dec 30.
5
The added value of the cognition, dining, gastrointestinal problems, sleep and tiredness bolt-on dimensions to the EQ-5D-5L in patients with coeliac disease.乳糜泻患者中认知、饮食、胃肠道问题、睡眠和疲劳附加维度对EQ-5D-5L的附加值。
Eur J Health Econ. 2025 Apr;26(3):473-485. doi: 10.1007/s10198-024-01719-6. Epub 2024 Aug 30.
6
Validation of the EQ-5D-Y-5L parent-proxy version among children with juvenile idiopathic arthritis.青少年特发性关节炎患儿 EQ-5D-Y-5L 父母代评量表的验证。
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7
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J Clin Med. 2024 Jun 11;13(12):3403. doi: 10.3390/jcm13123403.
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Psychol Rev. 1949 Nov;56(6):311-24. doi: 10.1037/h0060413.
4
The Health Utilities Index (HUI): concepts, measurement properties and applications.健康效用指数（HUI）：概念、测量属性及应用
Health Qual Life Outcomes. 2003 Oct 16;1:54. doi: 10.1186/1477-7525-1-54.
5
Variation in the estimation of quality-adjusted life-years by different preference-based instruments.不同基于偏好的工具在质量调整生命年估计方面的差异。
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6
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7
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8
Assessment of health-related quality of life.健康相关生活质量评估。
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9
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10
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