Division of Health Promotion Research, Korea Institute for Health and Social Affairs, Seoul, Korea.
Value Health. 2009 Nov-Dec;12 Suppl 3:S114-7. doi: 10.1111/j.1524-4733.2009.00642.x.
The main purpose of this study is to provide a national catalog of preference-based utility weights associated with major chronic diseases in Korea.
The 2005 Korea National Health and Nutrition Examination Survey was used to get EQ-5D scores for 27 major chronic diseases. The independent detrimental effect of each chronic disease was estimated using a censored least absolute deviations regression.
The respondents (60.5%) rated their health as perfect or 11111 on the EQ-5D scale showing ceiling effect. Stroke (0.5067 approximately 0.5756) was the condition of the lowest EQ-5D utility weight and was followed by renal failure (0.6637 approximately 0.7739), angina pectoris (0.7325 approximately 0.8364), and arthritis (0.7621 approximately 0.8644). The marginal impact of each chronic disease after adjusting for age, sex, education, income, marital status, and the number of comorbid conditions was largest in stroke, arthritis, cancer, renal failure, and herniated disc.
This study provided a nationally representative catalog of utility weights for major chronic diseases in Korea. The three most burdensome chronic diseases among Korean adults based on the regression analysis were stroke, arthritis, and cancer.
本研究的主要目的是提供韩国主要慢性病偏好加权的国家目录。
使用 2005 年韩国国家健康和营养调查(Korean National Health and Nutrition Examination Survey)的数据来获取 27 种主要慢性病的 EQ-5D 评分。使用截尾最小绝对偏差回归估计每种慢性病的独立不利影响。
受访者(60.5%)在 EQ-5D 量表上对自己的健康状况评价为完美或 11111,表现出上限效应。中风(0.5067 至 0.5756)是 EQ-5D 效用权重最低的疾病,其次是肾衰竭(0.6637 至 0.7739)、心绞痛(0.7325 至 0.8364)和关节炎(0.7621 至 0.8644)。调整年龄、性别、教育程度、收入、婚姻状况和合并症数量后,每种慢性病的边际影响在中风、关节炎、癌症、肾衰竭和椎间盘突出症中最大。
本研究提供了韩国主要慢性病效用权重的全国代表性目录。基于回归分析,韩国成年人中最具负担的三种慢性病是中风、关节炎和癌症。