Sun Sun, Chen Jiaying, Kind Paul, Xu Ling, Zhang Yaoguang, Burström Kristina
Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Tomtebodavägen 18A, 171 77, Stockholm, Sweden,
Qual Life Res. 2015 Mar;24(3):693-703. doi: 10.1007/s11136-014-0793-6. Epub 2014 Sep 24.
To investigate the feasibility of deriving experience-based visual analogue scale (VAS) values for EQ-5D-3L health states using national general population health survey data in China.
The EQ-5D-3L was included in the National Health Services Survey (n = 120,709, aged 15-103 years) to measure health-related quality of life. The respondents reported their current health status on a VAS and completed the EQ-5D-3L questionnaire, enabling modelling of the association between the experience-based VAS values and self-reported problems on EQ-5D dimensions and severity levels.
VAS values were generally negatively associated with problems reported on the EQ-5D dimensions, and the anxiety/depression dimension had the greatest impact on VAS values. A previously obtained value for dead allowed the values for all 243 EQ-5D-3L health states to be transformed to the 0-1 scale (0 = dead, 1 = full health).
This study presents the feasibility of deriving an experience-based VAS values for EQ-5D-3L health states in China. The analysis of these VAS data raises more fundamental issues concerning the universal nature of the classification system and the extent to which Chinese respondents utilise the same concepts of health as defined by this classification system.
利用中国全国普通人群健康调查数据,探讨得出基于经验的EQ-5D-3L健康状态视觉模拟量表(VAS)值的可行性。
《国家卫生服务调查》纳入了EQ-5D-3L(样本量n = 120709,年龄15 - 103岁)以测量与健康相关的生活质量。受访者报告他们在VAS上的当前健康状况并完成EQ-5D-3L问卷,从而能够对基于经验的VAS值与EQ-5D维度及严重程度水平上的自我报告问题之间的关联进行建模。
VAS值通常与EQ-5D维度上报告的问题呈负相关,且焦虑/抑郁维度对VAS值的影响最大。先前获得的死亡状态值使得所有243种EQ-5D-3L健康状态的值能够转换为0 - 1量表(0 = 死亡,1 = 完全健康)。
本研究展示了在中国得出基于经验的EQ-5D-3L健康状态VAS值的可行性。对这些VAS数据的分析引发了更多关于分类系统普遍性以及中国受访者在多大程度上使用该分类系统所定义的相同健康概念的根本性问题。