Division of Psychiatry I, Department of Psychiatry, Psychotherapy and Psychosomatics, Medical University of Innsbruck, Innsbruck, Austria.
Division of Psychiatry II, Department of Psychiatry, Psychotherapy and Psychosomatics, Medical University of Innsbruck, Innsbruck, Austria.
Qual Life Res. 2019 Dec;28(12):3197-3211. doi: 10.1007/s11136-019-02283-w. Epub 2019 Sep 4.
PURPOSE: The EORTC QLU-C10D is a new multi-attribute utility instrument derived from the EORTC QLQ-C30, a widely used cancer-specific quality of life questionnaire. It covers ten dimensions: physical, role, social, emotional functioning, pain, fatigue, sleep, appetite, nausea, and bowel problems. To allow national health attitudes to be reflected, country-specific valuations are being performed by collaboration of the Multi-Attribute Utility Cancer (MAUCa) Consortium and the EORTC. The purpose of this paper is to provide German value sets (utility weights) for the QLU-C10D. METHODS: Valuations were run in a web-based setting in two general population samples of approximately 2000 adults in total. As the German version of the QLQ-C30 is presently undergoing a revision of the wording of one response category, valuations for both the current and the new version were performed (Germany 1 and 2). Utilities were elicited using a discrete choice experiment (DCE). Data were analyzed by conditional logistic regression and mixed logits. RESULTS: Completion rates were 88.3% (1002/1135) and 90.4% (1016/1124) for Germany 1 and Germany 2 valuations, respectively. Dimensions with the largest impact on utility weights were, in this order: physical functioning, pain, role functioning, social functioning and nausea (same ordering for both German versions). Several violations of the logical ordering of levels were observed for Germany 1; this was largely improved for Germany 2. CONCLUSION: This study established German utility weights for the cancer-specific utility instrument QLU-C10D.
目的:EORTC QLU-C10D 是一种新的多属性效用工具,源自广泛使用的癌症特异性生活质量问卷 EORTC QLQ-C30。它涵盖了十个维度:身体、角色、社会、情感功能、疼痛、疲劳、睡眠、食欲、恶心和肠道问题。为了反映国家的健康态度,正在通过多属性效用癌症(MAUCa)联盟和 EORTC 的合作进行国家特定的估值。本文的目的是为 QLU-C10D 提供德国效用值(效用权重)。
方法:在基于网络的环境中,在两个总共有大约 2000 名成年人的一般人群样本中进行了估值。由于德国版的 QLQ-C30 目前正在对一个反应类别进行措辞的修订,因此对当前和新版本进行了估值(德国 1 和 2)。使用离散选择实验(DCE)来引出效用。通过条件逻辑回归和混合对数进行数据分析。
结果:德国 1 和德国 2 的估值完成率分别为 88.3%(1002/1135)和 90.4%(1016/1124)。对效用权重影响最大的维度依次为:身体功能、疼痛、角色功能、社会功能和恶心(两个德国版本的排序相同)。在德国 1 中观察到几个违反水平逻辑顺序的情况;这在德国 2 中得到了很大的改善。
结论:本研究为癌症特异性效用工具 QLU-C10D 建立了德国效用权重。
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