Danish Center for Healthcare Improvements, Faculty of Social Sciences and Faculty of Health Sciences, Aalborg University, Denmark.
Department of Economics and Business Economics, Aarhus University, Denmark.
Scand J Public Health. 2023 Mar;51(2):241-249. doi: 10.1177/14034948211058060. Epub 2021 Nov 30.
The aims of this study were to provide Danish population norms for the EQ-5D-5L and to assess the measurement properties of the instrument in a Danish population setting.
We used data from the Danish 5L valuation study in which a representative sample of the Danish population completed the EQ-5D-5L and answered socio-demographic questions. We generated population norms for the five EQ-5D-5L dimensions, corresponding utility scores and the EQ-5D visual analogue scale (EQ VAS) according to age and sex. Measurement properties of ceiling effects, known-group construct validity and convergent validity were assessed.
The mean EQ-5D-5L utility score for the 1014 respondents completing the EQ-5D-5L was 0.90 (standard deviation ()=0.16). No significant differences emerged across age groups (minimum mean utility score=0.88 (=0.19); maximum mean utility score=0.93 (=0.11)) or sex (mean utility score for women=0.89 (=0.17); mean utility score for men=0.91 (=0.15)). Statistical differences were found across educational level, occupational status, income and living situation. Similar patterns were observed for the EQ VAS. Generally, respondents most often reported problems with pain and discomfort, but young women most often reported problems with anxiety/depression. There was a significant strong correlation between EQ-5D-5L utility and the EQ VAS and a significant correlation between overall health and each of the five EQ-5D-5L dimensions. The overall ceiling effect for the EQ-5D-5L was 39% (compared to 56% for the EQ-5D-3L).
本研究旨在为丹麦人群提供 EQ-5D-5L 的人群正常值,并评估该工具在丹麦人群中的测量特性。
我们使用了来自丹麦 5L 估值研究的数据,该研究中代表性的丹麦人群样本完成了 EQ-5D-5L 并回答了社会人口统计学问题。我们根据年龄和性别生成了五个 EQ-5D-5L 维度、相应的效用得分和 EQ-5D 视觉模拟量表(EQ VAS)的人群正常值。评估了天花板效应、已知群体结构有效性和收敛有效性的测量特性。
完成 EQ-5D-5L 的 1014 名受访者的平均 EQ-5D-5L 效用得分为 0.90(标准差()=0.16)。年龄组之间没有明显差异(最小平均效用得分=0.88(=0.19);最大平均效用得分=0.93(=0.11))或性别(女性平均效用得分=0.89(=0.17);男性平均效用得分=0.91(=0.15))。在教育水平、职业状况、收入和生活状况方面存在统计学差异。EQ VAS 也观察到了类似的模式。一般来说,受访者最常报告疼痛和不适问题,但年轻女性最常报告焦虑/抑郁问题。EQ-5D-5L 效用与 EQ VAS 之间存在显著的强相关性,以及与五个 EQ-5D-5L 维度中的每一个之间存在显著的相关性。EQ-5D-5L 的整体天花板效应为 39%(而 EQ-5D-3L 为 56%)。