欧洲老年人 EQ-5D-3L 标准:基于欧洲健康、老龄化和退休调查的 15 个欧洲国家特定标准。

EQ-5D-3L Norms for the European Older Population: Country-Specific Norms for 15 European Countires Based on the Survey of Health, Ageing, and Retirement in Europe.

机构信息

EuroQol Group, Rotterdam, The Netherlands.

Department of Medical Psychology and Psychotherapy Erasmus MC, Erasmus University, Rotterdam, The Netherlands.

出版信息

Value Health. 2023 May;26(5):721-732. doi: 10.1016/j.jval.2022.09.2478. Epub 2022 Nov 14.

Abstract

OBJECTIVES

This study presents a country-specific 3-level version of EQ-5D population norms for the European older population.

METHODS

Norm data were obtained from the fourth wave of the Survey of Health, Ageing and Retirement in Europe, and determined, for each EQ-5D dimension, the EQ-visual analog scale (EQ-VAS) and EQ-5D index values by 7 age groups and sex for 15 European countries. The EQ-5D index values were calculated using the European VAS value set for all countries.

RESULTS

Data resulting from 50 013 older respondents (mean age 65.9 years, range 50-111 years, 55.6% women) revealed an increasing number of self-reported health problems on EQ-5D dimensions and decreasing EQ-VAS scores with increasing age and for women compared with men. There are notable differences between countries in terms of the age gradient, the proportion of respondents in full health, and sex. Across all age groups, problems with pain & discomfort are the most frequent (36%-73% any problems), whereas problems with self-care are the least frequent (3%-31% any problems). The mean EQ-VAS score is 71.2 and the mean European VAS score is 0.79.

CONCLUSIONS

Given the growing number of older adults and elderly people in Europe, these population norms provide a valuable source of reference data that can be used to compare older adults or patient subgroups to the average of the general elderly population in a similar age or sex group in 15 European countries. The index value results may be further used to assess the burden of disease across older European populations and to identify the unmet needs of targeted older patient populations.

摘要

目的

本研究呈现了欧洲老年人群体特定国家的 EQ-5D 3 级版本。

方法

规范数据来自欧洲健康、老龄化和退休调查的第四波调查,针对每个 EQ-5D 维度,按 7 个年龄组和性别确定了欧洲 15 个国家的 EQ-视觉模拟量表(EQ-VAS)和 EQ-5D 指数值。所有国家都使用欧洲 VAS 值集计算 EQ-5D 指数值。

结果

来自 50013 名老年受访者(平均年龄 65.9 岁,范围 50-111 岁,55.6%为女性)的数据显示,随着年龄的增长和女性与男性相比,EQ-5D 维度上自我报告的健康问题数量增加,EQ-VAS 评分下降。在年龄梯度、完全健康的受访者比例和性别方面,各国之间存在显著差异。在所有年龄组中,疼痛和不适问题最为常见(36%-73%有任何问题),而自我护理问题最为罕见(3%-31%有任何问题)。平均 EQ-VAS 得分为 71.2,平均欧洲 VAS 得分为 0.79。

结论

鉴于欧洲老年人口和老年人数量的增加,这些人口规范提供了有价值的参考数据来源,可以用来比较 15 个欧洲国家中年龄或性别相似的普通老年人群体中的老年人或患者亚组。指数值结果可进一步用于评估欧洲老年人群体的疾病负担,并确定特定老年患者群体的未满足需求。

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