Département d'économie, École de Gestion, Université de Sherbrooke, Sherbrooke, QC, Canada.
Centre de Recherche de l'IUSMM, CIUSSS de l'Est de L'île de Montréal, Montréal, QC, Canada.
Qual Life Res. 2024 Jun;33(6):1605-1619. doi: 10.1007/s11136-024-03653-9. Epub 2024 Apr 20.
BACKGROUND: Because health resources are limited, health programs should be compared to allow the most efficient ones to emerge. To that aim, health utility instruments have been developed to allow the calculation of quality-adjusted life-year (QALY). However, generic instruments, which can be used by any individual regardless of their health profile, typically consider the preferences of the general population when developing their value set. Consequently, they are often criticized for lacking sensitivity in certain domains, such as cancer. In response, the latest version of the Short Form 6-Dimension (SF-6Dv2) has been adapted to suit the preferences of patients with breast or colorectal cancer in the Canadian province of Quebec. By extension, our study's aim was to determine cancer population norms of utility among patients with breast or colorectal cancer in Quebec using the SF-6Dv2. METHOD: To determine the cancer population norms, we exploited the data that were used in the development of a new value set for the SF-6Dv2. This value set was developed considering the preferences of patients with breast or colorectal cancer. Stratification by time of data collection (i.e., T1 and T2), sociodemographic variables (i.e., age, sex, body mass index, and self-reported health problems affecting quality of life), and clinical aspects (i.e., cancer site, histopathological classification, cancer stage at diagnosis, modality, and treatment characteristics) was performed. RESULTS: In 353 observations, patients were more likely to have negative utility scores at T1 than at T2. Males had higher mean utility scores than females considering type of cancer and comorbidities. Considering the SF-6Dv2's dimensions, more females than males reported having health issues, most which concerned physical functioning. Significant differences by sex surfaced for all dimensions except "Role Limitation" and "Mental health." Patients with multifocal cancer had the highest mean and median utility values in all cancer sites considered. CONCLUSION: Cancer population norms can serve as a baseline for interpreting the scores obtained by a given population in comparison to the situation of another group. In this way, our results can assist in comparing utility scores among cancer patients with different sociodemographic groups to other patients/populations groups. To our knowledge, our identified utility norms are the first for patients with breast or colorectal cancer from Quebec.
背景:由于医疗资源有限,应比较卫生计划,以确定最有效的计划。为此,已经开发了健康效用工具来计算质量调整生命年 (QALY)。然而,通用工具可以由任何个人使用,无论其健康状况如何,在开发其价值集时通常会考虑到一般人群的偏好。因此,它们经常因在某些领域缺乏敏感性而受到批评,例如癌症。作为回应,最新版本的短表单 6 维度 (SF-6Dv2) 已适应魁北克省乳腺癌或结直肠癌患者的偏好。因此,我们的研究目的是使用 SF-6Dv2 确定魁北克乳腺癌或结直肠癌患者的癌症人群效用规范。
方法:为了确定癌症人群规范,我们利用了用于开发 SF-6Dv2 新价值集的数据。该价值集是在考虑乳腺癌或结直肠癌患者偏好的基础上开发的。通过收集数据的时间(即 T1 和 T2)、社会人口统计学变量(即年龄、性别、体重指数和自我报告影响生活质量的健康问题)和临床方面(即癌症部位、组织病理学分类、诊断时的癌症阶段、治疗方式和治疗特征)进行分层。
结果:在 353 项观察中,患者在 T1 时比在 T2 时更有可能获得负效用评分。考虑到癌症类型和合并症,男性的平均效用评分高于女性。考虑到 SF-6Dv2 的维度,与男性相比,更多的女性报告存在健康问题,其中大多数与身体功能有关。除了“角色限制”和“心理健康”之外,所有维度都出现了性别差异。在考虑的所有癌症部位中,多灶性癌症患者的平均和中位数效用值最高。
结论:癌症人群规范可以作为解释给定人群与另一组人群相比获得的分数的基准。通过这种方式,我们的结果可以帮助比较具有不同社会人口统计学群体的癌症患者之间的效用评分与其他患者/人群群体。据我们所知,我们确定的效用规范是魁北克省乳腺癌或结直肠癌患者的首个规范。
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