Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Li Ka Shing Knowledge Institute, MAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Ontario, Canada.
PLoS One. 2024 Aug 27;19(8):e0307225. doi: 10.1371/journal.pone.0307225. eCollection 2024.
PURPOSE: A cross-sectional study was conducted to investigate the feasibility of implementing routine collection of the Euro-Qol 5 dimensions (EQ-5D) questionnaire, to inform drug and health technology reimbursement decision making. METHODS: Women with breast cancer were recruited during scheduled clinic visits to an academic cancer centre. EQ-5D-5L was self-administered using electronic tablets. Diagnostic and treatment data were abstracted from patient charts. Feasibility was assessed primarily by the proportion of patients who fully completed EQ-5D-5L and by their willingness to complete the instrument at each clinic visit. RESULTS: 588 women were approached for study participation, 341 were enrolled. Fully completed EQ-5D-5L questionnaires were obtained in 323 participants (95% of participants, 95% CI 92-97%). Median time for EQ-5D-5L completion was 1.5 minutes (range:0.35 to 14.7). Mean age of participants was 58 years old. Most women who completed EQ-5D were White, born outside Canada and presented a high education level; one-quarter had metastatic disease. Most participants reported "No problems" in all EQ-5D-5L dimensions. Mean EQ-5D-5L index and mean EQ-5D-5L VAS values for all participants were respectively 0.83 (SD 0.13) and 75.7 (SD 17.45), with patients with metastatic disease scoring the lowest values. Seventy-eight percent of participants were willing to complete EQ-5D-5L at each clinic visit; lower Charlson comorbidity index and higher education level were predictors of willingness to continue to answer EQ-5D-5L. CONCLUSIONS: Tablet-based collection of EQ-5D-5L in the context of routine clinical practice proved to be feasible. However, many patients declined study participation or reported being in full health, raising concerns about whether this method of collecting EQ-5D adequately represents the health status of all breast cancer patients.
目的:本研究采用横断面研究方法,旨在评估在常规临床实践中收集欧洲五维健康量表(EQ-5D)问卷的可行性,以为药物和卫生技术的报销决策提供信息。
方法:在学术癌症中心的门诊就诊期间,招募乳腺癌女性患者参与研究。患者使用电子平板电脑自行填写 EQ-5D-5L 量表。从患者病历中提取诊断和治疗数据。主要通过完全完成 EQ-5D-5L 的患者比例以及他们在每次就诊时完成该量表的意愿来评估可行性。
结果:共招募了 588 名女性患者,其中 341 名患者入组。在 323 名参与者(95%的参与者,95%CI92-97%)中获得了完整的 EQ-5D-5L 问卷。完成 EQ-5D-5L 的中位数时间为 1.5 分钟(范围:0.35 至 14.7 分钟)。参与者的平均年龄为 58 岁。大多数完成 EQ-5D 的女性为白人、出生在加拿大境外,且受教育程度较高;四分之一的患者患有转移性疾病。大多数参与者在 EQ-5D-5L 的所有维度均报告“无问题”。所有参与者的 EQ-5D-5L 指数和 EQ-5D-5L VAS 平均值分别为 0.83(SD0.13)和 75.7(SD17.45),患有转移性疾病的患者得分最低。78%的参与者愿意在每次就诊时完成 EQ-5D-5L;较低的 Charlson 合并症指数和较高的教育水平是愿意继续回答 EQ-5D-5L 的预测因素。
结论:在常规临床实践中使用平板电脑收集 EQ-5D-5L 是可行的。然而,许多患者拒绝参与研究或报告自己完全健康,这引起了人们对这种收集 EQ-5D 的方法是否能充分代表所有乳腺癌患者健康状况的担忧。
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