R A van Hoorn1, A R T Donders, M Oppe, P F M Stalmeier. 1. Department for Health Evidence, Radboud University Nijmegen Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands, Ralph.vanHoorn@radboudumc.nl.
Abstract
BACKGROUND: Traditionally, the valuation of health states worse than being dead suffers from two problems: [1] the use of different elicitation methods for positive and negative values, necessitating arbitrary transformations to map negative to positive values; and [2] the inability to quantify that values are time dependent. The Better than Dead (BTD) method is a health-state valuation method where states with a certain duration are compared with being dead. It has the potential to overcome these problems. OBJECTIVES: To test the feasibility of the BTD method to estimate values for the EQ-5D system. METHODS: A representative sample of 291 Dutch respondents (aged 18-45 years) was recruited. In a web-based questionnaire, preferences were elicited for a selection of 50 different health states with six durations between 1 and 40 years. Random-effects models were used to estimate the effects of socio-demographic and experimental variables, and to estimate values for the EQ-5D. Test-retest reliability was assessed in 41 respondents. RESULTS: Important determinants for BTD were a religious life stance [odds ratio 4.09 (2.00-8.36)] and the educational level. The fastest respondents more often preferred health-state scenarios to being dead and had lower test-retest reliability (0.45 versus 0.77 and 0.84 for fast, medium and slow response times, respectively). The results showed a small number of so-called maximal endurable time states. CONCLUSION: Valuating health states using the BTD method is feasible and reliable. Further research should explore how the experimental setting modifies how values depend on time.
BACKGROUND: Traditionally, the valuation of health states worse than being dead suffers from two problems: [1] the use of different elicitation methods for positive and negative values, necessitating arbitrary transformations to map negative to positive values; and [2] the inability to quantify that values are time dependent. The Better than Dead (BTD) method is a health-state valuation method where states with a certain duration are compared with being dead. It has the potential to overcome these problems. OBJECTIVES: To test the feasibility of the BTD method to estimate values for the EQ-5D system. METHODS: A representative sample of 291 Dutch respondents (aged 18-45 years) was recruited. In a web-based questionnaire, preferences were elicited for a selection of 50 different health states with six durations between 1 and 40 years. Random-effects models were used to estimate the effects of socio-demographic and experimental variables, and to estimate values for the EQ-5D. Test-retest reliability was assessed in 41 respondents. RESULTS: Important determinants for BTD were a religious life stance [odds ratio 4.09 (2.00-8.36)] and the educational level. The fastest respondents more often preferred health-state scenarios to being dead and had lower test-retest reliability (0.45 versus 0.77 and 0.84 for fast, medium and slow response times, respectively). The results showed a small number of so-called maximal endurable time states. CONCLUSION: Valuating health states using the BTD method is feasible and reliable. Further research should explore how the experimental setting modifies how values depend on time.
Authors: Richard Norman; Madeleine T King; Dushyant Clarke; Rosalie Viney; Paula Cronin; Deborah Street Journal: Qual Life Res Date: 2010-02-22 Impact factor: 4.147
Authors: Catharina G M Groothuis-Oudshoorn; Edwin R van den Heuvel; Paul F M Krabbe Journal: BMC Med Res Methodol Date: 2018-06-22 Impact factor: 4.615