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26-06-2017

Health-related quality of life as measured by the EQ-5D in the prevention, screening and management of cervical disease: A systematic review

Auteurs: A. Ó Céilleachair, J. F. O’Mahony, M. O’Connor, J. O’Leary, C. Normand, C. Martin, L. Sharp

Gepubliceerd in: Quality of Life Research | Uitgave 11/2017

Abstract

Purpose

Cost-effectiveness analyses (CEAs) of screening can be highly sensitive to the health-related quality of life (HRQoL) effects of screen tests and subsequent treatment. Accordingly, accurate assessment of HRQoL is essential. We reviewed the literature regarding HRQoL in cervical prevention and management in order to appraise the current evidence regarding this important input to CEA.

Methods

We searched the MEDLINE, Scopus and EconLit databases for studies that estimated HRQoL in cervical cancer prevention and management published January 1995–December 2015. The primary inclusion criterion was for studies that assess HRQoL using the EQ-5D. Data were abstracted from eligible studies on setting, elicitation group, sample size, elicitation instruments, health state valuations, study design and follow-up. We assessed the quality and comparability of the studies with a particular focus on the HRQoL reported across states and groups.

Results

Fifteen papers met the inclusion criteria. Most used patient elicitation groups (n = 11), 2 used the general public and 2 used a mix of both. Eight studies were cross-sectional and seven were longitudinal. Six studies used both the EQ-5D-3L and the EQ-VAS together with other measures of overall HRQoL or condition-specific instruments. Extensive heterogeneity was observed across study characteristics.

Conclusions

Our results reveal the challenges of sourcing reliable estimates of HRQoL for use in CEAs of cervical cancer prevention and treatment. The EQ-5D appears insufficiently sensitive for some health states. A more general problem is the paucity of HRQoL estimates for many health states and their change over time.

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Most VAS, including the EQ-VAS run from 0 to 100.

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Titel: Health-related quality of life as measured by the EQ-5D in the prevention, screening and management of cervical disease: A systematic review
Auteurs: A. Ó Céilleachair
J. F. O’Mahony
M. O’Connor
J. O’Leary
C. Normand
C. Martin
L. Sharp
Publicatiedatum: 26-06-2017
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 11/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-017-1628-z

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Health-related quality of life as measured by the EQ-5D in the prevention, screening and management of cervical disease: A systematic review

Abstract

Purpose

Methods

Results

Conclusions

Andere artikelen Uitgave 11/2017

Use-of-time and health-related quality of life in 10- to 13-year-old children: not all screen time or physical activity minutes are the same

Establishing benchmark EQ-5D-3L population health state utilities and identifying their correlates in Gansu Province, China

Measuring everyday functional competence using the Rasch assessment of everyday activity limitations (REAL) item bank

Viability of the World Health Organization quality of life measure to assess changes in quality of life following treatment for alcohol use disorder

Socio-demographic, clinical characteristics and utilization of mental health care services associated with SF-6D utility scores in patients with mental disorders: contributions of the quantile regression

Reduction of quality-adjusted life years (QALYs) in patients with premenstrual dysphoric disorder (PMDD)

Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

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Abstract

Purpose

Methods

Results

Conclusions

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Use-of-time and health-related quality of life in 10- to 13-year-old children: not all screen time or physical activity minutes are the same

Establishing benchmark EQ-5D-3L population health state utilities and identifying their correlates in Gansu Province, China

Measuring everyday functional competence using the Rasch assessment of everyday activity limitations (REAL) item bank

Viability of the World Health Organization quality of life measure to assess changes in quality of life following treatment for alcohol use disorder

Socio-demographic, clinical characteristics and utilization of mental health care services associated with SF-6D utility scores in patients with mental disorders: contributions of the quantile regression

Reduction of quality-adjusted life years (QALYs) in patients with premenstrual dysphoric disorder (PMDD)