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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

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Abstract

Purpose

Methods

Results

Conclusions

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Resilience to health challenges is related to different ways of thinking: mediators of physical and emotional quality of life in a heterogeneous rare-disease cohort

Evaluating measurement invariance across assessment modes of phone interview and computer self-administered survey for the PROMIS measures in a population-based cohort of localized prostate cancer survivors

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