The quality of life questionnaire EQ-5D-5L: psychometric properties and normative values for the general German population
The quality of life questionnaire EQ-5D-5L: psychometric properties and normative values for the general German population
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DOI：
10.1007/s11136-013-0498-2
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发表时间：
2014-03-01
影响因子：
3.5
通讯作者：
Braehler, Elmar
中科院分区：
文献类型：
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作者：
Hinz, Andreas;Kohlmann, Thomas;Braehler, Elmar
EuroQoL组的健康状态分类器EQ-5D已扩展为5级量表（EQ-5D-5L），但这一新量表应用于一般人群的心理测量学特性研究尚不多见。计算EQ-5D-5L的粗总分，并与两组效用量表（一组来自德国，一组来自英国）的得分进行比较，平均总分（0-100分）为91.5分。男性报告的健康状况比女性好，而且几乎呈线性年龄趋势。45种最常见的健康模式（至少有0.2%的受访者）列表显示，几乎一半的参与者（47.5%）表示处于最佳健康状态，这表明存在天花板效应。对于EQ-5D-5L的所有三个评分系统，EQ-5D-5L评分与其他问卷之间的相关性非常相似。最后，在总分的基础上给出规范性评分，由于偏态性，EQ-5D-5L在一般人群中的适用性受到限制。总和分数是有用的，因为它们的简单性，国际通用性和结构效度。
The health state classifier EQ-5D of the EuroQoL group has been expanded to a 5-level instrument (EQ-5D-5L), but studies on psychometric properties of this new instrument, applied to the general population, are rare.A sample of 2,469 subjects, representatively selected from the German general population, was asked to fill in the EQ-5D-5L and several other questionnaires. Crude sum scores of the EQ-5D-5L were calculated and compared with scores derived from two sets of utilities, one from a German and one from a UK sample.The mean sum score (0-100 scale) was 91.5. Males reported better health states than females, and there was a nearly linear age trend. The list of the 45 most frequent health patterns (those with at least 0.2 % of the respondents) showed that almost half of the participants (47.5 %) responded being in the optimal health state, indicating a ceiling effect. Correlations between EQ-5D-5L scores and other questionnaires were very similar for all three scoring systems of the EQ-5D-5L. Finally, normative scores are given on the basis of sum scores.The applicability of the EQ-5D-5L in the general population is limited because of the skewness. Sum scores are useful because of their simplicity, international generalizability, and construct validity.