Health problems are more common, but less severe when measured using newer EQ-5D versions.
Health problems are more common, but less severe when measured using newer EQ-5D versions.
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健康问题更常见，但使用较新的EQ-5D版本进行测量时不那么严重。
DOI：
10.1016/j.jclinepi.2013.07.011
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发表时间：
2014-01
影响因子：
7.2
通讯作者：
Lubetkin, Erica I.
中科院分区：
文献类型：
--
作者：
Craig, Benjamin M.;Pickard, A. Simon;Lubetkin, Erica I.
EuroQol Group最近发布了其3级EQ-5D工具（3L）的青年（Y）和5级（5L）版本，用于测量健康相关生活质量（HRQoL）。在这项研究中，我们（1）比较美国成年人的3L，Y和5L的反应和（2）评估结构效度。使用具有全国代表性的美国成年人样本（N=2619），我们收集了3L，Y和5L的反应随机顺序，并估计其关联以及它们与0至100数字视觉模拟量表的关系。美国成年人在最佳EQ-5D状态下的患病率（即，11111）是Y（38%）和5L（35%）低于3L（44%），捕捉更多的健康问题。然而，疼痛/不适和焦虑/抑郁的极端反应的发生率在3L和5L之间大幅下降（分别从44%降至17%和从29%降至13%）。与3L相比，Y和5L版本描述的人口健康问题更多，但更温和。虽然5L在极端问题更普遍的患者人群中可能具有优势，但人群研究或从儿童期开始跟踪患者的研究可能会考虑使用Y。
The EuroQol Group recently released youth (Y) and 5-level (5L) versions of its 3-level EQ-5D instrument (3L) that measures health-related quality of life (HRQoL). In this study, we (1) compare 3L, Y and 5L responses among US adults and (2) assess construct validity. Using a nationally representative sample of US adults (N=2619), we collected 3L, Y, and 5L responses in random order and estimated their associations as well as their relationship with a 0 to 100 numerical visual analogue scale. The prevalence of US adults in the best possible EQ-5D state (i.e., 11111) was lower for the Y (38%) and 5L (35%) than for the 3L (44%), capturing more health problems. However, the prevalence of extreme responses in Pain/Discomfort and Anxiety/Depression decreased substantially between the 3L and 5L (from 44% to 17% and from 29% to 13%, respectively). Compared to the 3L, the Y, and 5L versions describe population health as having more, yet milder, health problems. While the 5L may have advantages in patient populations where extreme problems are more prevalent, population studies or studies that follow patients from childhood may consider using the Y.
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影响因子：
3.5
作者：
Wille, Nora;Badia, Xavier;Bonsel, Gouke;Burstrom, Kristina;Cavrini, Gulia;Devlin, Nancy;Egmar, Ann-Charlotte;Greiner, Wolfgang;Gusi, Narcis;Herdman, Michael;Jelsma, Jennifer;Kind, Paul;Scalone, Luciana;Ravens-Sieberer, Ulrike
通讯作者：
Ravens-Sieberer, Ulrike
影响因子：
3.5
作者：
Herdman, M.;Gudex, C.;Lloyd, A.;Janssen, M. F.;Kind, P.;Parkin, D.;Bonsel, G.;Badia, X.
通讯作者：
Badia, X.
影响因子：
3.5
作者：
Ravens-Sieberer, Ulrike;Erhart, Michael;Rajmil, Luis;Herdman, Michael;Auquier, Pascal;Bruil, Jeanet;Power, Mick;Duer, Wolfgang;Abel, Thomas;Czemy, Ladislav;Mazur, Joanna;Czimbalmos, Agnes;Tountas, Yannis;Hagquist, Curt;Kilroe, Jean
通讯作者：
Kilroe, Jean
影响因子：
4.5
作者：
Bharmal, Murtuza;Thomas, Joseph, III
通讯作者：
Thomas, Joseph, III
影响因子：
2.1
作者：
Brazier, J;Roberts, J;Busschbach, J
通讯作者：
Busschbach, J