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Using EQ-5D in children with asthma, rheumatic disorders, diabetes, and speech/language and/or hearing disorders

Published online by Cambridge University Press:  21 July 2009

Daniëlle C. M. Willems
Affiliation:
Maastricht University Medical Centre
Manuela A. Joore
Affiliation:
Maastricht University Medical Centre
Fred H. M. Nieman
Affiliation:
Maastricht University Medical Centre
Johan L. Severens
Affiliation:
Maastricht University Medical Centre
Emiel F. M. Wouters
Affiliation:
Maastricht University Medical Centre
Johannes J. E. Hendriks
Affiliation:
Maastricht University Medical Centre

Abstract

Objectives: This study explores several variables of the EQ-5D child version, a multi-attribute utility instrument, in children with chronic conditions.

Methods: A convenience sample was selected from hospital outpatient records and school records. The sample included children aged 7–18 years with the following chronic conditions: asthma, rheumatic disorders, diabetes, and speech/language and/or hearing disorders. The practicality, convergent validity, and discriminant power were compared with a generic quality of life questionnaire for children (TACQOL) and the 2-week test–retest reliability was assessed.

Results: A total of 182 children or their parents completed the first questionnaire and 161 children/parents completed both questionnaires. The practicality of the EQ-5D was good. Low to moderate correlations were found between the utilities and VAS scores and the TACQOL scales. The discriminant power of the EQ-5D items was low overall and was greater for children with a rheumatic disorder than for children with the other conditions. In the subset of children who experienced no health change between the test and the retest, the reliability of the EQ-5D was moderate to high.

Conclusions: The EQ-5D seems suitable for children, although the use of an additional disease-specific questionnaire is still recommended. The EQ-5D seems the most suitable for children with a chronic physical condition and appears to be reliable for children with a stable health status.

Type
Research Reports
Copyright
Copyright © Cambridge University Press 2009

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References

REFERENCES

1. Apajasalo, M, Rautonen, J, Holmberg, C, Sinkkonen, J. Quality of life in pre-adolescence: A seventeen-dimensional health-related measure (17D). Qual Life Res. 1996;5:532538.Google Scholar
2. Apajasalo, M, Sintonen, C, Holmberg, C, Sinkkonen, J. Quality of life in early adolescence: A sixteen-dimensional health-related measure (16D). Qual Life Res. 1996;5:205211.CrossRefGoogle ScholarPubMed
3. Baan, CA, Hutten, JB, Rijken, PM, (red.) Afstemming in de zorg: een achtergrondstudie naar de zorg voor mensen met een chronische aandoening [in Dutch]. RIVM rapport 282701005; 2003.Google Scholar
4. Brooks, R. EuroQol: The current state of play. Health Policy. 1996;37:5372.Google Scholar
5. Dolan, P. Modeling valuations for EuroQol health states. Med Care. 1997;35:10951108.Google Scholar
6. Dolan, P, Shaw, R, Tsuchiya, A, Williams, A. QALY maximisation and people's preferences: A methodological review of the literature. Health Econ. 2005;14:197208.Google Scholar
7. Drummond, MF, Sculpher, MJ, Torrance, GW, O'Brien, BJ, Stoddart, GL. Methods for the economic evaluation of health care programmes. 3rd ed. Oxford: Oxford University Press; 2005.Google Scholar
8. Eiser, C, Morse, R. Quality-of-life measures in chronic diseases of childhood. Health Technol Assess. 2001;5:1157.Google Scholar
9. Feeny, D, Furlong, W, Barr, RD, Torrance, GW, Rosenbaum, P, Weitzman, S. A comprehensive multiattribute system for classifying the health status of survivors of childhood cancer. J Clin Oncol. 1992;10:923928.Google Scholar
10. Feeny, D, Leiper, A, Barr, RD, et al. The comprehensive assessment of health status in survivors of childhood cancer: Application to high-risk acute lymphoblastic leukaemia. Br J Cancer. 1993;67:10471052.CrossRefGoogle ScholarPubMed
11. Flapper, BC, Koopman, HM, ten Napel, C, Van Der Schans, CP. Psychometric properties of the TACQOL-asthma, a disease-specific measure of health related quality-of-life for children with asthma and their parents. Chron Respir Dis. 2006;3:6572.Google Scholar
12. Griebsch, I, Coast, J, Brown, J. Quality-adjusted life-years lack quality in pediatric care: A critical review of published cost-utility studies in child health. Pediatrics. 2005;115:e600-e614.Google Scholar
13. Hays, RD, Anderson, R, Revicki, D. Psychometric considerations in evaluating health-related quality of life measures. Quality Life Res. 1993;2:441–419.Google Scholar
14. Hennessy, S, Kind, P. Measuring health status in children: Developing and testing a child-friendly version of EQ-5D. Paper presented at the 19th plenary meeting of the EuroQol group. University of York; 2002.Google Scholar
15. Konig, HH, Ulshofer, A, Gregor, M, et al. Validation of the EuroQol questionnaire in patients with inflammatory bowel disease. Eur J Gastroenterol Hepatol. 2002;14:12051215.Google Scholar
16. Luo, N, Chew, LH, Fong, KY, et al. A comparison of the EuroQol-5D and the Health Utilities Index mark 3 in patients with rheumatic disease. J Reumatol. 2003;30:22682274.Google ScholarPubMed
17. Marra, CA, Rashidi, AA, Guh, D, et al. Are indirect utility measures reliable and responsive in rheumatoid arthritis patients? Quality Life Res. 2005;14:13331344.Google Scholar
18. Matza, LS, Swensen, AR, Flood, EM, Secnik, K, Leidy, NK. Assessment of health-related quality of life in children: A review of conceptual, methodological, and regulatory issues. Value Health. 2004;7:7992.CrossRefGoogle ScholarPubMed
19. National Institute for Health and Clinical Excellence. Guide to the methods of technology appraisal. http://www.nice.org.uk/niceMedia/pdf/TAP_Methods.pdf (accessed December 2, 2008).Google Scholar
20. Nederlands instituut voor onderzoek van de gezondheidszorg (NIVEL). Chronisch zieke kinderen meer ‘in the picture’ [in Dutch]. http://www.nivel.nl/ (accessed: December 2, 2008).Google Scholar
21. Ravens-Sieberer, U, Erhart, M, Wille, N, et al. Generic health-related quality-of-life assessment in children and adolescents: Methodological considerations. Pharmacoeconomics. 2006;24:11901220.Google Scholar
22. Rosenbaum, PL, Saigal, S. Chapter 82. Measuring health-related quality of life in pediatric populations: Conceptual issues. In: Spilker, B, ed. Quality of life and pharmacoeconomics in clinical trials. 2nd ed. Philadelphia: Lippincott-Raven Publishers; 1996:790.Google Scholar
23. Sintonen, H, Pekurinen, M. A fifteen-dimensional measure of health-related quality of life (15D) and its applications. In: Walker, SR, Rosser, RM, eds. Quality of life assessment: Key issues in the 1990s. Dordrecht: Kluver Academic Publishers; 1993.Google Scholar
24. Stavem, K. Reliability, validity and responsiveness of two multiattribute utility measures in patients with chronic obstructive pulmonary disease. Quality Life Res. 1999;8:4554.CrossRefGoogle ScholarPubMed
25. Stolk, EA, Busschbach, JJ, Vogels, T. Performance of the EuroQol in children with imperforate anus. Quality Life Res. 2000;9:2938.Google Scholar
26. Theunissen, NC, Vogels, TG, Koopman, HM, et al. The proxy problem: Child report versus parent report in health-related quality of life research. Quality Life Res. 1998;7:387397.Google Scholar
27. Verrips, GH, Vogels, AG, Koopman, HM. (1999). Measuring health-related quality-of-life in a child population. Eur J Public Health. 1999;9:188193.Google Scholar
28. Vogels, T, Verrips, GH, Koopman, HM, et al. TACQOL Manual: Parent form and child form. Leiden: Leiden Center for Child Health and Pediatrics LUMC-TNO; 2000.Google Scholar
29. Vogels, T, Verrips, GH, Verloove-Vanhorick, SP, et al. Measuring health-related quality-of-life in children: The development of the TACQOL parent form. Quality Life Res. 1998;7:457465.Google Scholar
30. World Health Organization (WHO). Chronic diseases and health promotion. http://www.who.int/chp/en/ (accessed: December 2, 2008).Google Scholar
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