International Comparisons in Valuing EQ-5D Health States: A Review and Analysis

Objective: To identify the key methodological issues in the construction of population-level EuroQol 5-dimensions (EQ-5D)/time trade-off (TTO) preference elicitation studies.Method: This study involved three components. The first was to identify existing population-level EQ-5D TTO studies. The secon...

Full description

Bibliographic Details
Main Authors: Norman, Richard, Cronin, P., Viney, R., King, M., Street, D., Ratcliffe, J.
Format: Journal Article
Published: Wiley-Blackwell Publishing, Inc. 2009
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/46906
_version_ 1848757688943509504
author Norman, Richard
Cronin, P.
Viney, R.
King, M.
Street, D.
Ratcliffe, J.
author_facet Norman, Richard
Cronin, P.
Viney, R.
King, M.
Street, D.
Ratcliffe, J.
author_sort Norman, Richard
building Curtin Institutional Repository
collection Online Access
description Objective: To identify the key methodological issues in the construction of population-level EuroQol 5-dimensions (EQ-5D)/time trade-off (TTO) preference elicitation studies.Method: This study involved three components. The first was to identify existing population-level EQ-5D TTO studies. The second was to illustrate and discuss the key areas of divergence between studies, including the international comparison of tariffs. The third was to portray the relative merits of each of the approaches and to compare the results of studies across countries.Results: While most articles report use of the protocol developed in the original UK study, we identified three key areas of divergence in the construction and analysis of surveys. These are the number of health states valued to determine the algorithm for estimating all health states, the approach to valuing states worse than immediate death, and the choice of algorithm. The evidence on international comparisons suggests differences between countries although it is difficult to disentangle differences incultural attitudes with random error and differences as a result of methodological divergence.Conclusions: Differences in methods may obscure true differences in values between countries. Nevertheless, population-specific valuation sets for countries engaging in economic evaluation would better reflect cultural differences and are therefore more likely to accurately represent societal attitudes.
first_indexed 2025-11-14T09:32:05Z
format Journal Article
id curtin-20.500.11937-46906
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T09:32:05Z
publishDate 2009
publisher Wiley-Blackwell Publishing, Inc.
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-469062017-09-13T14:01:55Z International Comparisons in Valuing EQ-5D Health States: A Review and Analysis Norman, Richard Cronin, P. Viney, R. King, M. Street, D. Ratcliffe, J. health-related quality of life cost-utility analysis EQ-5D health economics methods Objective: To identify the key methodological issues in the construction of population-level EuroQol 5-dimensions (EQ-5D)/time trade-off (TTO) preference elicitation studies.Method: This study involved three components. The first was to identify existing population-level EQ-5D TTO studies. The second was to illustrate and discuss the key areas of divergence between studies, including the international comparison of tariffs. The third was to portray the relative merits of each of the approaches and to compare the results of studies across countries.Results: While most articles report use of the protocol developed in the original UK study, we identified three key areas of divergence in the construction and analysis of surveys. These are the number of health states valued to determine the algorithm for estimating all health states, the approach to valuing states worse than immediate death, and the choice of algorithm. The evidence on international comparisons suggests differences between countries although it is difficult to disentangle differences incultural attitudes with random error and differences as a result of methodological divergence.Conclusions: Differences in methods may obscure true differences in values between countries. Nevertheless, population-specific valuation sets for countries engaging in economic evaluation would better reflect cultural differences and are therefore more likely to accurately represent societal attitudes. 2009 Journal Article http://hdl.handle.net/20.500.11937/46906 10.1111/j.1524-4733.2009.00581.x Wiley-Blackwell Publishing, Inc. unknown
spellingShingle health-related quality of life
cost-utility analysis
EQ-5D
health economics methods
Norman, Richard
Cronin, P.
Viney, R.
King, M.
Street, D.
Ratcliffe, J.
International Comparisons in Valuing EQ-5D Health States: A Review and Analysis
title International Comparisons in Valuing EQ-5D Health States: A Review and Analysis
title_full International Comparisons in Valuing EQ-5D Health States: A Review and Analysis
title_fullStr International Comparisons in Valuing EQ-5D Health States: A Review and Analysis
title_full_unstemmed International Comparisons in Valuing EQ-5D Health States: A Review and Analysis
title_short International Comparisons in Valuing EQ-5D Health States: A Review and Analysis
title_sort international comparisons in valuing eq-5d health states: a review and analysis
topic health-related quality of life
cost-utility analysis
EQ-5D
health economics methods
url http://hdl.handle.net/20.500.11937/46906