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Published on: January 28, 2019
Estimating utility scores in young children with acute rotavirus gastroenteritis in the UK
Alan Martin1, Suzanne Cottrell, Baudouin Standaert
1GlaxoSmithKline Ltd, Stockley Park, Middlesex, UK.
Insights
Acute rotavirus gastroenteritis significantly impacts children under 5, reducing their quality of life. This study quantifies these health impacts for economic evaluations.
Area of Science:
- Health Economics
- Pediatrics
- Public Health
Background:
- Rotavirus gastroenteritis is a significant cause of illness in young children globally.
- Understanding the quality of life impact is crucial for resource allocation in healthcare.
Purpose of the Study:
- To estimate utility scores for varying severities of acute rotavirus gastroenteritis in UK children under 5.
- To provide quantitative data for economic evaluations of rotavirus interventions.
Main Methods:
- UK general practitioners and paediatricians assessed health states using the EuroQol (EQ-5D) questionnaire.
- Scores were adjusted for self-care and mobility limitations and converted to utility values.
Main Results:
- Mean utility scores varied significantly by disease severity and care setting (primary vs. hospital).
- General practitioners rated primary care cases with utilities ranging from 0.781 to 0.688.
- Paediatricians rated hospitalised severe/very severe cases with utilities from 0.595 down to 0.077.
Conclusions:
- Acute rotavirus gastroenteritis substantially diminishes quality of life in young children.
- The study provides valuable utility estimates for economic analyses of rotavirus disease burden and prevention.
Objective:
To estimate utility scores for different severities of acute rotavirus gastroenteritis in children aged<5 years in the UK.
Methods:
UK general practitioners (n=25) and paediatricians (n=25) rated four different health state descriptions of acute rotavirus gastroenteritis using the EuroQol (EQ-5D) questionnaire for children aged<18 months and 18 months to 5 years. EQ-5D scores were modified to account for limited self-care and mobility, and converted into utility values using the standard algorithm using UK data.
Results:
General practitioners rated the mean utility for primary care cases at 0.781 (standard deviation (SD) 0.263) and 0.688 (SD 0.345) for the younger and older age groups, respectively. For hospitalised cases the corresponding scores were 0.425 (SD 0.243) and 0.200 (sd 0.386). Paediatricians rated the mean utility for hospitalised severe cases at 0.595 (SD 0.171) and 0.634 (SD 0.217) in the younger and older groups, respectively, and for hospitalised very severe cases at 0.256 (SD 0.251) and 0.077 (SD 0.340), respectively. In all cases, the utility differences between the health states were statistically significant (p<0.0001).
Conclusions:
Acute rotavirus gastroenteritis substantially impairs quality of life in children aged<5 years as rated by health professionals. This study provides useful quantitative utility estimates for economic evaluations.
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