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VALIDATION AND COMPARISON OF EQ-5D-3L AND SF-6D INSTRUMENTS IN A SPANISH PARKINSON´S DISEASE POPULATION SAMPLE
Miguel Ángel Garcia-Gordillo1, B Del Pozo-Cruz2, J C Adsuar3
1Department of Applied Economics, Faculty of Economics and Business, University of Murcia, Murcia, Spain. Department of Economics, Faculty of Economics and Business, University of Extremadura, Badajoz, Spain.. miguelgarciagordillo@gmail.com.
Introduction:
generic, preference-based Health- Related Quality of Life instruments are receiving growing attention in health-care decision-making process. In spite of this, to our knowledge, EQ-5D and SF-6D have never been compared in a Parkinson´s disease population sample.
Objective:
the aim of this paper was to assess the psychometric properties of both instruments in a Spanish PD population sample.
Methods:
a total sample of 133 patients were interviewed using EQ-5D-3L and SF-6D. The validity, level of agreement and sensitivity of both instruments were computed and then compared. The Spanish tariff has been used in both instruments.
Results:
utilities of EQ-5D-3L and SF-6D have shown a strong correlation (r >0.50 and p<0.001) with the summary score of the PDQ-8 and the EQ-VAS score. Significant differences were observed in the stages III-IV of the Hoehn & Yahr stage. SF-6D had 51% higher efficiency than EQ-5D at detecting differences in symptoms severity.
Discussion:
both EQ-5D-3L and SF-6D seem to be adequate generic Health-Related Quality of Life measures in terms of validity and sensitivity.
Conclusion:
EQ-5D-3L presents greater ceiling and floor effects than the SF-6D instrument in this sample. Besides, the instrument SF-6D was better at detecting changes in symptoms severity compared with EQ-5D-3L.
