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The EQ-5D-5L Valuation Study in Egypt.

Sahar Al Shabasy1, Maggie Abbassi1, Aureliano Finch2

  • 1Department of Clinical Pharmacy, Faculty of Pharmacy, Cairo University, Kasr El-Aini St., Cairo, 11562, Egypt.

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Summary
This summary is machine-generated.

This study developed the first Egyptian EQ-5D-5L value set, crucial for health economic evaluations. The new value set reflects local preferences and improves healthcare assessments in Egypt.

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Area of Science:

  • Health Economics
  • Psychometrics
  • Societal Preferences

Background:

  • No existing EQ-5D-5L value sets for Egypt hinder pharmacoeconomic guidelines.
  • Previous studies relied on external utility values, lacking local relevance.
  • This research addresses the need for a culturally specific EQ-5D-5L value set in Egypt.

Purpose of the Study:

  • To develop a novel Egyptian EQ-5D-5L value set using the EuroQol standardized protocol (EQ-VT-2.1).
  • To provide a reliable tool for health economic evaluations in Egypt.
  • To revise and establish a definitive value set following a previous retraction.

Main Methods:

  • Recruited adult Egyptian participants via multi-stratified quota sampling.
  • Employed composite time trade-off (cTTO) and discrete-choice experiments (DCEs) for data collection.
  • Utilized advanced statistical modeling, selecting the best-fitting heteroskedastic model.

Main Results:

  • Analyzed 974 valid interviews, generating a value set ranging from -0.964 to 1.
  • Identified mobility as the most impactful dimension on health state preferences.
  • Found 35.94% of predicted health states were valued as worse than death.

Conclusions:

  • Presents the first EQ-5D-5L value set derived from a nationally representative Egyptian sample.
  • Enables accurate scoring for economic evaluations and enhances health technology assessment quality.
  • Establishes a vital resource for the Egyptian healthcare system and Arabic-speaking regions.