在中国青少年中,使用9个国家特定值集对EQ-5D-Y-3L实用性得分进行比较
Ya'nan Wu1,2,3, Yanjiao Xu4, Zhao Shi1,2,3
1Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
PharmacoEconomics
|November 12, 2024
概括
这项研究比较了中国青少年的9个国家特定的EQ-5D-Y-3L值集. 虽然显示出良好的协议,但价值组与健康实用评分是不可互换的.
科学领域:
- 卫生经济学 卫生经济学
- 儿科健康结果的结果
- 心理测量 心理测量 心理测量
背景情况:
- EQ-5D-Y-3L是广泛用于测量青少年健康状况的仪器.
- 国家特定的价值集对于准确的实用性评分计算至关重要.
- 对于EQ-5D-Y-3L的不同国家特定值集的可互换性在不同的青少年群体中尚未得到广泛评估.
研究的目的:
- 评估和比较EQ-5D-Y-3L公用事业的测量属性,这些属性来自9个可用的国家特定值集.
- 为了评估这些价值组在中国青少年中达成的协议,收有效性和已知的群体有效性.
主要方法:
- 在中国山东,对97,413名初中生 (年龄在10-18岁) 进行了大规模的横截面调查.
- 使用了九个国家特定的EQ-5D-Y-3L值集 (中文,日语,斯洛文尼亚语,德语,西班牙语,匈牙利语,荷兰语,比利时语,印尼语).
- 评估一致性 (ICC),收有效性 (斯皮尔曼相关性) 和已知组有效性.
主要成果:
- 所有九个值组都显示出良好的一致性 (ICC> 0.7) 和强烈的相关性 (斯皮尔曼> 0.99).
- 平均健康效用得分各不相同,亚洲的价值组通常比欧洲的得分更高.
- 中国的价值集在区分已知的群体方面表现出更高的敏感性.
结论:
- 九个国家特定的EQ-5D-Y-3L值集在中国青少年中显示出很高的一致性和有效性.
- 尽管达成了良好协议,但实用性评分存在显著差异,这表明国家特定的价值组是不可互换的.
- 这些发现强调了使用适当的,特定于背景的价值组来准确评估青少年的健康经济的重要性.
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