Abstract
This paper reports on a head-to-head study of howRU and EQ-5D on patients with cardiovascular disease. howRU is a short generic measure of health-related quality of life comprising 39 words, designed for routine use, which we compare with EQ-5D (230 words). Patients attending a clinic completed both instruments. Completed data were available for 116 patients, 51% female, mean age 56 and SD 20. howRU is shorter, has better readability statistics, a higher completion rate, a wider range of states used and a smaller ceiling effect than EQ-5D. The correlations of howRU with EQ-5D are similar to those of EQ-5D with other validated instruments.
Highlights
Measures of health-related quality of life (HRQoL), known as patient-reported outcome measures (PROMs), were developed originally for population health surveys, economic evaluation of new medicines and resource allocation
PROMs form an overarching indicator in the National Health Service (NHS) outcome framework,[2] reinforcing the NHS’ intention to move away from focusing on activity and process targets to measuring outcomes as perceived by patients
EQ-5D is a standardised generic self-completion measure of health status, originally developed for clinical and economic appraisal and population surveys, and in particular to support the calculation of quality-adjusted life years (QALYs) in costutility analysis.[5]
Summary
Measures of health-related quality of life (HRQoL), known as patient-reported outcome measures (PROMs), were developed originally for population health surveys, economic evaluation of new medicines and resource allocation. EQ-5D is a standardised generic self-completion measure of health status, originally developed for clinical and economic appraisal and population surveys, and in particular to support the calculation of quality-adjusted life years (QALYs) in costutility analysis.[5] EQ-5D has been used in the NHS PROMs programme for hip and knee replacement, groin hernia and varicose vein operations. The EQ-5D descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort and anxiety/ depression), each with three response options, typically (1) none/absent, (2) moderate/some and (3) unable/extreme, creating 243 (35) possible states.
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