Abstract
PurposeTo develop population norms for the EQ-5D-5L questionnaire based on a representative sample of Moscow citizens.MethodsWe used quota sampling accounting for sex, age group and administrative district of residence. Respondents in randomly selected outdoor and indoor locations were surveyed with the official Russian paper-and-pencil version of the EQ-5D-5L questionnaire and a set of socio-demographic questions. We estimated four types of EQ-5D results: the distribution of limitations according to EQ-5D-5L dimensions, the perception of the health-related quality of life (HRQoL) with a visual analogue scale (EQ VAS), the unweighted score for a respondent’s health state (Level Sum Score, LSS) and the Russian health preferences-based weighted score (EQ index). In order to estimate the EQ-5D-5L index, we used a newly developed Russian EQ-5D-3L value set, together with EuroQol Group cross-over methodology.ResultsA total of 1020 respondents (18–93 years old) from the general Moscow adult population completed the EQ-5D-5L questionnaire. HRQoL domains with the largest number of identified health limitations were pain/discomfort (48.6%) and anxiety/depression (44.1%). Two hundred seventy-nine respondents (27.0%) did not report any health restrictions. The mean EQ VAS and EQ-5D-5L index were 74.1 (SD 17.3) and 0.907 (0.106) respectively. Multivariate analysis showed that female sex, advanced age and lack of access to the Internet had a negative influence on HRQoL, whereas residence in certain districts had a positive impact.ConclusionsThe study provides population norms of health-related quality of life in Moscow, measured according to the EQ-5D-5L questionnaire. These reference values can be used to optimise the effectiveness of resource allocation in healthcare.
Highlights
Over the past few years, health technology assessment (HTA) has been implemented in most Central and Eastern European (CEE) countries—based on international standards or through and Medical Management of Moscow Healthcare Department”, Moscow, Russia 3 Department of Educational Programs Development, Center for Health and Social Development, Yury Luzhkov Moscow Metropolitan Governance University, 28 Sretenka St, Moscow, Russian Federation 1070451 3 Vol.:(0123456789)Quality of Life Research (2021) 30:831–840 developments to the original HTA system, as in post-Soviet countries [1]
Our study aimed to develop population norms for health-related quality of life (HRQoL) in Moscow, based on the EQ-5D-5L questionnaire
We estimated four types of EQ-5D results: (1) the distribution of limitations according to EQ-5D-5L dimensions, (2) the perception of the health-related quality of life with EQ VAS, (3) the unweighted score for the respondent’s health state—the Level Sum Score (LSS), and (4) the weighted score for the health state—the EQ-5D-5L index
Summary
Quality of Life Research (2021) 30:831–840 developments to the original HTA system, as in post-Soviet countries [1]. Local healthcare decision-makers do not commonly use health-related quality of life (HRQoL) in outcome measurement and resource allocation. When measuring HRQoL, one can choose between generic and disease-specific instruments [3]. Generic instruments focus on general health status, including physical, functional, and emotional domains. They apply to every health state and may be useful for comparisons between unrelated medical technologies. Population norms enable comparison of the burden of the disease with the general population’s health, as well as the measurement of health inequalities [8]. Bearing in mind the size of Russia, and knowing that most of the pilot projects are carried out firstly in Moscow before encompassing other regions, we have decided to start from the capital
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