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SF-6D utility values for the better- and worse-seeing eye for health states based on the Snellen equivalent in patients with age-related macular degeneration

Economic evaluations in wet age-related macular degeneration (ARMD) is hampered as often utility values for solely one eye are used, mostly the better-seeing eye (BSE). Moreover, frequently chosen methods rely on patient values and/or disease specific measures, while economic evaluations prefer gene...

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Published in:PloS one 2017-02, Vol.12 (2), p.e0169816
Main Authors: Visser, Martijn S, Amarakoon, Sankha, Missotten, Tom, Timman, Reinier, Busschbach, Jan J
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Missotten, Tom
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description Economic evaluations in wet age-related macular degeneration (ARMD) is hampered as often utility values for solely one eye are used, mostly the better-seeing eye (BSE). Moreover, frequently chosen methods rely on patient values and/or disease specific measures, while economic evaluations prefer generic quality of life (QoL) measures based on societal preferences. The generic QoL utility instrument EQ-5D has shown to be insensitive for differences in visual acuity. The aim of this study was therefore to provide societal utility values, using the generic SF-6D, for health states acknowledging both BSE and worse-seeing eye (WSE). SF-6D utility values of 191 ARMD patients (≥65 years) with 153 follow-up measures at 1 year were used to fill health states defined by the combination of BSE and WSE using Snellen equivalents; no visual loss (≥20/40), mild-moderate (20/200) and severe (≤20/200). QoL utilities were estimated for the SF-6D, ranging from 0.740 for ARMD patients without visual loss to 0.684 for patients with a combination of mild-moderate visual loss in their BSE and severe visual loss in their WSE. Societal utility values are provided for ARMD patients using the generic QoL instrument SF-6D for visual acuity health states based on both BSE and WSE. The range of the values is smaller than previous elicited utilities with the disease-specific VisQoL. Besides, the utility values are placed on a more realistic position on the utility scale, and SF-6D utility values avoid the problem associated with the interpretation of disease-specific utility values.
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subjects Acuity
Age
Age related diseases
Aged
Aged, 80 and over
Analysis
Biology and Life Sciences
Clinical trials
Computer and Information Sciences
Diabetes
Diabetic retinopathy
Elderly
Equivalence
Eye
Female
Health
Health aspects
Health economics
Health Status
Humans
Macular degeneration
Macular Degeneration - diagnosis
Male
Medicine and Health Sciences
Morbidity
Patients
Physiological aspects
Psychiatry
Psychometrics
Psychotherapy
Quality of Life
Quality-Adjusted Life Years
Questionnaires
Social Sciences
Studies
Utilities
Visual acuity
Visual Acuity - physiology
Wet Macular Degeneration - diagnosis
title SF-6D utility values for the better- and worse-seeing eye for health states based on the Snellen equivalent in patients with age-related macular degeneration
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