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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 |
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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. |
doi_str_mv | 10.1371/journal.pone.0169816 |
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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 (<20/40->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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0169816</identifier><identifier>PMID: 28225799</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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</subject><ispartof>PloS one, 2017-02, Vol.12 (2), p.e0169816</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Visser et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Visser et al 2017 Visser et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-314950dda7e1d559cdba75947378ea2239d53ac14565986f3854250e2d5c8d383</citedby><cites>FETCH-LOGICAL-c725t-314950dda7e1d559cdba75947378ea2239d53ac14565986f3854250e2d5c8d383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1870938030/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1870938030?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28225799$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Abe, Toshiaki</contributor><creatorcontrib>Visser, Martijn S</creatorcontrib><creatorcontrib>Amarakoon, Sankha</creatorcontrib><creatorcontrib>Missotten, Tom</creatorcontrib><creatorcontrib>Timman, Reinier</creatorcontrib><creatorcontrib>Busschbach, Jan J</creatorcontrib><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</title><title>PloS one</title><addtitle>PLoS One</addtitle><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 (<20/40->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.</description><subject>Acuity</subject><subject>Age</subject><subject>Age related diseases</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Biology and Life Sciences</subject><subject>Clinical trials</subject><subject>Computer and Information Sciences</subject><subject>Diabetes</subject><subject>Diabetic retinopathy</subject><subject>Elderly</subject><subject>Equivalence</subject><subject>Eye</subject><subject>Female</subject><subject>Health</subject><subject>Health aspects</subject><subject>Health economics</subject><subject>Health Status</subject><subject>Humans</subject><subject>Macular degeneration</subject><subject>Macular Degeneration - diagnosis</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Morbidity</subject><subject>Patients</subject><subject>Physiological aspects</subject><subject>Psychiatry</subject><subject>Psychometrics</subject><subject>Psychotherapy</subject><subject>Quality of Life</subject><subject>Quality-Adjusted Life Years</subject><subject>Questionnaires</subject><subject>Social Sciences</subject><subject>Studies</subject><subject>Utilities</subject><subject>Visual acuity</subject><subject>Visual Acuity - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Visser, Martijn S</au><au>Amarakoon, Sankha</au><au>Missotten, Tom</au><au>Timman, Reinier</au><au>Busschbach, Jan J</au><au>Abe, Toshiaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-02-22</date><risdate>2017</risdate><volume>12</volume><issue>2</issue><spage>e0169816</spage><pages>e0169816-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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 (<20/40->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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28225799</pmid><doi>10.1371/journal.pone.0169816</doi><tpages>e0169816</tpages><oa>free_for_read</oa></addata></record> |
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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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