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Validation and Comparison of EuroQol and Short Form 6D in Chronic Prostatitis Patients

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机构: [1]Univ Newcastle, Discipline Pharm & Expt Pharmacol, Sch Pharm & Biomed Sci, Callaghan, NSW 2308, Australia [2]306 Hosp PLA, Beijing, Peoples R China [3]First Peoples Hosp Yunnan Prov, Kunming, Yunnan, Peoples R China
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关键词: China chronic prostatitis EQ-5D SF-6D utility validation study

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Objective: Generic, preference-based health-related quality of life (HRQoL) instruments is increasingly used in health-care decision-making process. However, to our knowledge, no such HRQoL instrument has been validated or used in chronic prostatitis. We therefore aimed to assess and compare the psychometric properties of EuroQol (EQ-5D) and Short Form 6D (SF-6D) among chronic prostatitis patients in China. Methods: Consenting patients were interviewed using EQ-5D and SF-6D. Convergent and discriminative construct validities were examined with five and two a priori hypotheses, respectively. Sensitivity was compared using receiver operating characteristic (ROC) curves and relative efficiency (RE) statistics. Agreement between instruments was assessed with intra-class correlation coefficients and Bland-Altman plot, while factors affecting utility difference were explored with multiple liner regression models. Results: In 268 subjects, mean (SD) EQ-5D and SF-6D utility scores were comparable at 0.73 (0.15) and 0.75 (0.10), respectively. Five of the seven hypotheses for construct validity were fulfilled in both instruments. The areas under ROC of them all exceeded 0.5 (P < 0.001). SF-6D had 9.7-19.9% higher efficiency than EQ-5D at detecting the difference in chronic prostatitis symptom severity. Despite no significant difference in utility scores between two instruments, lack of agreement was observed with low intraclass correlation coefficient (0.218-0.630) and Bland-Altman plot analysis. Chronic prostatitis symptom severity significantly (P < 0.05) influenced differences in utility scores between EQ-5D and SF-6D. Conclusions: Both EQ-5D and SF-6D are demonstrated to be valid and sensitive HRQoL measures in Chinese chronic prostatitis patients, with SF-6D showing better HRQoL dimension coverage, greater sensitivity, lower ceiling effect, and more rational distribution. Further research is needed to determine longitudinal response and reliability.

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出版当年[2010]版:
大类 | 3 区 医学
小类 | 2 区 卫生保健
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 经济学 2 区 卫生保健与服务 2 区 卫生政策与服务
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出版当年[2009]版:
Q1 ECONOMICS Q1 HEALTH POLICY & SERVICES Q1 HEALTH CARE SCIENCES & SERVICES
最新[2023]版:
Q1 ECONOMICS Q1 HEALTH CARE SCIENCES & SERVICES Q1 HEALTH POLICY & SERVICES

影响因子: 最新[2023版] 最新五年平均 出版当年[2009版] 出版当年五年平均 出版前一年[2008版] 出版后一年[2010版]

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第一作者机构: [1]Univ Newcastle, Discipline Pharm & Expt Pharmacol, Sch Pharm & Biomed Sci, Callaghan, NSW 2308, Australia
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通讯机构: [1]Univ Newcastle, Discipline Pharm & Expt Pharmacol, Sch Pharm & Biomed Sci, Callaghan, NSW 2308, Australia [*1]Discipline of Pharmacy and Experimental Pharmacology, School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan, NSW 2308, Australia
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