Measurement properties and responsiveness of the EQ-5D-Y-5L compared to the EQ-5D-Y-3L in children and adolescents receiving acute orthopaedic care
| dc.contributor.author | Verstraete, Janine | |
| dc.contributor.author | Marthinus, Zara | |
| dc.contributor.author | Dix-Peek, Stewart | |
| dc.contributor.author | Scott, Des | |
| dc.date.accessioned | 2022-04-08T08:20:04Z | |
| dc.date.available | 2022-04-08T08:20:04Z | |
| dc.date.issued | 2022-02-17 | |
| dc.date.updated | 2022-02-20T04:19:10Z | |
| dc.description.abstract | Objective The aim of this study is a head-to-head comparison of the instrument performance and responsiveness of the EQ-5D-Y-3L and the expanded English version of the EQ-5D-Y-5L in children/adolescents receiving acute orthopaedic management in South Africa. Methods Children/adolescents aged 8–15 years completed the EQ-5D-Y-5L, EQ-5D-Y-3L, self-rated health (SRH) question and PedsQL at baseline. The EQ-5D-Y-5L, EQ-5D-Y-3L and SRH question were repeated after 24 and 48 h. Performance of the EQ-5D-Y-5L and EQ-5D-Y-3L was determined by comparing feasibility (missing responses), redistribution of dimensions responses, discriminatory power, concurrent validity, and responsiveness. Results Eighty-three children/adolescents completed baseline measures and seventy-one at all three time-points. Reporting of 11111 decreased by 20% from the EQ-5D-Y-3L to the EQ-5D-Y-5L. Informativity of dimensions improved on average by 0.267 on the EQ-5D-Y-5L with similar evenness. There was a range of 11–27% inconsistent responses when moving from the EQ-5D-Y-3L to the EQ-5D-Y-5L. There was a low to moderate and significant association on the EQ-5D-Y-3L and EQ-5D-Y-5L to similar items on the PedsQL and SRH scores. Percentage change over time was greater for the EQ-5D-Y-5L (range 0–182%) than EQ-5D-Y-3L (range 0–100%) with the largest reduction for both measures between 0 and 48 h. For those who respondents who showed an improved SRH the EQ-5D-Y-5L and EQ-5D-Y-3L showed significant paired differences. Conclusion The English version of the EQ-5D-Y-5L appears to be a valid and responsive extension of the EQ-5D-Y-3L for children receiving acute orthopaedic management. The expanded levels notably reduce the ceiling effect and has greater discriminatory power. Concurrent validity of the EQ-5D-Y-3L and EQ-5D-Y-5L was low to moderate with similar PedsQL items and SRH. The EQ-5D-Y-5L generally showed greater change than the EQ-5D-Y-3L across all dimensions with the greatest change observed for 0–48 h. Responsiveness was comparable across the EQ-5D-Y-3L and EQ-5D-Y-5L for those with improved SRH. Greater sensitivity to change may be observed on comparison of utility scores, once preference-based value sets are available for the EQ-5D-Y-5L. | en_US |
| dc.identifier.apacitation | Verstraete, J., Marthinus, Z., Dix-Peek, S., & Scott, D. (2022). Measurement properties and responsiveness of the EQ-5D-Y-5L compared to the EQ-5D-Y-3L in children and adolescents receiving acute orthopaedic care. <i>Health and Quality of Life Outcomes</i>, 17(1), 28. http://hdl.handle.net/11427/36297 | en_ZA |
| dc.identifier.chicagocitation | Verstraete, Janine, Zara Marthinus, Stewart Dix-Peek, and Des Scott "Measurement properties and responsiveness of the EQ-5D-Y-5L compared to the EQ-5D-Y-3L in children and adolescents receiving acute orthopaedic care." <i>Health and Quality of Life Outcomes</i> 17, 1. (2022): 28. http://hdl.handle.net/11427/36297 | en_ZA |
| dc.identifier.citation | Verstraete, J., Marthinus, Z., Dix-Peek, S. & Scott, D. 2022. Measurement properties and responsiveness of the EQ-5D-Y-5L compared to the EQ-5D-Y-3L in children and adolescents receiving acute orthopaedic care. <i>Health and Quality of Life Outcomes.</i> 17(1):28. http://hdl.handle.net/11427/36297 | en_ZA |
| dc.identifier.ris | TY - Journal Article AU - Verstraete, Janine AU - Marthinus, Zara AU - Dix-Peek, Stewart AU - Scott, Des AB - Objective The aim of this study is a head-to-head comparison of the instrument performance and responsiveness of the EQ-5D-Y-3L and the expanded English version of the EQ-5D-Y-5L in children/adolescents receiving acute orthopaedic management in South Africa. Methods Children/adolescents aged 8–15 years completed the EQ-5D-Y-5L, EQ-5D-Y-3L, self-rated health (SRH) question and PedsQL at baseline. The EQ-5D-Y-5L, EQ-5D-Y-3L and SRH question were repeated after 24 and 48 h. Performance of the EQ-5D-Y-5L and EQ-5D-Y-3L was determined by comparing feasibility (missing responses), redistribution of dimensions responses, discriminatory power, concurrent validity, and responsiveness. Results Eighty-three children/adolescents completed baseline measures and seventy-one at all three time-points. Reporting of 11111 decreased by 20% from the EQ-5D-Y-3L to the EQ-5D-Y-5L. Informativity of dimensions improved on average by 0.267 on the EQ-5D-Y-5L with similar evenness. There was a range of 11–27% inconsistent responses when moving from the EQ-5D-Y-3L to the EQ-5D-Y-5L. There was a low to moderate and significant association on the EQ-5D-Y-3L and EQ-5D-Y-5L to similar items on the PedsQL and SRH scores. Percentage change over time was greater for the EQ-5D-Y-5L (range 0–182%) than EQ-5D-Y-3L (range 0–100%) with the largest reduction for both measures between 0 and 48 h. For those who respondents who showed an improved SRH the EQ-5D-Y-5L and EQ-5D-Y-3L showed significant paired differences. Conclusion The English version of the EQ-5D-Y-5L appears to be a valid and responsive extension of the EQ-5D-Y-3L for children receiving acute orthopaedic management. The expanded levels notably reduce the ceiling effect and has greater discriminatory power. Concurrent validity of the EQ-5D-Y-3L and EQ-5D-Y-5L was low to moderate with similar PedsQL items and SRH. The EQ-5D-Y-5L generally showed greater change than the EQ-5D-Y-3L across all dimensions with the greatest change observed for 0–48 h. Responsiveness was comparable across the EQ-5D-Y-3L and EQ-5D-Y-5L for those with improved SRH. Greater sensitivity to change may be observed on comparison of utility scores, once preference-based value sets are available for the EQ-5D-Y-5L. DA - 2022-02-17 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - Health and Quality of Life Outcomes KW - Orthopaedic KW - Fracture KW - Surgery KW - Children KW - Adolescents KW - Youth KW - Health related quality of life KW - EQ-5D-Y KW - Three level KW - Five level KW - EQ-5D-Y-5L LK - https://open.uct.ac.za PY - 2022 T1 - Measurement properties and responsiveness of the EQ-5D-Y-5L compared to the EQ-5D-Y-3L in children and adolescents receiving acute orthopaedic care TI - Measurement properties and responsiveness of the EQ-5D-Y-5L compared to the EQ-5D-Y-3L in children and adolescents receiving acute orthopaedic care UR - http://hdl.handle.net/11427/36297 ER - | en_ZA |
| dc.identifier.uri | https://doi.org/10.1186/s12955-022-01938-6 | |
| dc.identifier.uri | http://hdl.handle.net/11427/36297 | |
| dc.identifier.vancouvercitation | Verstraete J, Marthinus Z, Dix-Peek S, Scott D. Measurement properties and responsiveness of the EQ-5D-Y-5L compared to the EQ-5D-Y-3L in children and adolescents receiving acute orthopaedic care. Health and Quality of Life Outcomes. 2022;17(1):28. http://hdl.handle.net/11427/36297. | en_ZA |
| dc.language.iso | en | en_US |
| dc.language.rfc3066 | en | |
| dc.publisher.department | Division of Pulmonology | en_US |
| dc.publisher.faculty | Faculty of Health Sciences | en_US |
| dc.rights.holder | The Author(s) | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_US |
| dc.source | Health and Quality of Life Outcomes | en_US |
| dc.source.journalissue | 1 | en_US |
| dc.source.journalvolume | 17 | en_US |
| dc.source.pagination | 28 | en_US |
| dc.source.uri | https://hqlo.biomedcentral.com/ | |
| dc.subject | Orthopaedic | en_US |
| dc.subject | Fracture | en_US |
| dc.subject | Surgery | en_US |
| dc.subject | Children | en_US |
| dc.subject | Adolescents | en_US |
| dc.subject | Youth | en_US |
| dc.subject | Health related quality of life | en_US |
| dc.subject | EQ-5D-Y | en_US |
| dc.subject | Three level | en_US |
| dc.subject | Five level | en_US |
| dc.subject | EQ-5D-Y-5L | en_US |
| dc.title | Measurement properties and responsiveness of the EQ-5D-Y-5L compared to the EQ-5D-Y-3L in children and adolescents receiving acute orthopaedic care | en_US |
| dc.type | Journal Article | en_US |