A longitudinal validation of the EQ-5D-5L and EQ-VAS stand-alone component utilising the Oxford Hip Score in the Australian hip arthroplasty population.

Autor: Lin DY; c/o Department of Anesthesiology, Flinders Medical Centre, Flinders Drive, Bedford Park 5042, Adelaide, SA, Australia. d-yin.lin@sa.gov.au.; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia. d-yin.lin@sa.gov.au., Cheok TS; Department of Orthopaedic and Trauma Surgery, Alice Springs Hospital, Alice Springs, NT, Australia., Samson AJ; Department of Orthopaedic and Trauma Surgery, Alice Springs Hospital, Alice Springs, NT, Australia., Kaambwa B; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia., Brown B; c/o Department of Anesthesiology, Flinders Medical Centre, Flinders Drive, Bedford Park 5042, Adelaide, SA, Australia.; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia., Wilson C; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.; Department of Orthopaedic and Trauma Surgery, Alice Springs Hospital, Alice Springs, NT, Australia., Kroon HM; Department of Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia.; Faculty of Health and Medical Sciences, Adelaide Medical School, University of Adelaide, Adelaide, SA, Australia., Jaarsma RL; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.; Department of Orthopaedic and Trauma Surgery, Alice Springs Hospital, Alice Springs, NT, Australia.
Jazyk: angličtina
Zdroj: Journal of patient-reported outcomes [J Patient Rep Outcomes] 2022 Jun 20; Vol. 6 (1), pp. 71. Date of Electronic Publication: 2022 Jun 20.
DOI: 10.1186/s41687-022-00482-7
Abstrakt: Purpose: To evaluate the measurement properties of the Oxford Hip Score (OHS), EQ-5D-5L utility index and EQ-5D-5L visual analogue scale (EQ-VAS) in patients undergoing elective total hip arthroplasty in Australia.
Methods: In this prospective multi-centre study, the OHS and EQ-5D-5L were collected preoperatively, six weeks (6w) and six months (6m) postoperatively. The OHS, EQ-VAS and EQ-5D-5L index were evaluated for concurrent validity, predictive validity (Spearman's Rho of predicted and observed values from a generalised linear regression model (GLM)), and responsiveness (effect size (ES) and standard response mean (SRM)).
Results: 362 patients were included in this analysis for 6w and 269 for 6m. The EQ-5D-5L index showed good concurrent validity with the OHS (r = 0.71 preoperatively, 0.61 at 6w and 0.59 at 6m). Predictive validity for EQ-5D-5L index was similar to OHS when regressed (GLM). Responsiveness was good at 6w (EQ-5D-5L index ES 1.53, SRM 1.40; OHS ES 2.16, SRM 1.51) and 6m (EQ-5D-5L index ES 1.88, SRM 1.70; OHS ES 3.12, SRM 2.24). The EQ-VAS returned poorer results, at 6w an ES of 0.75 (moderate) and SRM 0.8. At 6m the EQ-VAS had an ES of 0.92 and SRM of 1.00. It, however, had greater predictive validity.
Conclusions: The EQ-5D-5L index and the OHS demonstrate strong concurrent validity. The EQ-5D-5L index demonstrated similar predictive validity at 6w and 6m, and both PROMs had adequate responsiveness. The EQ-VAS should be used routinely together with the EQ-5D-5L index. The EQ-5D-5L is suitable to quantify health-related quality of life in Australian hip arthroplasty patients.
(© 2022. The Author(s).)
Databáze: MEDLINE
Externí odkaz: