Towards a better QALY model

Autor: Jose Luis Pinto-Prades, Xabier Badía-Llach, Ildefonso Méndez-Martínez, Jose-Maria Abellan-Perpiñan
Rok vydání: 2006
Předmět:
Zdroj: Health Economics. 15:665-676
ISSN: 1099-1050
1057-9230
DOI: 10.1002/hec.1095
Popis: Summary This paper presents a test of the predictive validity of various classes of QALY models (i.e. linear, power and exponential models). We first estimated TTO utilities for 43 EQ-5D chronic health states and next these states were embedded in nonchronic health profiles. The chronic TTO utilities were then used to predict the responses to TTO questions with nonchronic health profiles. We find that the power QALY model clearly outperforms linear and exponential QALY models. Optimal power coefficient is 0.65. Our results suggest that TTO-based QALY calculations may be biased. This bias can be corrected using a power QALY model. Copyright # 2006 John Wiley & Sons, Ltd.
Databáze: OpenAIRE