PMID- 10721016 OWN - NLM STAT- MEDLINE DCOM- 20000420 LR - 20191103 IS - 1057-9230 (Print) IS - 1057-9230 (Linking) VI - 9 IP - 2 DP - 2000 Mar TI - Establishing health state valuations for disease specific states: an example from heart disease. PG - 149-58 AB - This study considers the feasibility of defining a QALY from disease-specific data using the New York Heart Association (NYHA) classification of heart failure. The study derives health state values for the four different NYHA classifications of disease progression using the time trade-off (TTO) instrument associated with the five dimensional (EQ-5D) health state valuation method. Consistent mappings between the disease classification and the chosen QALY instrument are found. With this being the case, the assumption of constant proportionality, which is necessary to define the QALY as an acceptable measure of health related preferences, is considered. It is found that constant proportionality does not hold across the more severe health states, thus questioning the use of QALYs as representing cardinal preference structures. CI - Copyright 2000 John Wiley & Sons, Ltd. FAU - Kirsch, J AU - Kirsch J AD - SmithKline Beecham Limited, Mundells, Welwyn Garden City, UK. FAU - McGuire, A AU - McGuire A LA - eng PT - Journal Article PL - England TA - Health Econ JT - Health economics JID - 9306780 SB - IM MH - Adult MH - Aged MH - Cost-Benefit Analysis/statistics & numerical data MH - Female MH - *Health Status Indicators MH - Heart Diseases/*physiopathology MH - Humans MH - Interviews as Topic MH - Male MH - Middle Aged MH - Quality-Adjusted Life Years MH - State Medicine MH - United Kingdom EDAT- 2000/03/18 09:00 MHDA- 2000/04/25 09:00 CRDT- 2000/03/18 09:00 PHST- 2000/03/18 09:00 [pubmed] PHST- 2000/04/25 09:00 [medline] PHST- 2000/03/18 09:00 [entrez] AID - 10.1002/(SICI)1099-1050(200003)9:2<149::AID-HEC501>3.0.CO;2-N [pii] AID - 10.1002/(sici)1099-1050(200003)9:2<149::aid-hec501>3.0.co;2-n [doi] PST - ppublish SO - Health Econ. 2000 Mar;9(2):149-58. doi: 10.1002/(sici)1099-1050(200003)9:2<149::aid-hec501>3.0.co;2-n.