PMID- 30607809 OWN - NLM STAT- MEDLINE DCOM- 20200318 LR - 20200318 IS - 1178-1661 (Electronic) IS - 1178-1653 (Linking) VI - 12 IP - 4 DP - 2019 Aug TI - EQ-5D-5L is More Responsive than EQ-5D-3L to Treatment Benefit of Cataract Surgery. PG - 383-392 LID - 10.1007/s40271-018-00354-7 [doi] AB - BACKGROUND: It is not clear whether 5-level EQ-5D (EQ-5D-5L) utilities based on recently developed value sets are more responsive than 3-level EQ-5D (EQ-5D-3L) utilities. OBJECTIVES: The study aims were to compare (1) the responsiveness of EQ-5D-5L and EQ-5D-3L utilities and (2) the responsiveness of these utilities with the Short Form-6 Dimension (SF-6D) and Health Utilities Index Mark 3 (HUI3) utilities to the treatment benefit of cataract surgery. METHODS: A total of 148 patients were interviewed before and after their cataract surgery using EQ-5D-3L, EQ-5D-5L, SF-6D, and HUI3. Responsiveness was assessed for all measures using the mean change (post-treatment-pre-treatment), standardized effect size (SES), standardized response mean (SRM), and F-statistic. RESULTS: Using the Singapore value sets, mean change for EQ-5D-3L and EQ-5D-5L utilities was 0.016 and 0.028, SES was 0.097 and 0.199; SRM was 0.091 and 0.196; and F-statistic was 1.2 and 5.7, respectively. Similar trends were observed using the UK/England EQ-5D value sets, although the magnitude was slightly smaller. The mean change, SES, SRM and F-statistics for SF-6D (UK value set) were 0.020, 0.234, 0.249, and 9.2, respectively. The values of mean change, SES, SRM and F-statistics for HUI3 (Canada value set) were 0.080, 0.472, 0.474, and 33.3, respectively. CONCLUSIONS: The EQ-5D-5L utilities tend to be more responsive than the EQ-5D-3L utilities to treatment benefits of cataract surgery. The HUI3 utilities are more responsive than both the EQ-5D-5L and SF-6D, and SF-6D utilities may be slightly more responsive than the EQ-5D-5L for assessing patients undergoing cataract surgery. FAU - Gandhi, Mihir AU - Gandhi M AUID- ORCID: 0000-0002-8902-2710 AD - Department of Biostatistics, Singapore Clinical Research Institute, Singapore, Singapore. AD - Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore. AD - Tampere Center for Child Health Research, University of Tampere and Tampere University Hospital, Tampere, Finland. FAU - Ang, Marcus AU - Ang M AD - Corneal and External Eye Disease Department, Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore, Singapore. Marcus.Ang@Singhealth.com.sg. AD - Opthamology and Visual Sciences, Duke-NUS Medical School, Singapore, Singapore. Marcus.Ang@Singhealth.com.sg. FAU - Teo, Kelvin AU - Teo K AD - Corneal and External Eye Disease Department, Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore, Singapore. FAU - Wong, Chee Wai AU - Wong CW AD - Corneal and External Eye Disease Department, Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore, Singapore. FAU - Wei, Yvonne Chung-Hsi AU - Wei YC AD - Corneal and External Eye Disease Department, Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore, Singapore. FAU - Tan, Rachel Lee-Yin AU - Tan RL AD - Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore. FAU - Janssen, Mathieu F AU - Janssen MF AD - Section Medical Psychology and Psychotherapy, Department of Psychiatry, Erasmus MC, Rotterdam, Netherlands. FAU - Luo, Nan AU - Luo N AD - Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - New Zealand TA - Patient JT - The patient JID - 101309314 SB - IM MH - Aged MH - Cataract Extraction/*statistics & numerical data MH - Cost-Benefit Analysis/*methods MH - Female MH - Health Status MH - Humans MH - Interviews as Topic MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Patient Preference MH - Prospective Studies MH - Psychometrics MH - Quality of Life MH - Reproducibility of Results MH - Singapore MH - Socioeconomic Factors MH - Surveys and Questionnaires/*standards MH - Visual Acuity EDAT- 2019/01/05 06:00 MHDA- 2020/03/19 06:00 CRDT- 2019/01/05 06:00 PHST- 2019/01/05 06:00 [pubmed] PHST- 2020/03/19 06:00 [medline] PHST- 2019/01/05 06:00 [entrez] AID - 10.1007/s40271-018-00354-7 [pii] AID - 10.1007/s40271-018-00354-7 [doi] PST - ppublish SO - Patient. 2019 Aug;12(4):383-392. doi: 10.1007/s40271-018-00354-7.