Putting the 'Q' in depression QALYs: a comparison of utility measurement using EQ-5D and SF-6D health related quality of life measures

Soc Psychiatry Psychiatr Epidemiol. 2009 Jul;44(7):569-78. doi: 10.1007/s00127-008-0463-5. Epub 2008 Nov 13.

Abstract

Background: Generic health preference measures that capture quality of life improvements in depression are important for economic analysis of new technologies.

Aim: To compare two widely used preference measures, the EQ-5D and SF-6D, in terms of their dimensions and health utility values.

Method: EQ-5D and SF-6D data collected from 114 patients with depression, who participated in a cluster, randomised controlled trial to evaluate a collaborative care intervention in UK, primary care practices. Utilities were examined across the whole sample and by level of depression severity using the PHQ-9.

Results: Depression was associated with disutility at baseline. At 3 month follow-up mean utility increased 0.147 for EQ-5D and 0.082 for SF-6D. Health gains were observed in patients in remission from depression and those with the mildest level of depression severity.

Conclusions: Both generic preference measures were sensitive to health gains in depression within a relatively short follow-up period; larger health gain was observed for the EQ-5D.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cost-Benefit Analysis / statistics & numerical data*
  • Depressive Disorder, Major / diagnosis*
  • Depressive Disorder, Major / therapy
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Follow-Up Studies
  • Health Status*
  • Humans
  • Male
  • Middle Aged
  • Primary Health Care
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Quality of Life / psychology*
  • Quality-Adjusted Life Years*
  • Severity of Illness Index
  • Surveys and Questionnaires
  • United Kingdom

Associated data

  • ISRCTN/ISRCTN63222059