Mapping the QLQ-C30 quality of life cancer questionnaire to EQ-5D patient preferences

Eur J Health Econ. 2010 Aug;11(4):427-34. doi: 10.1007/s10198-010-0233-7. Epub 2010 May 16.

Abstract

Background: Although cancer-specific Health-Related Quality of Life (HRQOL) are commonly included in randomized clinical trials or other prospective non-randomized clinical studies, it is rare that preference-based instruments are used that allow the calculation of a utility weight suitable for estimating quality-adjusted life-years gained.

Objective: To develop a mapping algorithm to transform the EORTC QLQ-C30 questionnaire responses into EQ-5D derived utilities.

Study design: Retrospective data analysis of a multicentre, multicountry prospective clinical trial in breast cancer patients.

Methods: Regression analysis of individual pairs of EQ-5D and QLQ-C30 scores.

Results: A model that explained 80% of the variance was developed to estimate EQ-5D Utilities from QLQ-C30 scores at individual level. From this reliable group level means and deviations can be derived.

Conclusions: Mapping from QLQ-C30 scores to EQ-5D-derived utilities when only QLQ-C30 data are available has been shown to be possible with good accuracy. Validation of the proposed algorithm in other external clinical datasets should be encouraged.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Breast Neoplasms / psychology*
  • Female
  • Health Status Indicators
  • Humans
  • Models, Economic
  • Models, Statistical
  • Patient Satisfaction / statistics & numerical data*
  • Prospective Studies
  • Quality of Life / psychology*
  • Regression Analysis
  • Retrospective Studies
  • Statistics as Topic
  • Surveys and Questionnaires