From Cradle to Grave: Can We Measure and Value HRQoL Consistently Over the Lifespan?

Author(s)

Moderator: Elly Stolk, PhD, EuroQol Research Foundation, Rotterdam, Netherlands
Speakers: Janine Verstraete, PhD, Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa; Michael Herdman, MSc, Insight Consulting & Research, Mataró, Spain; Nancy Joy Devlin, PhD, School of Population and Global Health, University of Melbourne, Wanaka, OTA, New Zealand

Presentation Documents

The EuroQol Group has developed a portfolio of instruments, enabling health to be measured and valued across the entire lifespan. EQ-5D-3L and EQ-5D-5L are instruments aimed at measuring health in adults, while EQ-5D-Y-3L and EQ-5D-Y-5L are aimed at measuring health in children and adolescents. An instrument for even younger populations (0–3-year-olds) is currently in development. All these instruments are short, simple to use and preference-weighted, which means they can be used to both assess health and to calculate QALYs.

However, hurdles remain if the instruments are to be used in a coordinated fashion. Obtaining and using preference weights in pediatric populations is a relatively new area of research with its own challenges including the need to transition between value sets for different age groups. Furthermore, while using age-appropriate instruments may improve measurement within an age group it can also produce discontinuities in measurements across age groups.

This symposium aims to summarize the EuroQol instruments developed to measure HRQoL across different ages and describes the conceptual relationship between those instruments. We will discuss the empirical evidence on how the descriptions of HRQoL generated from EuroQol instruments compare and the resulting comparability of results before and after transitioning to another measure of health based on age. Furthermore, an increasing number of value sets are becoming available for the EQ-5D-Y-3L and appear to have distinctive characteristics compared to adult EQ-5D values. We discuss the implications for use of these values in QALY estimation and other applications, focusing on understanding the transition between age-specific measures.

We conclude by describing the potential advantages for users and decision-makers of a system which allows for the reliable measurement and valuation of health from infancy, childhood, adolescence and into adulthood, identifying the remaining challenges and evidence needed to achieve that goal.

Conference/Value in Health Info

2022-11, ISPOR Europe 2022, Vienna, Austria

Code

112

Your browser is out-of-date

ISPOR recommends that you update your browser for more security, speed and the best experience on ispor.org. Update my browser now

×