SELF-REPORTED POPULATION HEALTH BASED ON EUROQOL EQ-5D- POPULATION NORMS FROM ARGENTINA, BRAZIL, CHILE AND URUGUAY

Author(s)

Rey-Ares L1, Kind P2, Fernandez G3, Andrade MV4, Zarate V5, Perna A3, Noronha K4, Augustovski F1
1Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina, 2HSE University, St Petersburg, Russia, 3Fondo Nacional de Recursos, Montevideo, Uruguay, 4Federal University of Minas Gerais, Belo Horizonte, Brazil, 5Universidad de los Andes, Santiago, Chile

OBJECTIVES: To describe self-reported health related quality of life (HRQL) from general population of Argentina, Brazil, Chile and Uruguay and to report population norms based on EQ-5D. METHODS: We included data from the 2009 national health risk survey in Argentina (n=41,392) and from the participants of the EQ-5D valuation studies Brazil (n=3,362, Viegas Andrade 2013), Chile (n=2000, Zárate 2011) and Uruguay (n=792). We estimated mean VAS values and EQ-5D index by age, gender and the presence of limitations in any of the EQ-5D domains. We also explored the most frequent health states (those which include at least 90% of the population).  RESULTS: Self-rated mean VAS was 76.5 (IC95% 76.2-76.8), 83.8 (83.3- 84.3), 75.7 (74.8-76.6) and 79.8 (78.6-80.9) in Argentina, Brazil, Chile and Uruguay respectively.  The percentage of individuals without limitations was 60.9%, 44.3%, 49.8%, and 44.6% in Argentina, Brazil, Chile and Uruguay respectively.  The EQ-5D TTO-based index values showed slightly higher values in Argentina and Uruguay (0.910; CI95% 0.907-0.913 and 0.957; CI95% 0.951-0.962) than in Brazil and Chile (0.892, CI95% 0.888-0.897 and 0.80, CI95% 0.79-0.81). In all countries, both VAS and EQ-5D index values decreased with increasing age, and were lower in females. Out of the 243 possible EQ-5D-3L health states only eight were present in at least 90% of the population in Argentina, nine in Brazil, and 19 in Chile. In Uruguay, only 33 out of the possible 3125 EQ-5D-5L health states were referred at least by 90% of the participants. In general, the prevalent states were the ones with mild limitations in pain-discomfort, anxiety-depression or mobility.  CONCLUSIONS: This is the first collaborative work between Latin-American EQ-5D researchers from four countries. This study summarizes population norms for the region that can be used in decision-making as well as in research

Conference/Value in Health Info

2016-05, ISPOR 2016, Washington DC, USA

Value in Health, Vol. 19, No. 3 (May 2016)

Code

PHP147

Topic

Patient-Centered Research

Topic Subcategory

Patient-reported Outcomes & Quality of Life Outcomes

Disease

Multiple Diseases, Reproductive and Sexual Health

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