THE IMPACT OF DURATION ON EQ‐5D‐5L VALUE SETS DERIVED FROM A DISCRETE CHOICE EXPERIMENT

Author(s)

Norman R1, Mulhern B2, Viney R2, Bansback N3, Pearce A4
1Curtin University, Perth, Australia, 2University of Technology Sydney, Sydney, Australia, 3University of British Columbia, Vancouver, BC, Canada, 4National Cancer Registry Ireland, Cork, Ireland

OBJECTIVES: When using utility weights in economic evaluation, it is standard to assume the trade-offs individuals are willing to make between quality of life and length of life are constant. However, this may not be reasonable, particularly when comparing preferences under relatively long or short life expectancies. A number of patterns that differ from the standardly assumed pattern are possible, and the objective of this work is to test a range of these, particularly proportionality, the degree of non-linearity of utility with respect to time, and the scale of the utility function when anchored to the 0-1 scale required for construction of the quality-adjusted life year (QALY). METHODS: A discrete choice experiment was administered in an online sample of 981 Australians. The sample was selected to be age- and gender-representative.  Each respondent saw 16 choice pairs, 8 with shorter durations (one of 2,4,8 or 16 months) and 8 with longer durations (one of 2,4,8 or 16 years). Data for each set of eight were analysed separately using a range of regression approaches which considered respondent heterogeneity. RESULTS: Trade-offs between quality of life and life expectancy, and between different aspects of quality of life, do not systematically differ based on the range of life expectancies considered. Therefore, the scales of the utility algorithms resulting from either subset of data do not appear to substantially differ. Non-linearity of utility with respect to time is apparent both when life expectancies are relatively short or long. CONCLUSIONS: Health state valuation algorithms do not appear to be strongly affected by the selection of the range of life expectancies. While health state valuation tasks should consider a range of durations, the impact of not doing so appears to be modest.

Conference/Value in Health Info

2016-09, ISPOR Asia Pacific 2016, Singapore

Value in Health, Vol. 19, No. 7 (November 2016)

Code

PHP84

Topic

Patient-Centered Research

Topic Subcategory

Health State Utilities

Disease

Multiple Diseases

Explore Related HEOR by Topic


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

×