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Assessment of health-related quality of life in Australian patients with idiopathic pulmonary fibrosis: a comparison of the EQ-5D-5L and the AQoL-8D


Cox, IA and Campbell, J and de Graaff, B and Otahal, P and Corte, TJ and Moodley, Y and Hopkins, P and Macansh, S and Walters, EH and Palmer, AJ, Assessment of health-related quality of life in Australian patients with idiopathic pulmonary fibrosis: a comparison of the EQ-5D-5L and the AQoL-8D, Quality of life research pp. 1-21. ISSN 1573-2649 (2022) [Refereed Article]

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DOI: doi:10.1007/s11136-022-03205-z


Purpose: Idiopathic pulmonary fibrosis (IPF) is a progressive and debilitating chronic lung disease with a high symptom burden, which has a substantial impact on health-related quality of life (HRQoL). Our study aimed to assess the suitability of the EuroQol five-dimension (EQ-5D-5L) and the Assessment of Quality of Life- eight-dimension (AQoL-8D) questionnaires in measuring HRQoL as health state utility values (HSUVs) in an Australian IPF cohort.

Methods: Data for estimation of health state utility values (HSUVs) were collected from participants of the Australian IPF Registry (AIPFR) using self-administered surveys which included the EQ-5D-5L and the AQoL-8D. Data on lung function and disease specific HRQoL instruments were collected from the AIPFR. Performance of the two instruments was evaluated based on questionnaire practicality, agreement between the two instruments and test performance (internal and construct validity).

Results: Overall completion rates for the EQ-5D-5L and AQoL-8D were 96% and 85%, respectively. Mean (median) HSUVs were 0.65 (0.70) and 0.69 (0.72) for the EQ-5D-5L and AQoL-8D, respectively. There was reasonable agreement between the two instruments based on the Bland-Altman plot mean difference (-0.04) and intraclass correlation coefficient (0.84), however there were some fundamental differences. A larger range of values was observed with the EQ-5D-5L (-0.57-1.00 vs 0.16-1.00). The EQ-5D-5L had a greater divergent sensitivity and efficacy in relation to assessing HSUVs between clinical groupings. The AQoL-8D ,however, had a higher sensitivity to measure psychosocial aspects of HRQoL in IPF.

Conclusion: The EQ-5D-5L demonstrated superior performance when compared to AQoL-8D in persons with IPF. This may be attributable to the high symptom burden which is physically debilitating to which the EQ-5D-5L may be more sensitive.

Item Details

Item Type:Refereed Article
Keywords:idiopathic pulmonary fibrosis, respiratory disease, health related qulaity of life, EQ5D, AQOL
Research Division:Economics
Research Group:Applied economics
Research Field:Health economics
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health outcomes
UTAS Author:Cox, IA (Dr Ingrid Cox)
UTAS Author:Campbell, J (Dr Julie Campbell)
UTAS Author:de Graaff, B (Dr Barbara de Graaff)
UTAS Author:Otahal, P (Mr Petr Otahal)
UTAS Author:Walters, EH (Professor Haydn Walters)
UTAS Author:Palmer, AJ (Professor Andrew Palmer)
ID Code:151931
Year Published:2022
Deposited By:Menzies Institute for Medical Research
Deposited On:2022-08-09
Last Modified:2022-09-08

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