Evidence map›Paper›PMID 17213254›Full record

Trial reportAnnals of the rheumatic diseases2007

How do the EQ-5D, SF-6D and the well-being rating scale compare in patients with ankylosing spondylitis?

Annelies Boonen, Désirée van der Heijde, Robert Landewé, Astrid van Tubergen, Herman Mielants, Maxime Dougados, Sjef van der Linden

2 registry-linked trialsAbstract readComparative StudyRandomized Controlled TrialValidation Study
In one paragraph

Trial report in Annals of the rheumatic diseases, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06568029 completednot on this mapstarted 2024, after this paper: background citation

Construct Validity and Responsiveness of EQ-5D-3L in Patients With Rheumatic Disease

TypeobservationalSponsorKarolinska InstitutetRan2024 to 2024Enrolled77,651ConditionsRheumatoid Arthritis, Polyarthritis, Psoriatic Arthritis, Ankylosing SpondylitisArmsQuestionnaire
NCT07580092 completednot on this mapstarted 2023, after this paper: background citation

Construct Validity and Responsiveness of EQ-5D-3L and EQ-5D-5L in Patients With Inflammatory Joint Disease

TypeobservationalSponsorKarolinska InstitutetRan2023 to 2026Enrolled6,967ConditionsAnkylosing Spondylitis, Rheumatoid Arthritis (RA), Psoriatic Arthritis, PolyarthritisArmsEQ-5D-5L
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Health state utility values in patients with Ankylosing Spondylitis: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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  10. Comparative performance and mapping algorithms between EQ-5D-5L and SF-6Dv2 among the Chinese general population.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
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  11. Review
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  13. Interchangeability of the EQ-5D and the SF-6D, and comparison of their psychometric properties in a spinal postoperative Spanish population.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
    Article
  14. Patient Burden of Axial Spondyloarthritis.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2017
    Review
  15. Article
  16. Deriving reference values and utilities for the QoL-AGHDA in adult GHD.The European journal of health economics : HEPAC : health economics in prevention and care · 2011
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  19. Estimating health utilities in patients with asthma and COPD: evidence on the performance of EQ-5D and SF-6D.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2009
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Annelies BoonenDepartment of Internal Medicine, Division of Rheumatology, University Hospital Maastricht, PO Box 5800, 6202 AZ Maastricht, The Netherlands. aboo@sint.azm.nl
Désirée van der Heijde
Robert Landewé
Astrid van Tubergen
Herman Mielants
Maxime Dougados
Sjef van der Linden

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare aspects of validity of EuroQol-5 Dimensions (EQ-5D) and Short-Form-6 Dimensions (SF-6D), two indirect utility instruments, and the well-being rating scale (RS) in ankylosing spondylitis (AS).

methodsEQ-5D, SF-6D and RS were available for 254 patients fulfilling modified New York criteria. 134 patients were part of an observational cohort and 120 were part of a randomised controlled trial (RCT). Aspects of validity assessed were truth (agreement and correlation with external health measures) and discrimination (differentiation between health states, repeatability and detection of treatment effect).

resultsMedian (range) values were 0.69 (-0.08-1.00) for the EQ-5D, 0.65 (0.35-0.95) for the SF-6D and 0.65 (0.14-1.00) for the RS. Agreement (intraclass correlation coefficient) was moderate (0.46-0.55). Instruments correlated equally with disease activity, functioning and quality of life. The SF-6D showed smaller average differences in utility between patients with better and worse disease compared with the EQ-5D and the RS. The smallest detectable difference (SDD) (in the control group of RCT) was 0.36, 0.17 and 0.33 for EQ-5D, SF-6D and RS, respectively. The ability to detect treatment effect (in the intervention trial) showed standardised effect sizes that were moderate for EQ-5D and SF-6D (0.63 and 0.64) and low for the RS (0.23).

conclusionIn patients with AS, EQ-5D, SF-6D and the RS correlate equally well with external measures of health, but have different psychometric properties. The SDD is most favourable for the SF-6D, but it discriminates less well between patients with different disease severities. The RS has a poorer ability to detect treatment effects. It is difficult to recommend one of the instruments.

Indexed as

Health Status IndicatorsQuality of LifeAdultFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSeverity of Illness IndexSpondylitis, AnkylosingTreatment Outcome

Identifiers

PMID17213254
PMCPMC1954676

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.