Evidence map›Paper›PMID 26179285›Full record

ArticleHealth and quality of life outcomes2015

Cross-cultural measurement equivalence of the 5-level EQ-5D (EQ-5D-5L) in patients with type 2 diabetes mellitus in Singapore.

Ye Wang, Ngiap-Chuan Tan, Ee-Guan Tay, Julian Thumboo, Nan Luo

Abstract read
In one paragraph

Article in Health and quality of life outcomes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 6 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Psychometric properties of the EQ-5D-5L: a systematic review of the literature.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Pooled it
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  7. The influence of mode of remote delivery on health-related quality of life outcome measures in British Sign Language: a mixed methods pilot randomised crossover trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Trial
  8. Transcultural translation and adaptation of EuroQol's EQ-5D-5L for Nepal: process description and recommendations for an interpretation guide.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
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  11. Feasibility and validity of the EQ-5D-3L in the elderly Europeans: a secondary data analysis using SHARE(d) data.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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  15. Measurement of health-related quality of life in patients with diabetes mellitus using EQ-5D-5L in Hong Kong, China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Article
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  18. Health state utilities and subjective well-being among psoriasis vulgaris patients in mainland China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
    Article
  19. 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

5 authors.

Ye WangCenter for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, 1620 Tremont Street, Boston, MA, USA. yewang@research.bwh.harvard.edu.
Ngiap-Chuan TanSingHealth Polyclinics, 167 Jalan Bukit Merah, Singapore, Singapore. Tan.Ngiap.Chuan@singhealth.com.sg.
Ee-Guan TaySingHealth Polyclinics, 167 Jalan Bukit Merah, Singapore, Singapore. tay.ee.guan@singhealth.com.sg.
Julian ThumbooSingapore General Hospital, Outram Road, Singapore, Singapore. julian.thumboo@sgh.com.sg.
Nan LuoSaw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, Block MD 1, 117597, Singapore, Singapore. ephln@nus.edu.sg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to assess the measurement equivalence of the 5-level EQ-5D (EQ-5D-5L) among the English, Chinese, and Malay versions.

methodsA convenience sample of patients with type 2 diabetes mellitus were enrolled from a public primary health care institution in Singapore. The survey questionnaire comprised the EQ-5D-5L and questions assessing participants' socio-demographic and clinical characteristics. Multiple linear regression models were used to assess the difference in EQ-5D-5L index (calculated using an interim algorithm) and EQ-visual analog scale (EQ-VAS) scores across survey language (Chinese vs. English, Malay vs. English, and Malay vs. Chinese). Measurement equivalence was examined by comparing the 90% confidence interval of difference in the EQ-5D-5L index and EQ-VAS scores with a pre-determined equivalence margin. Multiple logistic regression models were used to assess the response patterns of the 5 Likert-type items of the EQ-5D-5L across survey language.

resultsEquivalence was demonstrated between the Chinese and English versions and between the Malay and English versions of the EQ-5D-5L index scores. Equivalence was also demonstrated between the Chinese and English versions and between the Malay and Chinese versions of the EQ-VAS scores. Equivalence could not be determined between the Malay and Chinese versions of the EQ-5D-5L index score and between the Malay and English versions of the EQ-VAS score. No significant difference was found in responses to EQ-5D-5L items between any languages, except that patients who chose to complete the Chinese version were more likely to report "no problems" in mobility compared to those who completed the Malay version of the questionnaire.

conclusionsThis study provided evidence for the measurement equivalence of the different language versions of EQ-5D-5L in Singapore.

Indexed as

Health StatusAdultAgedAsian PeopleCross-Cultural ComparisonDiabetes Mellitus, Type 2FemaleHumansLinear ModelsMaleMiddle AgedMultivariate AnalysisPsychometricsQuality of LifeSingaporeSurveys and Questionnaires

Identifiers

PMID26179285
PMCPMC4502594

What OpenQuestion holds

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Registered trials

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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.