Evidence map›Paper›PMID 28712628›Full record

Observational studyValue in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research

Estimating Health-State Utility Values in Kidney Transplant Recipients and Waiting-List Patients Using the EQ-5D-5L.

Bernadette Li, John A Cairns, Heather Draper, Christopher Dudley, John L Forsythe, Rachel J Johnson, Wendy Metcalfe, Gabriel C Oniscu, Rommel Ravanan, Matthew L Robb and 4 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06396702 (Emotion And Symptom-focused Engagement), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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.

NCT06396702 nanot yet recruitingnot on this map

Emotion And Symptom-focused Engagement (EASE) Intervention for the Management of Emotional and Physical Symptoms Among Solid Organ Transplant Recipients-pilot Study

TypeinterventionalSponsorUniversity Health Network, TorontoRan2024 to 2027Enrolled120ConditionsTransplant, Failure,Kidney, Transplant, Failure, HeartArmsEASE-SOT
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Predicting EQ-5D-3L utility values from clinical data in a prospective cohort of kidney transplant recipients.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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  10. Health-related quality of life, uncertainty and coping strategies in solid organ transplant recipients during shielding for the COVID-19 pandemic.Transplant international : official journal of the European Society for Organ Transplantation · 2021
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  15. Association of Kidney Transplant Center Volume With 3-Year Clinical Outcomes.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019
    Article
  16. Health-related quality of life and mortality in patients with pulmonary embolism: a prospective cohort study in seven European countries.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
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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

14 authors.

Bernadette LiDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK. Electronic address: bernadette.li@lshtm.ac.uk.
John A CairnsDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Heather DraperDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Christopher DudleyRichard Bright Renal Unit, Southmead Hospital, Bristol, UK.
John L ForsytheTransplant Unit, Royal Infirmary of Edinburgh, Edinburgh, UK.
Rachel J JohnsonNHS Blood and Transplant, Bristol, UK.
Wendy MetcalfeScottish Renal Registry, Glasgow, UK.
Gabriel C OniscuTransplant Unit, Royal Infirmary of Edinburgh, Edinburgh, UK.
Rommel RavananRichard Bright Renal Unit, Southmead Hospital, Bristol, UK.
Matthew L RobbNHS Blood and Transplant, Bristol, UK.
Paul RoderickPrimary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Charles R TomsonDepartment of Renal Medicine, Freeman Hospital, Newcastle upon Tyne, UK.
Christopher J E WatsonDepartment of Surgery, University of Cambridge and the NIHR Cambridge Biomedical Research Centre, Cambridge, UK.
J Andrew BradleyDepartment of Surgery, University of Cambridge and the NIHR Cambridge Biomedical Research Centre, Cambridge, UK.

Funding

Department of Health RP-PG-0109-10116
6 · The paper itself

Abstract

objectivesTo report health-state utility values measured using the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L) in a large sample of patients with end-stage renal disease and to explore how these values vary in relation to patient characteristics and treatment factors.

methodsAs part of the prospective observational study entitled "Access to Transplantation and Transplant Outcome Measures," we captured information on patient characteristics and treatment factors in a cohort of incident kidney transplant recipients and a cohort of prevalent patients on the transplant waiting list in the United Kingdom. We assessed patients' health status using the EQ-5D-5L and conducted multivariable regression analyses of index scores.

resultsEQ-5D-5L responses were available for 512 transplant recipients and 1704 waiting-list patients. Mean index scores were higher in transplant recipients at 6 months after transplant surgery (0.83) compared with patients on the waiting list (0.77). In combined regression analyses, a primary renal diagnosis of diabetes was associated with the largest decrement in utility scores. When separate regression models were fitted to each cohort, female gender and Asian ethnicity were associated with lower utility scores among waiting-list patients but not among transplant recipients. Among waiting-list patients, longer time spent on dialysis was also associated with poorer utility scores. When comorbidities were included, the presence of mental illness resulted in a utility decrement of 0.12 in both cohorts.

conclusionsThis study provides new insights into variations in health-state utility values from a single source that can be used to inform cost-effectiveness evaluations in patients with end-stage renal disease.

Indexed as

Health StatusKidney TransplantationQuality of LifeAdolescentAdultFemaleHumansKidney Failure, ChronicMaleMiddle AgedOutcome Assessment, Health CareProspective StudiesRegression AnalysisRenal DialysisTime FactorsTransplant Recipientsend-stage renal diseaseEQ-5D-5Lhealth-state utility valuesmultivariable regression

Identifiers

PMID28712628
PMCPMC5541449

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.