Evidence map›Paper›PMID 29440335›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2018

Age- and sex-specific Canadian utility norms, based on the 2013-2014 Canadian Community Health Survey.

Jason R Guertin, David Feeny, Jean-Eric Tarride

Abstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 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

38 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Ablative Technologies for Thyroid Nodules: A Health Technology Assessment.Ontario health technology assessment series · 2026
    Pooled it
  2. 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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  14. Cost-effectiveness of population screening for aortic stenosis.European heart journal. Quality of care & clinical outcomes · 2025
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  17. Cost-effectiveness of watchful waiting versus immediate emergency department transfer after epinephrine autoinjector use in Canada.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
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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

3 authors.

Jason R GuertinDepartment of Social and Preventive Medicine (Guertin), Faculty of Medicine, Université Laval; Centre de recherche du CHU de Québec - Université Laval (Guertin), Axe Santé des Populations et Pratiques Optimales en Santé, Hôpital du Saint-Sacrement, Québec, Que.; Department of Economics, Faculty of Social Sciences (Feeny), Centre for Health Economics and Policy Analysis (Feeny, Tarride) and Department of Health Research Methods, Faculty of Health Sciences (Tarride), McMaster University, Hamilton, Ont.; Health Utilities Incorporated (Feeny), Dundas, Ont.; Programs for Assessment of Technology in Health (Tarride), Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton, Hamilton, Ont. jason.guertin@fmed.ulaval.ca.
David FeenyDepartment of Social and Preventive Medicine (Guertin), Faculty of Medicine, Université Laval; Centre de recherche du CHU de Québec - Université Laval (Guertin), Axe Santé des Populations et Pratiques Optimales en Santé, Hôpital du Saint-Sacrement, Québec, Que.; Department of Economics, Faculty of Social Sciences (Feeny), Centre for Health Economics and Policy Analysis (Feeny, Tarride) and Department of Health Research Methods, Faculty of Health Sciences (Tarride), McMaster University, Hamilton, Ont.; Health Utilities Incorporated (Feeny), Dundas, Ont.; Programs for Assessment of Technology in Health (Tarride), Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton, Hamilton, Ont.
Jean-Eric TarrideDepartment of Social and Preventive Medicine (Guertin), Faculty of Medicine, Université Laval; Centre de recherche du CHU de Québec - Université Laval (Guertin), Axe Santé des Populations et Pratiques Optimales en Santé, Hôpital du Saint-Sacrement, Québec, Que.; Department of Economics, Faculty of Social Sciences (Feeny), Centre for Health Economics and Policy Analysis (Feeny, Tarride) and Department of Health Research Methods, Faculty of Health Sciences (Tarride), McMaster University, Hamilton, Ont.; Health Utilities Incorporated (Feeny), Dundas, Ont.; Programs for Assessment of Technology in Health (Tarride), Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton, Hamilton, Ont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough many Canadian studies have provided disease-specific or patient group-specific utility scores, the utility score norms currently available for the general Canadian population are outdated. Canadian guideline recommendations for the economic evaluation of health technologies advocate for utilities reflecting those of the general population and for stratified analyses when results are heterogeneous; as such, there is also a need for age-, sex- and jurisdiction-specific utility score norms.

methodsWe used data from the 2013-2014 Canadian Community Health Survey. We used the Health Utilities Index Mark 3 to calculate utility scores. We estimated means (with 95% confidence intervals [CIs]) and medians (with interquartile ranges [IQRs]) for utility scores. In addition to Canadian-level measures, we stratified all utility score norms by respondents' age, sex, and province or territory of residence. We weighted respondents' answers and computed 95% CIs using sampling weights and bootstrap weights provided by Statistics Canada to extrapolate the study findings to the Canadian population.

resultsRespondents to the 2013-2014 Canadian Community Health Survey represented 30 014 589 community-dwelling Canadians 12 years of age and older (98% of the Canadian population); half of the respondents were female (50.6%), and the weighted average age was 44.8 (95% CI 44.7-44.9) years. The mean and median self-reported utility scores for Canadians were estimated at 0.863 (95% CI 0.861-0.865) and 0.927 (IQR 0.838-0.972), respectively.

interpretationThis study provides utility score norms for several age-, sex-and jurisdiction-specific strata in Canada. These results will be useful for future cost-utility analyses and could serve as benchmark values for comparisons with future studies.

Indexed as

EconomicsHealth StatusAdolescentAdultAgedAged, 80 and overAge FactorsCanadaChildCost-Benefit AnalysisFemaleHealth SurveysHumansMaleMiddle AgedMultivariate Analysis

Identifiers

PMID29440335
PMCPMC5809215

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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.