Evidence map›Paper›PMID 29978346›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2018

Psychometric properties of the EQ-5D-5L in patients with hip or knee osteoarthritis: reliability, validity and responsiveness.

Amaia Bilbao, Lidia García-Pérez, Juan Carlos Arenaza, Isidoro García, Gloria Ariza-Cardiel, Elisa Trujillo-Martín, Maria João Forjaz, Jesús Martín-Fernández

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2018. 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 115 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 4 pooled it
44.8field-weighted citation impact, top 1% of its field
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.

NCT06195423 narecruitingnot on this mapstarted 2024, after this paper: background citation

The Stop Osteoarthritis (SOAR) Hybrid Effectiveness-Implementation Type 1 Randomized Controlled Trial for Young People At-High-Risk of Early Onset Knee Osteoarthritis

TypeinterventionalSponsorUniversity of British ColumbiaRan2024 to 2028Enrolled210ConditionsKnee Injuries, Anterior Cruciate Ligament Rupture, Osteoarthritis, KneeArmsStop OsteoARthritis (SOAR) program, Living Well after ACLR program
NCT06820021 narecruitingnot on this mapstarted 2025, after this paper: background citation

The Effects of a Strength-based Tailored-Exercise Program at Home (STEP@Home) on Health Outcomes of Geriatric Patients at Risk of Hospitalization-associated Functional Decline: A Sequential Mixed-method Study

TypeinterventionalSponsorThe University of Hong KongRan2025 to 2030Enrolled256ConditionsFrailty, GeriatricsArmsStrength-based Tailored-Exercise Program at Home (STEP@Home), Physical activity education
3 · Its place in the literature

Who cites it

115 citing papers in PubMed, 4 syntheses or guidelines pooled it, 223 citations in OpenAlex.

  1. Pooled it
  2. A systematic review of minimum important changes for generic multi-attribute utility instruments and recommendations for their estimation.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
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  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
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55 more citing papers are in PubMed but not listed here.

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

8 authors at 7 institutions in 1 country.

Amaia BilbaoResearch Unit, Basurto University Hospital (Osakidetza), Avda. Montevideo, 18, 48013, Bilbao, Bizkaia, Spain. amaia.bilbaogonzalez@osakidetza.eus.ORCID http://orcid.org/0000-0002-2202-0753
Lidia García-PérezHealth Service Research Network on Chronic Diseases (REDISSEC), Bilbao, Spain.
Juan Carlos ArenazaHealth Service Research Network on Chronic Diseases (REDISSEC), Bilbao, Spain.
Isidoro GarcíaTraumatology and Orthopedic Surgery Service, Galdakao-Usansolo Hospital (Osakidetza), Galdakao, Bizkaia, Spain.
Gloria Ariza-CardielHealth Service Research Network on Chronic Diseases (REDISSEC), Bilbao, Spain.
Elisa Trujillo-MartínRheumatology Service, University Hospital of the Canary Islands, Tenerife, Spain.
Maria João ForjazHealth Service Research Network on Chronic Diseases (REDISSEC), Bilbao, Spain.
Jesús Martín-FernándezHealth Service Research Network on Chronic Diseases (REDISSEC), Bilbao, Spain.
Hospital de Basurto · ESHospital de Galdakao · ESHospital Universitario de Canarias · ESInstituto de Salud Carlos III · ESSpanish Clinical Research Network · ESUniversidad de La Laguna · ESUniversidad Rey Juan Carlos · ES

Funding

Instituto de Salud Carlos III PI13/00518Instituto de Salud Carlos III PI13/00560Instituto de Salud Carlos III PI13/00648
6 · The paper itself

Abstract

purposeTo study the psychometric properties, including reliability, validity and responsiveness, of the Spanish EQ-5D-5L questionnaire for patients with hip or knee osteoarthritis (OA).

methodsWe included 758 patients with hip or knee OA who completed the EQ-5D-5L and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at baseline, of whom 644 also did 6 months later. The EQ-5D-5L contains five questions from which a utility index is derived. The WOMAC covers three dimensions: pain, stiffness and physical function. Floor and ceiling effects were calculated. Reliability was assessed using Cronbach's alpha. Convergent validity was tested using the Spearman correlation coefficient between EQ-5D-5L and WOMAC. We examined known-groups validity by comparing the EQ-5D-5L between subgroups defined by WOMAC scores using ANOVA or the Kruskal-Wallis test. Effect sizes were calculated to assess responsiveness, and minimal clinically important difference (MCID) was estimated.

resultsThe EQ-5D-5L showed minimal floor and ceiling effects (< 3%). Cronbach's alpha was 0.86. The EQ-5D-5L index was strongly correlated with WOMAC pain and function scores (- 0.688 and - 0.782). Patients with higher WOMAC scores had significantly (p < 0.0001) lower EQ-5D-5L index. The 20.19% had hip or knee replacement during the follow-up. Effect sizes were small among non-surgical patients, but > 0.80 among "improved" surgical patients, being the MCID for improvement 0.32 points.

conclusionsThe results support the reliability, validity and responsiveness of the EQ-5D-5L, overcoming the limitations of the EQ-5D-3L in these patients. Therefore, the EQ-5D-5L could be very useful as an outcome measure, at least in patients with hip or knee OA.

Indexed as

Minimal Clinically Important DifferenceAgedFemaleHumansMaleOsteoarthritis, HipOsteoarthritis, KneeOutcome Assessment, Health CarePain MeasurementPsychometricsQuality of LifeReproducibility of ResultsSurveys and QuestionnairesEQ-5D-5LMinimal clinically important differenceOsteoarthritisPsychometric propertiesUtility index

Identifiers

PMID29978346
OpenAlexW2824156522

What OpenQuestion holds

Textmetadata
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.