Evidence map›Paper›PMID 30409137›Full record

ArticleHealth and quality of life outcomes2018

EQ-5D-5L norms for the urban Chinese population in China.

Zhihao Yang, Jan Busschbach, Gordon Liu, Nan Luo

Open access · goldAbstract readValidation Study
In one paragraph

Article in Health and quality of life outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 1 pooled it
36.1field-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.

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

119 citing papers in PubMed, 1 synthesis or guideline pooled it, 197 citations in OpenAlex.

  1. Pooled it
  2. Mapping of the acromegaly quality of life questionnaire to ED-5D-5L index score among patients with acromegaly.The European journal of health economics : HEPAC : health economics in prevention and care · 2021
    Trial
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Population norms for the EQ-5D-3L and EQ-5D-5L in Peninsular Malaysia.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  8. Testing culturally relevant EQ-5D-5L bolt-ons for the Chinese general population: first quantitative phase of a mixed methods study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Identifying and developing culturally relevant EQ-5D-5L bolt-on items for Chinese population: qualitative phase of a mixed-methods study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  17. Article
  18. Article
  19. Population norms for the EQ-5D-5L for Hungary: comparison of online surveys and computer assisted personal interviews.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
    Article
  20. Article

59 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

4 authors at 4 institutions in 3 countries.

Zhihao YangHealth Services Management Department, Guizhou Medical University, No.9 Beijing Road, Guiyang, China. zhihao_yang_cn@126.com.ORCID http://orcid.org/0000-0001-5468-0847
Jan BusschbachMedical Psychology and Psychotherapy, Erasmus Medical Center, Wytemaweg, 80, Rotterdam, The Netherlands.
Gordon LiuNational School of Development, Peking University, 5 Yiheyuan Road, Beijing, 100871, China.
Nan LuoSaw Swee Hock School of Public Health, National University of Singapore, 6 Medical Drive, Block MD3, Singapore, 117597, Singapore.
Erasmus MC · NLGuiyang Medical University · CNNational University of Singapore · SGPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo generate Chinese population norms for the EQ-5D-5L dimensions, EQ-VAS (Visual Analogue Scale) scores and EQ-5D-5L index scores, stratified by gender and age. The EQ-5D is a widely used generic health-related quality of life instrument to describe population health and health outcomes in clinical trials and health economic evaluations. Currently, there are no EQ-5D-5L population norms for China.

methodsThis norm study utilized the data collected in an EQ-5D-5L valuation study in China between December 2012 and January 2013. In the valuation study, respondents were asked to report their own health states using the EQ-5D-5L descriptive system and the EQ-VAS. Respondents' demographic information was also collected. The EQ index score was calculated using the EQ-5D-5L value set based on the Chinese urban population. Norm scores were reported by important demographic variables.

resultsThe mean EQ-VAS scores ranged between 88.3 for males of < 19 years and 82.9 for females of 60-69 years. Contrary to other population studies, females reported higher EQ-VAS scores than males in every age group except for 20-29 years. The mean EQ-5D-5L index values ranged from 0.912 for females of > 70 years to 0.971 for females of 30-39 years. Respondents reported more problems in the dimensions 'pain/discomfort' and 'anxiety/depression' than in the dimensions 'mobility', 'self-care' and 'usual activities' in all age groups.

conclusionsThe population norm scores for the EQ-5D can be used as reference values for comparative purposes in future Chinese studies. Further research into rural and/or a more representative population is warranted.

Indexed as

Health StatusPatient Reported Outcome MeasuresQuality of LifeAdolescentAdultAgedAge FactorsAnxietyChinaDepressionFemaleHumansMaleMiddle AgedPainSelf CareChinaEQ-5D-5LHRQoLPopulation norm

Identifiers

PMID30409137
PMCPMC6225616
OpenAlexW2900226942

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.