Evidence map›Paper›PMID 33724402›Full record

ArticleEuropean heart journal. Quality of care & clinical outcomes2021

Predicting the EQ-5D utilities from the Kansas City Cardiomyopathy Questionnaire in patients with heart failure.

Merrill Thomas, Philip G Jones, David J Cohen, Arnold V Suzanne, Elizabeth A Magnuson, Kaijun Wang, Vinod H Thourani, Gregg C Fonarow, Alexander T Sandhu, John A Spertus

Abstract read
In one paragraph

Article in European heart journal. Quality of care & clinical outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Measurement properties of utility-based health-related quality of life measures in cardiac rehabilitation and secondary prevention programs: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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  13. Mapping Kansas City cardiomyopathy, Seattle Angina, and minnesota living with heart failure to the MacNew-7D in patients with heart disease.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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  15. China Health Related Outcomes Measures (CHROME): development of a descriptive system to support cardiovascular disease specific preference-based measure for the Chinese population.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Merrill ThomasCardiovascular Research, Saint Luke's Mid America Heart Institute, 4401 Wornall Road, Kansas City, MO 64111, USA.ORCID 0000-0003-3418-6424
Philip G JonesCardiovascular Research, Saint Luke's Mid America Heart Institute, 4401 Wornall Road, Kansas City, MO 64111, USA.
David J CohenDepartment of Biomedical and Health Informatics, University of Missouri-Kansas City, Kansas City, MO, USA.
Arnold V SuzanneCardiovascular Research, Saint Luke's Mid America Heart Institute, 4401 Wornall Road, Kansas City, MO 64111, USA.
Elizabeth A MagnusonCardiovascular Research, Saint Luke's Mid America Heart Institute, 4401 Wornall Road, Kansas City, MO 64111, USA.
Kaijun WangCardiovascular Research, Saint Luke's Mid America Heart Institute, 4401 Wornall Road, Kansas City, MO 64111, USA.
Vinod H ThouraniDepartment of Cardiovascular Surgery, Marcus Valve Center, Piedmont Heart Institute, 95 Collier Road Northwest, Suite 5015, Atlanta, GA 30309, USA.
Gregg C FonarowDepartment of Internal Medicine, Division of Cardiology, Ahmanson-UCLA Cardiomyopathy Center, Ronald Reagan UCLA Medical Center, 100 UCLA Medical Plaza, Suite 630, Los Angeles, CA 90095, USA.ORCID 0000-0002-3192-8093
Alexander T SandhuDivision of Cardiology, Department of Medicine, Stanford University, 300 Pasteur Dr, Stanford, CA 94305, USA.
John A SpertusCardiovascular Research, Saint Luke's Mid America Heart Institute, 4401 Wornall Road, Kansas City, MO 64111, USA.

Funding

CARDIOVASCULAR OUTCOMES RESEARCH TRAINING PROGRAMT32HL110837 · NHLBI · UNIVERSITY OF MISSOURI KANSAS CITY · PI JOHN A SPERTUS · 2012 to 2026
$5.0M
The Effect of Value-based Payment on Heart Failure Quality of Care (Value-HF)K23HL151672 · NHLBI · STANFORD UNIVERSITY · PI SANDHU, ALEXANDER · 2020 to 2024
$854k
NHLBI NIH HHS K23 HL151672NHLBI NIH HHS T32 HL110837
6 · The paper itself

Abstract

introductionEvaluation of health status benefits, cost-effectiveness, and value of new heart failure therapies is critical for supporting their use. The Kansas City Cardiomyopathy Questionnaire (KCCQ) measures patients' heart failure-specific health status but does not provide utilities needed for cost-effectiveness analyses. We mapped the KCCQ scores to EQ-5D scores so that estimates of societal-based utilities can be generated to support economic analyses.

methodsUsing data from two US cohort studies, we developed models for predicting EQ-5D utilities (3L and 5L versions) from the KCCQ (23- and 12-item versions). In addition to predicting scores directly, we considered predicting the five EQ-5D health state items and deriving utilities from the predicted responses, allowing different countries' health state valuations to be used. Model validation was performed internally via bootstrap and externally using data from two clinical trials. Model performance was assessed using R2, mean prediction error, mean absolute prediction error, and calibration of observed vs. predicted values.

resultsThe EQ-5D-3L models were developed from 1000 health status assessments in 547 patients with heart failure and reduced ejection fraction (HFrEF), while the EQ-5D-5L model was developed from 3925 patients with HFrEF. For both versions, models predicting individual EQ-5D items performed as well as those predicting utilities directly. The selected models for the 3L had internally validated R2 of 48.4-50.5% and 33.7-45.6% on external validation. The 5L version had validated R2 of 57.7%.

conclusionMappings from the KCCQ to the EQ-5D can yield the estimates of societal-based utilities to support cost-effectiveness analyses when EQ-5D data are not available.

Indexed as

CardiomyopathiesHeart FailureHumansKansasQuality of LifeStroke VolumeSurveys and QuestionnairesHealth economicsHealth statusUtilities

Identifiers

PMID33724402
PMCPMC8294685

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.