Evidence map›Paper›PMID 42052683›Full record

ArticleStroke2026

Mapping the mRS Into the EQ-5D-5L in Patients With Ischemic Stroke.

Florentina M E Pinckaers, Janneke P C Grutters, Silvia M A A Evers, Hester F Lingsma, Hieronymus D Boogaarts, Diederik W J Dippel, Alida A Postma, Aad van der Lugt, Charles B L M Majoie, Yvo B W E M Roos and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Stroke, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Mapping the Problem Areas in Diabetes (PAID) and Diabetes Distress Scale (DDS) to the EQ-5D-5L in diabetes care.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
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

13 authors.

Florentina M E PinckaersDepartment of Radiology and Nuclear Medicine (F.M.E.P., A.A.P., W.H.v.Z.), Maastricht University Medical Centre, the Netherlands.ORCID 0000-0002-8336-6897
Janneke P C GruttersScience IQ Health, Radboudumc, Nijmegen, the Netherlands (J.P.C.G.).ORCID 0000-0002-2579-1561
Silvia M A A EversCare and Public Health Research Institute (CAPHRI) (F.M.E.P., S.M.A.A.E., A.G.), Maastricht University, the Netherlands.ORCID 0000-0003-1026-570X
Hester F LingsmaDepartment of Public Health (H.F.L.), Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0003-2063-9533
Hieronymus D BoogaartsDepartment of Neurosurgery, Radboudumc, Nijmegen, the Netherlands (H.D.B.).ORCID 0000-0001-5855-2447
Diederik W J DippelDepartment of Neurology (D.W.J.D.), Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-9234-3515
Alida A PostmaDepartment of Radiology and Nuclear Medicine (F.M.E.P., A.A.P., W.H.v.Z.), Maastricht University Medical Centre, the Netherlands.ORCID 0000-0002-1116-054X
Aad van der LugtDepartment of Radiology (A.v.d.L.), Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-6159-2228
Charles B L M MajoieDepartment of Radiology and Nuclear Medicine (C.B.L.M.M.), Amsterdam UMC, the Netherlands.ORCID 0000-0002-7600-9568
Yvo B W E M RoosDepartment of Neurology (Y.B.W.E.M.R.), Amsterdam UMC, the Netherlands.ORCID 0000-0001-9205-5882
Robert J van OostenbruggeDepartment of Neurology (R.J.v.O.), Maastricht University Medical Centre, the Netherlands.ORCID 0000-0003-1032-9099
Wim H van ZwamDepartment of Radiology and Nuclear Medicine (F.M.E.P., A.A.P., W.H.v.Z.), Maastricht University Medical Centre, the Netherlands.ORCID 0000-0003-1631-7056
Andrea GabrioCare and Public Health Research Institute (CAPHRI) (F.M.E.P., S.M.A.A.E., A.G.), Maastricht University, the Netherlands.ORCID 0000-0002-7650-4534

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMapping concerns the cross-walking of one health-related quality of life instrument to another. This study aimed to translate the modified Rankin Scale (mRS) score at 3 months after ischemic stroke into 5-level version of the EQ-5D (EQ-5D-5L)-based utility values, which may be used for the derivation of quality-adjusted life years for cost-effectiveness analyses.

methodsData from 3 Dutch multicenter phase III clinical trials in ischemic stroke were pooled (MR CLEAN [Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands]-NO-IV, MR CLEAN-MED, and MR CLEAN-LATE). The mRS and EQ-5D-5L were assessed by telephone interview at 3 months poststroke. The correlation (Spearman coefficient) between the mRS and each EQ-5D-5L domain was assessed. Various direct and indirect mapping algorithms were explored. Model performance (predictive ability) was assessed using bootstrapping in the full testing set (mRS score 0-5) and in patients with independent (0-2) and dependent (3-5) mRS scores separately. Results were validated in an external validation set derived from a cross-sectional Dutch study. Final utility estimates per mRS score were assessed in the pooled trial and external validation data set.

resultsThe EQ-5D-5L dimensions self-care, daily activities, and mobility demonstrated the strongest correlation to the mRS (

conclusionsThe mean utility weights provided in this study may be used for the direct estimation of quality-adjusted life years from mRS scores. Furthermore, the multinomial logit model may be used to derive utility values from new data sets with different country-specific utility tariffs. Our results are ideally suited for application in cost-effectiveness analyses.

Indexed as

Brain IschemiaIschemic StrokeQuality of LifeStrokeAgedCost-Benefit AnalysisFemaleHumansMaleMiddle AgedNetherlandsQuality-Adjusted Life Yearsalgorithmcost-benefit analysisoutcome assessment, health carequality-adjusted life yearsquality of lifestroketreatment outcome

Identifiers

PMID42052683
PMCPMC13196856

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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.