caa a22 4500 606178724 CHVBK 20210128100758.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s11136-014-0902-6 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0902-6 The EQ-5D-5L index score is more discriminative than the EQ-5D-3L index score in diabetes patients [Elektronische Daten] [Chen-Wei Pan, Hong-Peng Sun, Xingzhi Wang, Qinghua Ma, Yong Xu, Nan Luo, Pei Wang] Purpose: To compare the discriminative power of the index scores of EQ-5D-5L (5L) and EQ-5D-3L (3L) in diabetes patients in China. Methods: A consecutive sample of type 2 diabetes mellitus (T2DM) patients in the clinics self-completed the two versions of EQ-5D. The 3L index score was obtained from the Chinese 3L value set; the 5L index score was predicted from the 3L index score using an interim scoring. Relative efficiency (RE) of the 5L and 3L index scores was calculated to compare their ability in differentiating between T2DM patients with and without one of ten clinical conditions. The efficiency of the 5L and 3L health state classification systems was assessed using the Shannon index (H′) and in terms of ceiling effects. Results: A total of 289 T2DM patients participated in this study. The 5L score was systematically lower than the 3L score for T2DM patients with and without a condition (range −0.36 to −0.06). The 5L score exhibited higher discriminative power in nine of ten conditions, with the mean RE value being 1.92. 5L had higher H′ values than 3L in all the five EQ-5D dimensions: mobility (1.14 vs. 0.70), self-care (0.44 vs. 0.33), usual activities (0.72 vs. 0.47), pain/discomfort (1.58 vs. 1.10), and anxiety/depression (1.03 vs. 0.67). The overall ceiling effects decreased from 56.7% (3L) to 36.7% (5L). Conclusion: The 5L index score is more discriminative than the 3L index score in T2DM patients and therefore is preferable for use in this population. Springer International Publishing Switzerland, 2014 EQ-5D-3L nationallicence EQ-5D-5L nationallicence Preference nationallicence Diabetes nationallicence Discriminative power nationallicence China nationallicence Pan Chen-Wei Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, China aut Sun Hong-Peng Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, China aut Wang Xingzhi Saw Swee Hock School of Public Health, National University of Singapore, Block MD 1, 12 Medical Drive, 117549, Singapore, Singapore aut Ma Qinghua The 3rd People's Hospital of Xiangcheng District, Suzhou, China aut Xu Yong Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, China aut Luo Nan Saw Swee Hock School of Public Health, National University of Singapore, Block MD 1, 12 Medical Drive, 117549, Singapore, Singapore aut Wang Pei Saw Swee Hock School of Public Health, National University of Singapore, Block MD 1, 12 Medical Drive, 117549, Singapore, Singapore aut Quality of Life Research Springer International Publishing 24/7(2015-07-01), 1767-1774 0962-9343 24:7<1767 2015 24 11136 https://doi.org/10.1007/s11136-014-0902-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0902-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pan Chen-Wei Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, China aut NATIONALLICENCE 700 1- Sun Hong-Peng Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, China aut NATIONALLICENCE 700 1- Wang Xingzhi Saw Swee Hock School of Public Health, National University of Singapore, Block MD 1, 12 Medical Drive, 117549, Singapore, Singapore aut NATIONALLICENCE 700 1- Ma Qinghua The 3rd People's Hospital of Xiangcheng District, Suzhou, China aut NATIONALLICENCE 700 1- Xu Yong Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, China aut NATIONALLICENCE 700 1- Luo Nan Saw Swee Hock School of Public Health, National University of Singapore, Block MD 1, 12 Medical Drive, 117549, Singapore, Singapore aut NATIONALLICENCE 700 1- Wang Pei Saw Swee Hock School of Public Health, National University of Singapore, Block MD 1, 12 Medical Drive, 117549, Singapore, Singapore aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/7(2015-07-01), 1767-1774 0962-9343 24:7<1767 2015 24 11136