EQ-5D and PROMs

Earlier this month, the first set of data on post operative patient reported outcomes (PROMs) was published by the Department of Health (DH). For the first time, this has provided a patient-based assessment of changes in patients’ health related quality of life following hip replacement. The data also cover surgery on knees, varicose veins and groin hernias.

QALY measures have become important tools in valuing health interventions so that resource allocations can be made. Current methods, however, may not adequately capture QALYs for cancer patients, particularly in the last years of life. This post reviews the issues and suggests next steps.

The EuroQol Group's 27th Scientific Plenary will take place in mid-September. Researchers will report on several exciting developments in the EQ-5D, a measure of self-reported health widely used in research and in the NHS PROMs programme. Professor Nancy Devlin (OHE) and Professor Jan van Busschbach (Erasmus MC) are the joint Scientific Chairs.

A report published today by The King’s Fund shows that having a choice of hospitals is valued by the majority of patients. However, it is not yet operating as intended and has not so far acted as a lever to improve quality and increase competition.

In an article in Health Economics, Prof Devlin and her co-authors demonstrate the promise of using Lead Time TTO to value health 'state worse than death'. They demonstrate the potential advantages of the approach and identify important next steps in developing the methodology.

The OHE has won a £325,000 grant from the UK Department of Health that focuses on developing a new health status index – the 5 level EQ-5D --that will capture smaller changes in health related quality of life.

Getting the Most out of PROMS is a clearly written, comprehensive review of the practical issues involved in creating reliable PROMs, in presenting results both accurately and in usable formats, and applying them in making choices.

PROMs are intended to fill a critical gap in understanding the impact of health care on the patient's quality of life. OHE is closely involved in PROMs research and policy discussions.

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