Parallel Valuation of the EQ-5D-3L and EQ-5D-5L by Time Trade-Offin Hungary

Rencz, Fanni, Brodszky, Valentin, Gulácsi, László, Golicki, Dominik, Ruzsa, Gábor, Pickard, A. Simon, Law, Ernest H. and Péntek, Márta (2020) Parallel Valuation of the EQ-5D-3L and EQ-5D-5L by Time Trade-Offin Hungary. Value in Health, 23 (9). pp. 1235-1245. DOI

PDF - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader

Official URL:

A nyílt hozzáférést az EISZ és a kiadó között létrejött "Read and Publish" szerződés biztosította. Open access was provided "Read and Publish" contract between EIS and the publisher.


Objectives The wording of the Hungarian EQ-5D-3L and EQ-5D-5L descriptive systems differ a great deal. This study aimed to (1) develop EQ-5D-3L and EQ-5D-5L value sets for Hungary from a common sample, and (2) compare how level wording affected valuations. Methods In 2018 to 2019, 1000 respondents, representative of the Hungarian general population, completed composite time trade-off tasks. Pooled heteroscedastic Tobit models were used to estimate value sets. Value set characteristics, single-level transition utilities from adjacent corner health states, and mean transition utilities for all possible health states were compared between the EQ-5D-3L and EQ-5D-5L. Results Health utilities ranged from -0.865 to 1 for the EQ-5D-3L and -0.848 to 1 for the EQ-5D-5L. The relative importance of the 5 EQ-5D-5L dimensions was as follows: mobility, pain/discomfort, self-care, anxiety/depression, and usual activities. A similar preference ranking was observed for the EQ-5D-3L with self-care being more important than pain/discomfort. The EQ-5D-5L demonstrated lower ceiling effects (range of utilities for the mildest states: 0.900-0.958 [3L] vs 0.955-0.965 [5L]) and better consistency of mean transition utilities across the range of scale. Changing “confined to bed” (3L) to “unable to walk” (5L) had a large positive impact on utilities. Smaller changes with more negative wording in the other dimensions (eg, “very much anxious/feeling down a lot” [3L] vs “extremely anxious/depressed” [5L]) had a modest negative impact on utilities. Conclusion This study developed value sets of the EQ-5D-3L and EQ-5D-5L for Hungary. Our findings contribute to the understanding of how the wording of descriptive systems affects the estimates of utilities.

Item Type:Article
Uncontrolled Keywords:EQ-5D, value set, composite time trade-off, QALY, Europe
Social welfare, insurance, health care
ID Code:6122
Deposited By: Veronika Vitéz
Deposited On:01 Dec 2020 13:59
Last Modified:01 Dec 2020 13:59

Repository Staff Only: item control page


Downloads per month over past year

View more statistics