Health‑related quality of life in elderly people with hypertension and the estimation of minimally important difference using EQ‑5D‑5L in Hong Kong SAR, China
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AbstractObjective
This study examined health-related quality of life (HRQoL) in elderly patients with hypertension in Hong Kong (HK) by using EQ-5D-5L and estimated the minimally important difference (MID) of the EQ-5D-5L index score for this
population.

Method
We analysed secondary data from a population-based cross-sectional patient experience survey in HK. The EQ-
5D-5L HK version was used to assess patients’ HRQoL. The mean EQ-5D index scores for different subgroups were evaluated by ANOVA. Tobit regression models were used to investigate the relationship between hypertension and HRQoL. An instrument-defined approach was adopted to estimate the MID of the EQ-5D-5L index score.

Result
A total of 3,351 patients’ records met the selection criteria and were used in this study for our analysis. The mean age
was 72.74 years, and 54.97% of respondents were female. The mean EQ-5D index score was 0.83. Most of the respondents (83.36%) reported having no problem with self-care. The Tobit regression model indicated that an increasing number of chronic conditions co-morbidity with hypertension contribute to a decrease in the EQ-5D index score. The overall MID estimate of the EQ-5D index score was 0.0917 and the adjusted MID was 0.0715. The MID estimates varied among respondents of different sexes and ages.

Conclusion
The HRQoL and MID estimate of EQ-5D for elderly individuals with hypertension was reported, which provide
valuable information for assisting health-care professionals in making clinical decisions in hypertensive care.
Acceptance Date10/03/2020
All Author(s) ListWong ELY, Xu RH, Cheung AWL
Journal nameEuropean Journal of Health Economics
Year2020
Month8
Volume Number21
Issue Number6
PublisherSpringer Verlag
Pages869 - 879
ISSN1618-7598
LanguagesEnglish-United Kingdom
KeywordsHealth-related quality of life, Hypertension, Elderly patients, Minimally important difference, EQ-5D, Hong
Kong, China

Last updated on 2022-15-01 at 23:29