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The "no problems"-problem: an empirical analysis of ceiling effects on the EQ-5D 5L

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The "no problems"-problem: an empirical analysis of ceiling effects on the EQ-5D 5L. / Konnopka, Alexander; Koenig, Hans-Helmut.

In: QUAL LIFE RES, Vol. 26, No. 8, 08.2017, p. 2079-2084.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Konnopka, A & Koenig, H-H 2017, 'The "no problems"-problem: an empirical analysis of ceiling effects on the EQ-5D 5L', QUAL LIFE RES, vol. 26, no. 8, pp. 2079-2084. https://doi.org/10.1007/s11136-017-1551-3

APA

Konnopka, A., & Koenig, H-H. (2017). The "no problems"-problem: an empirical analysis of ceiling effects on the EQ-5D 5L. QUAL LIFE RES, 26(8), 2079-2084. https://doi.org/10.1007/s11136-017-1551-3

Vancouver

Konnopka A, Koenig H-H. The "no problems"-problem: an empirical analysis of ceiling effects on the EQ-5D 5L. QUAL LIFE RES. 2017 Aug;26(8):2079-2084. https://doi.org/10.1007/s11136-017-1551-3

Bibtex

@article{755b4ada068e4f8882ea8cc3a164b6d2,
title = "The {"}no problems{"}-problem: an empirical analysis of ceiling effects on the EQ-5D 5L",
abstract = "AIM: To analyze the association between ceiling effects on the EQ-5D 5L and morbidity in a general population sample.METHODS: We used a cross-sectional sample of the German general population (n = 5007) to describe the frequency of health state {"}11111{"} and {"}no problems{"}-answers on the five single dimensions stratified by the number of diseases for which participants utilized health care during the last 6 months. For the five single dimensions we also used specific criteria to analyze their discriminative ability. A logit-model was applied for a multivariate analysis of ceiling effects.RESULTS: 31% of participants reported the health state {"}11111.{"} This percentage strongly decreased with increasing morbidity, down to 4.9% if four or more diseases were present. The dimensions {"}mobility,{"} {"}usual activities,{"} and {"}pain/discomfort{"} showed good discriminative abilities. The dimensions {"}anxiety/depression{"} and {"}self -care{"} were able to discriminate between different levels of morbidity, but nevertheless showed strong ceiling effects, in particular {"}self-care.{"}CONCLUSION: When analyzing ceiling effects of the EQ-5D 5L, one has to draw attention to morbidity since high proportions of participants indicating the best health state might result from being healthy regarding the dimensions assessed by the EQ-5D, in particular in general population datasets.",
keywords = "Journal Article",
author = "Alexander Konnopka and Hans-Helmut Koenig",
year = "2017",
month = aug,
doi = "10.1007/s11136-017-1551-3",
language = "English",
volume = "26",
pages = "2079--2084",
journal = "QUAL LIFE RES",
issn = "0962-9343",
publisher = "Springer Netherlands",
number = "8",

}

RIS

TY - JOUR

T1 - The "no problems"-problem: an empirical analysis of ceiling effects on the EQ-5D 5L

AU - Konnopka, Alexander

AU - Koenig, Hans-Helmut

PY - 2017/8

Y1 - 2017/8

N2 - AIM: To analyze the association between ceiling effects on the EQ-5D 5L and morbidity in a general population sample.METHODS: We used a cross-sectional sample of the German general population (n = 5007) to describe the frequency of health state "11111" and "no problems"-answers on the five single dimensions stratified by the number of diseases for which participants utilized health care during the last 6 months. For the five single dimensions we also used specific criteria to analyze their discriminative ability. A logit-model was applied for a multivariate analysis of ceiling effects.RESULTS: 31% of participants reported the health state "11111." This percentage strongly decreased with increasing morbidity, down to 4.9% if four or more diseases were present. The dimensions "mobility," "usual activities," and "pain/discomfort" showed good discriminative abilities. The dimensions "anxiety/depression" and "self -care" were able to discriminate between different levels of morbidity, but nevertheless showed strong ceiling effects, in particular "self-care."CONCLUSION: When analyzing ceiling effects of the EQ-5D 5L, one has to draw attention to morbidity since high proportions of participants indicating the best health state might result from being healthy regarding the dimensions assessed by the EQ-5D, in particular in general population datasets.

AB - AIM: To analyze the association between ceiling effects on the EQ-5D 5L and morbidity in a general population sample.METHODS: We used a cross-sectional sample of the German general population (n = 5007) to describe the frequency of health state "11111" and "no problems"-answers on the five single dimensions stratified by the number of diseases for which participants utilized health care during the last 6 months. For the five single dimensions we also used specific criteria to analyze their discriminative ability. A logit-model was applied for a multivariate analysis of ceiling effects.RESULTS: 31% of participants reported the health state "11111." This percentage strongly decreased with increasing morbidity, down to 4.9% if four or more diseases were present. The dimensions "mobility," "usual activities," and "pain/discomfort" showed good discriminative abilities. The dimensions "anxiety/depression" and "self -care" were able to discriminate between different levels of morbidity, but nevertheless showed strong ceiling effects, in particular "self-care."CONCLUSION: When analyzing ceiling effects of the EQ-5D 5L, one has to draw attention to morbidity since high proportions of participants indicating the best health state might result from being healthy regarding the dimensions assessed by the EQ-5D, in particular in general population datasets.

KW - Journal Article

U2 - 10.1007/s11136-017-1551-3

DO - 10.1007/s11136-017-1551-3

M3 - SCORING: Journal article

C2 - 28332022

VL - 26

SP - 2079

EP - 2084

JO - QUAL LIFE RES

JF - QUAL LIFE RES

SN - 0962-9343

IS - 8

ER -