Skip to main content

Advertisement

SpringerLink
Log in

Comparing Short Form 6D, Standard Gamble, and Health Utilities Index Mark 2 and Mark 3 utility scores: Results from total hip arthroplasty patients

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Objective: The objectives are to compare SF-6D, standard gamble (SG), and Health Utilities Index (HUI) utility scores, compare change scores, and compare responsiveness. Methods: A cohort of osteoarthritis patients referred for total hip arthroplasty (THA) were evaluated at the time of referral and followed until 3 months after THA. Patients were assessed using the SF-36, HUI2, HUI3, and the SG. Agreement is assessed using the intra-class correlation (ICC). Responsiveness is assessed using effect size, standardized response mean, and paired t-test. Results: Data was available for 86 patients at baseline and for 63 at both pre- and post-surgery. At baseline mean SF-6D (0.61), SG (0.62), and HUI2 (0.62) scores were similar; the mean HUI3 score (0.52) was lower. Standard deviations were 0.10, 0.32, 0.19, and 0.22. At baseline, agreement between SF-6D and SG scores was 0.13, agreement between SF-6D and HUI2 was 0.47, and agreement between SF-6D and HUI3 was 0.28. Agreement at pre- and post-surgery was similar. The change in scores between post- and pre-surgery was 0.10 for SF-6D, 0.16 for SG, 0.22 for HUI2, and 0.23 for HUI3. Effect sizes were 1.10 for HUI2, 1.08 for HUI3, 1.06 for SF-6D, and 0.48 for the SG. Conclusions: Agreement between SG scores and SF-6D and HUI scores was low. The estimate of change in utility associated with THA was lowest for SF-6D. Additional longitudinal studies to compare utility measures appear to be warranted.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • J.E. Ware C.D. Sherbourne (1992) ArticleTitleThe MOS 36-Item Short Form Health Survey (SF-36). Med Care 30 IssueID6 473–483 Occurrence Handle1593914

    PubMed  Google Scholar 

  • J.E. Ware K.K. Snow M. Kosinski B. Gandek (1993) SF-36 Health Survey Manual and Interpretation Guide. New England Medical Center, The Health Institute Boston

    Google Scholar 

  • J.E. Ware SuffixJr. (1996) The SF-36 Health Survey B. Spilker (Eds) Quality of Life and Pharmacoeconomics in. Clinical Trials Lippincott-Raven Philadelphia, PA 337–345

    Google Scholar 

  • J. Brazier J. Roberts M. Deverill (2002) ArticleTitleThe estimation of a preference-based measure of health status from the SF-36. J Health Econom 21 IssueID2 271–292 Occurrence Handle10.1016/S0167-6296(01)00130-8

    Article  Google Scholar 

  • J.L. Mahon R. Bourne C. Rorabeck D. Feeny L. Stitt S. Webster-Bogaert (2002) ArticleTitleThe effect of waiting for elective total hip arthroplasty on health-related quality of life. Can med Assoc J 167 IssueID10 1115–1121

    Google Scholar 

  • C. Blanchard D. Feeny J.L. Mahon et al. (2004) ArticleTitleIs the Health Utilities Index valid in total hip arthroplasty patients? Qual Life Res 13 339–348 Occurrence Handle10.1023/B:QURE.0000018479.52075.bf

    Article  Google Scholar 

  • C. Blanchard D. Feeny J.L. Mahon et al. (2003) ArticleTitleIs the Health Utilities Index responsive in total hip arthroplasty patients? J Clini Epidemiol 56 1046–1054 Occurrence Handle10.1016/S0895-4356(03)00203-8

    Article  Google Scholar 

  • D. Feeny C. Blanchard J.L. Mahon et al. (2003) ArticleTitleComparing community-preference based and direct standard gamble utility scores: Evidence from elective total hip arthroplasty. Int J Technol Assess Health Care 19 IssueID2 362–372 Occurrence Handle10.1017/S0266462303000321

    Article  Google Scholar 

  • D. Feeny C.M. Blanchard J.L. Mahon et al. (2004) ArticleTitleThe stability of utility scores: Test–retest reliability and the interpretation of utility scores in elective total hip arthroplasty. Qual Life Res 13 15–22 Occurrence Handle10.1023/B:QURE.0000015307.33811.2d

    Article  Google Scholar 

  • D. Feeny G.W. Torrance W. Furlong (1996) Health Utilities Index B Spilker (Eds) Quality of Life and Pharmacoeconomics in Clinical Trials Lippincott-Raven Philadelphia, PA 239–251

    Google Scholar 

  • D. Feeny W. Furlong G.W. Torrance et al. (2002) ArticleTitleMulti-attribute and single-attribute utility functions for the Health Utilities Index Mark 3 system. Med Care 40 IssueID2 113–128 Occurrence Handle10.1097/00005650-200202000-00006

    Article  Google Scholar 

  • W.J. Furlong D.H. Feeny G.W. Torrance R.D. Barr (2001) ArticleTitleThe Health Utilities Index (HUI) system for assessing health-related quality of life in clinical studies. Ann Med 33 IssueID5 375–384 Occurrence Handle1:STN:280:DC%2BD3MvksFWqtA%3D%3D Occurrence Handle11491197

    CAS  PubMed  Google Scholar 

  • D. Feeny W. Furlong R.D. Barr G.W. Torrance P. Rosenbaum S. Weitzman (1992) ArticleTitleA comprehensive multiattribute system for classifying the health status of survivors of childhood cancer. J Clin Oncol 10 IssueID6 923–928

    Google Scholar 

  • G.W. Torrance D.H. Feeny W.J. Furlong R.D. Barr Y. Zhang Q. Wang (1996) ArticleTitleMulti-attribute preference functions for a␣comprehensive health status classification system: Health␣Utilities Index Mark 2. Med Care 34 IssueID7 702–722 Occurrence Handle10.1097/00005650-199607000-00004

    Article  Google Scholar 

  • A. Laupacis R. Bourne C. Rorabeck et al. (1993) ArticleTitleEffect of elective total hip replacement upon health-related quality of life. J Bone Joint Surg 75-A IssueID11 1619–1626

    Google Scholar 

  • Furlong W, Feeny D, Torrance GW, Barr R, Horsman J. Guide to design and development of health-state utility instrumentation. McMaster University Centre for Health Economics and Policy Analysis Working Paper No. 90-9, June 1990

  • J.D. Gibbons S. Chakraborti (1992) Non-Parametric Statistical Inference EditionNumber3 Marcel Dekker, Inc. New York

    Google Scholar 

  • M. Hollander D.A. Wolfe (1973) Non-Parametric Statistical Methods John Wiley & Sons, Inc. New York

    Google Scholar 

  • D.G. Kleinbaum L.L. Kupper K.E. Muller (1988) Applied Regression Analysis Other Multivariable Methods EditionNumber2 PWS-Kent Boston, MA

    Google Scholar 

  • R.A. Deyo P. Diehr D.L. Patrick (1991) ArticleTitleReproducibility and responsiveness of health status measures: Statistics and strategies for evaluation Controlled Clin Trials 12 IssueID4 142S–158S

    Google Scholar 

  • P.E. Shrout J.L. Fleiss (1979) ArticleTitleIntraclass correlations: Uses in assessing rater reliability. Psychol Bull 86 IssueID2 420–428 Occurrence Handle10.1037//0033-2909.86.2.420

    Article  Google Scholar 

  • J.C. Nunnally (1978) Psychometric Theory EditionNumber2 McGraw-Hill New York

    Google Scholar 

  • J.G. Wright N.L. Young (1997) ArticleTitleA comparison of different indices of responsiveness. J Clin Epidemiol 50 IssueID3 239–246 Occurrence Handle10.1016/S0895-4356(96)00373-3

    Article  Google Scholar 

  • I. McDowell C. Newell (1996) Measuring Health: A Guide to Rating Scales and Questionnaires EditionNumber2 Oxford University Press New York

    Google Scholar 

  • E.F. Juniper G.H. Guyatt R. Jaeschke (1996) How to develop and validate a new health-related quality of life instrument B. Spilker (Eds) Quality of Life and Pharmacoeconomics in Clinical Trials EditionNumber2 Lippincott-Raven Publishers Philadelphia 49–56

    Google Scholar 

  • W. Hollingworth R.A. Deyo S.D. Sullivan S.S. Emerson D.T. Gray J.G. Jarvik (2002) ArticleTitleThe practicality and validity of directly elicited and SF-36 derived Health State Preferences in patients with low back pain. Health Econom 11 IssueID1 71–85 Occurrence Handle10.1002/hec.650

    Article  Google Scholar 

  • J.A. Kopec K.D. Willison (2003) ArticleTitleA comparative review of four preference-weighted measures of health-related quality of life. J Clin Epidemiol 56 IssueID4 317–325 Occurrence Handle10.1016/S0895-4356(02)00609-1 Occurrence Handle12767408

    Article  PubMed  Google Scholar 

  • D. Feeny W. Furlong S. Saigal J. Sun (2004) ArticleTitleComparing directly measured standard gamble scores to HUI2 and HUI3 utility scores: Group and individual-level comparisons. Soc Sci Med 58 IssueID4 799–809 Occurrence Handle10.1016/S0277-9536(03)00254-5

    Article  Google Scholar 

  • M.R. Gold D.L. Patrick G.W. Torrance et al. (1996) Identifying and valuing outcomes M.R. Gold J.E. Siegel L.B. Russell M.C. Weinstein (Eds) Cost-Effectiveness in Health and Medicine Oxford University Press New York 82–134

    Google Scholar 

  • P. Grootendorst D. Feeny W. Furlong (2000) ArticleTitleHealth Utilities Index Mark 3: Evidence of construct validity for stroke and arthritis in a population health survey. Med Care 38 IssueID3 290–299 Occurrence Handle10.1097/00005650-200003000-00006

    Article  Google Scholar 

  • M. Drummond (2001) ArticleTitleIntroducing economic and quality of life measurements into clinical studies. Ann Med 33 IssueID5 344–349

    Google Scholar 

  • J.L. Bosch E.F. Halpern G. Scott Gazelle (2002) ArticleTitleComparison of preference-based utilities of the Short-Form 36 Health Survey and Health Utilities Index before and after treatment of patients with intermittent claudication. Med. Decis Making 22 IssueID5 403–409 Occurrence Handle10.1177/027298902320556091

    Article  Google Scholar 

  • T.A. Lee W. Hollingworth S.D. Sullivan (2003) ArticleTitleComparison of directly elicited preferences derived from the SF-36 in adults with asthma. Med Decis Making 23 IssueID4 323–334 Occurrence Handle10.1177/0272989X03256009

    Article  Google Scholar 

  • L. Longworth S. Bryan (2003) ArticleTitleAn empirical comparison of EQ-5D and SF-6D in liver transplant patients Health Econom 12 IssueID12 1061–1067 Occurrence Handle10.1002/hec.787

    Article  Google Scholar 

  • R. Rabin F. de Charro (2001) ArticleTitleEQ-5D: A measure of health status␣from the EuroQol Group. Ann Med 33 IssueID5 337–343

    Google Scholar 

  • P. Dolan (1997) ArticleTitleModeling valuations for EuroQol health states. Med Care 35 IssueID11 1095–1108 Occurrence Handle10.1097/00005650-199711000-00002 Occurrence Handle1:STN:280:DyaK1c%2FjtlKrtg%3D%3D Occurrence Handle9366889

    Article  CAS  PubMed  Google Scholar 

  • B. Conner-Spady M.E. Suarez-Almazor (2003) ArticleTitleVariation in the estimation of quality-adjusted life-years by different preference-based instruments. Med Care 41 IssueID7 791–801 Occurrence Handle10.1097/00005650-200307000-00003

    Article  Google Scholar 

  • B.J. O’Brien M. Spath G Blackhouse J.L. Severens P. Dorian J. Brazier (2003) ArticleTitleA view from the bridge: Agreement between the SF-6D utility algorithm and the Health Utilities Index Health Econom 12 IssueID11 975–981 Occurrence Handle10.1002/hec.789

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Institute of Health Economics, #1200, 10405 Jasper Avenue, Edmonton, AB, T5J 3N4, Canada

    David Feeny & Ken Eng

  2. Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta

    David Feeny

  3. Health Utilities Incorporated, Dundas, Ontario

    David Feeny

  4. Department of Medicine, University of Alberta, Edmonton, Alberta, Canada

    Lieling Wu

Authors
  1. David Feeny
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Lieling Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ken Eng
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to David Feeny.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Feeny, D., Wu, L. & Eng, K. Comparing Short Form 6D, Standard Gamble, and Health Utilities Index Mark 2 and Mark 3 utility scores: Results from total hip arthroplasty patients. Qual Life Res 13, 1659–1670 (2004). https://doi.org/10.1007/s11136-004-6189-2

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-004-6189-2

Keywords

Search

Navigation