Assessing the performance of the EQ-VAS in the NHS PROMs programme
Open accessAbstract
Objectives: The study aims to increase knowledge about the performance of the EuroQol-visual analogue scales (EQ-VAS) in the UK NHS patient-reported outcome measures (PROMs) programme, which covers groin hernia, hip and knee replacement and varicose vein surgery, and make suggestions for improved collection, coding and analysis of data. Methods: Four hundred scanned images of matched before-and-after EQ-VAS PROMs responses were selected at random. These were classified according to the different ways in which they were completed. Patient-level PROMs programme data linked to Hospital Episode Statistics for all patients from April 2009 to February 2011 were used to analyse the relationship between the EQ-VAS and the EQ-5D profile, index-weighted profile and condition-specific instruments. The linked PROMs and HES data comprise 331,951 anonymised patient records. Results: A large majority (95 %) of EQ-VAS responses were completed in an unambiguous way, but only a minority (45 %) conformed strictly to the instructions given, posing challenges for data coding. The EQ-VAS data have a predictable and consistent relationship with the EQ-5D profile, although the correlations between the EQ-VAS and other measures of patient-reported health, both before and after surgery and in the change between them, are weak. Conclusions: EQ-VAS data might be improved by providing better guidance on collection and coding. It is argued that the observed differences in results from EQ-VAS and other measures of health reflect the fact that it measures a broader underlying construct of health, arguably providing a means of summarising overall health that is closer to the patient’s perspective.
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The EQ-5D-5L dimensions and EQ-VAS ask about health on the day of completion and provide a holistic measure of health state.
“As a measure of health, the EQ-5D-5L dimensions and EQ-VAS ask about health on the day that respondents complete the questionnaire, the EQ-VAS end points being, respectively, the ‘best’ and ‘worst’ health they can imagine, so it is a holistic measure of health state.28”
From Factors associated with self-reported health among New Zealand military veterans: A cross-sectional study (2022) · cites this paper as [28]
The Introduction describes the EQ-VAS as a global assessment of health, gives its best- and worst-imaginable-health endpoints, and says it asks about health on the day of completion. The paper describes a three-level EQ-5D profile, however, not the EQ-5D-5L dimensions; it does not establish the claim about those dimensions asking about health on that day or providing a holistic measure. Its ‘What does the EQ-VAS measure?’ section attributes the overall rating specifically to the EQ-VAS. (LLM, conf=0.86)
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- Authors
- Feng, Y., Parkin, D., & Devlin, N. J.
- Affiliations
- Office Of Health Economics (GB)
- King's College London (GB)
- Corresponding author
- Devlin, Nancy J.
- Venue
- Quality of Life Research
- Published
- 2013-10-01
- Volume
- 23
- Issue
- 3
- Pages
- 977-989
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- PMC
- PMC4287662
- OpenAlex
- W2158509657
- Cited by
- 319
- References
- 33
- Citations by year
- 2026: 28 · 2025: 38 · 2024: 41 · 2023: 43 · 2022: 35 · 2021: 47 · 2020: 32 · 2019: 20 · 2018: 13 · 2017: 9 · 2016: 5 · 2015: 5 · 2014: 1 · 2013: 2
- FWCI
- 10.14
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Quality of Life Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Research Portal (King's College London) (submittedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
- Social Sciences › Sociology and Political Science › Delphi Technique in Research
- Keywords
- EQ-VAS, patient-reported outcome measures, EQ-5D, data encoding, groin hernia, total hip arthroplasty, knee arthroplasty, varicose vein surgery, patient-reported health
- MeSH terms
- United Kingdom, Hernia, Inguinal, Humans, National Health Programs, Pain Measurement, Quality of Life, Surveys and Questionnaires, State Medicine, Program Evaluation, Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Quality Indicators, Health Care, Patient Outcome Assessment, Visual Analog Scale
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