Cited by 1,113Health Systems, Economic Evaluations, Quality of LifeEconomic and Environmental ValuationDelphi Technique in Research

Dutch Tariff for the Five-Level Version of EQ-5D

Open access
M. Versteegh, Matthijs, M. Vermeulen, Karin, M. A. A. Evers, Silvia, de Wit, G. Ardine, Prenger, Rilana, A. Stolk, Elly·2016·Value in Health

Abstract

BACKGROUND: In 2009, a new version of the EuroQol five-dimensional questionnaire (EQ-5D) was introduced with five rather than three answer levels per dimension. This instrument is known as the EQ-5D-5L. To make the EQ-5D-5L suitable for use in economic evaluations, societal values need to be attached to all 3125 health states. OBJECTIVES: To derive a Dutch tariff for the EQ-5D-5L. METHODS: Health state values were elicited during face-to-face interviews in a general population sample stratified for age, sex, and education, using composite time trade-off (cTTO) and a discrete choice experiment (DCE). Data were modeled using ordinary least squares and tobit regression (for cTTO) and a multinomial conditional logit model (for DCE). Model performance was evaluated on the basis of internal consistency, parsimony, goodness of fit, handling of left-censored values, and theoretical considerations. RESULTS: A representative sample (N = 1003) of the Dutch population participated in the valuation study. Data of 979 and 992 respondents were included in the analysis of the cTTO and the DCE, respectively. The cTTO data were left-censored at -1. The tobit model was considered the preferred model for the tariff on the basis of its handling of the censored nature of the data, which was confirmed through comparison with the DCE data. The predicted values for the EQ-5D-5L ranged from -0.446 to 1. CONCLUSIONS: This study established a Dutch tariff for the EQ-5D-5L on the basis of cTTO. The values represent the preferences of the Dutch population. The tariff can be used to estimate the impact of health care interventions on quality of life, for example, in context of economic evaluations.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/j.jval.2016.01.003

Cites

26 of 26 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 3

  1. Oppe M, van Hout B. The optimal hybrid: experimental design and modeling of a combination of TTO and DCE. Presented at: 27th Scientific Plenary Meeting of the EuroQol Group-Proceedings. EuroQol Group Executive Office, Rotterdam, the Netherlands, 2010: [Accessed June 11, 2015].
  2. Dolan P. Modeling valuations for the EuroQol health states. Med Care 1997;35:1095-108.
  3. Bonsel GJ, Oppe M, Janssen MF. Unexpected large misspecification effects of health profile selection and interaction analysis to obtain a value function from unsaturated valuation datasets, using the standard EuroQol approach. Presented at: EuroQoL Proceedings Plenary Meeting. Stockholm, Sweden, September 25-26, 2014.

Cited by

Sorted by citations

Authors
M. Versteegh, M., M. Vermeulen, K., M. A. A. Evers, S., de Wit, G. A., Prenger, R., & A. Stolk, E.
Affiliations
University of Twente (NL)
Venue
Value in Health
Publisher
Elsevier BV
Published
2016-06
Volume
19
Issue
4
Pages
343-352
ISSN
1098-3015 (ISSN-L)
OpenAlex
W2334353679
Cited by
1,113
References
26
Citations by year
2026: 100 · 2025: 143 · 2024: 175 · 2023: 126 · 2022: 157 · 2021: 139 · 2020: 95 · 2019: 66 · 2018: 62 · 2017: 36 · 2016: 13
FWCI
115.47
Type
journal article
Language
en
Open access
Locations
  • Value in Health (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • University of Twente Research Information (publishedVersion, cc-by-nc-nd)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
  • RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • Research Publications (Maastricht University) (submittedVersion, cc-by-nc-nd)
  • Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by-nc-nd)
  • RePub (Erasmus University Rotterdam) (submittedVersion)
  • Rivm (National Institute for Public Health and the Environment) (submittedVersion)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
  • University of Twente Research Information (submittedVersion, cc-by-nc-nd)
Topics
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Environmental Valuation
  • Social Sciences › Sociology and Political Science › Delphi Technique in Research
Keywords
EQ-5D-5L, tariffs, health state valuation, composite time trade-off, discrete choice experiment, Tobit model, health-related quality of life, economic evaluation
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Algorithms, Female, Health Status Indicators, Humans, Interviews as Topic, Male, Middle Aged, Netherlands, Quality of Life, Surveys and Questionnaires, Regression Analysis, Young Adult

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review