The DOI matches its Crossref record; 52 of the 55 references it cites were found in a registry or an index.
Validation of EQ-5D and 15D in the assessment of health-related quality of life in chronic pain
Abstract
Chronic pain has a significant impact on quality of life. Measurement of health-related quality of life (HRQoL) is essential in the assessment of pain management outcomes, but different instruments have produced varying results. We assessed the validity of 2 HRQoL instruments, EuroQol 5 dimensions questionnaire (EQ-5D) and 15-dimensional health-related quality of life measure (15D), in patients with challenging chronic pain. Three hundred ninety-one chronic noncancer pain patients referred to tertiary pain clinics completed EQ-5D, 15D, and a broad set of questionnaires mapping socioeconomic factors, self-rated health, pain intensity and interference, depression, pain acceptance, pain-related anxiety, and sleep. The 2 HRQoL instruments were compared with each other, and head-to-head comparisons were made with self-rated health and the symptom-specific questionnaires. 15D and EQ-5D showed moderate agreement (ρ = 0.66), but there were also considerable differences between the instruments. 15D correlated better with self-rated health than EQ-5D (ρ = −0.62 vs −0.45, P < 0.001). The EQ-5D appeared less sensitive than 15D especially in those patients with chronic pain who had a better health status. The principal component constructed from measures of pain intensity and interference, anxiety, pain acceptance, depression, and sleep had higher standardized beta coefficients with 15D than with EQ-5D ( P = 0.038). The principal component explained more variance in the 15D ( R 2 = 0.65) than in the EQ-5D ( R 2 = 0.43). The study identified differences in the pain-related variables between the EQ-5D and the 15D. In patients with chronic pain, both instruments are valid, but 15D appears somewhat more sensitive than EQ-5D.
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“15D has recently been validated as a health-related quality of life measure in chronic pain [29].”
From Symptom reduction and improved function in chronic CRPS type 1 after 12-week integrated, interdisciplinary therapy (2019) · cites this paper as [29]
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Cites
(1992) · PubMed · Cited by 33,716
The MOS 36-ltem Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Ware, J. E., & Sherbourne, C. D. (1992) · Medical Care · doi:10.1097/00005650-199206000-00002 · Cited by 30,033
EuroQol: a new facility for the measurement of health-related quality of life
(1990) · Health Policy · doi:10.1016/0168-8510(90)90421-9 · Cited by 15,736
Vos, T., Flaxman, A. D., Naghavi, M., Lozano, R., Michaud, C., Ezzati, M., Shibuya, K., Salomon, J. A., Abdalla, S., Aboyans, V., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61729-2 · Cited by 8,291
Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients
Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6703_13 · Cited by 5,965
EuroQol: the current state of play
Brooks, R. (1996) · Health Policy · doi:10.1016/0168-8510(96)00822-6 · Cited by 5,815
Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment
Breivik, H., Collett, B., Ventafridda, V., Cohen, R., & Gallacher, D. (2006) · European Journal of Pain · doi:10.1016/j.ejpain.2005.06.009 · Cited by 5,486
Core outcome domains for chronic pain clinical trials: IMMPACT recommendations
Turk, D. C., Dworkin, R. H., Allen, R. R., Bellamy, N., Brandenburg, N., Carr, D. B., Cleeland, C., Dionne, R., Farrar, J. T., Galer, B. S., et al. (2003) · Pain · doi:10.1016/j.pain.2003.08.001 · Cited by 3,510
Depression and Pain Comorbidity: A Literature Review
Bair, M. J., Robinson, R. L., Katon, W., & Kroenke, K. (2003) · Archives of Internal Medicine · doi:10.1001/archinte.163.20.2433 · Cited by 3,463
The association of sleep and pain: an update and a path forward
Finan, P. H., Goodin, B. R., & Smith, M. T. (2013) · The Journal of Pain · doi:10.1016/j.jpain.2013.08.007 · Cited by 1,620
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Miettinen, T., Kautiainen, H., Mäntyselkä, P. T., Linton, S. J., & Kalso, E. A. (2019) · PLoS ONE · doi:10.1371/journal.pone.0221437 · Cited by 60
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Meregaglia, M., & Cairns, J. (2017) · Health and Quality of Life Outcomes · doi:10.1186/s12955-017-0748-z · Cited by 53
Hu, Y., Yang, Y., Gao, Y., Zhao, L., Chen, L., Sui, W., & Hu, J. (2024) · BMC Public Health · doi:10.1186/s12889-024-19833-8 · Cited by 56
Naïditch, N., Billot, M., Moens, M., Goudman, L., Cornet, P., Breton, D. L., Manuel Roulaud, B., Ounajim, A., Page, P., Lorgeoux, B., et al. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10132817 · Cited by 52
Metadata
- Authors
- Vartiainen, P., Mäntyselkä, P., Heiskanen, T., Hagelberg, N., Mustola, S., Forssell, H., Kautiainen, H., & Kalso, E.
- Affiliations
- University of Helsinki (FI)
- University of Eastern Finland (FI)
- University of Turku (FI)
- South Karelia Central Hospital (FI)
- Corresponding author
- Vartiainen, Pekka
- Venue
- Pain
- Published
- 2017-05-23
- Volume
- 158
- Issue
- 8
- Pages
- 1577-1585
- ISSN
- 0304-3959 (ISSN-L)
- 1872-6623
- OpenAlex
- W2620532887
- Cited by
- 80
- References
- 55
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 8 · 2023: 9 · 2022: 8 · 2021: 22 · 2020: 7 · 2019: 10 · 2018: 2 · 2017: 2
- FWCI
- 10.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- UEF eRepo (University of Eastern Finland) (acceptedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- chronic non-cancer pain, health-related quality of life, EQ-5D, 15D, instrument validation, self-rated health, pain-related anxiety, pain acceptance, depression, sleep, measurement sensitivity
- MeSH terms
- Adult, Anxiety, Female, Health Status, Humans, Male, Middle Aged, Psychometrics, Quality of Life, Surveys and Questionnaires, Socioeconomic Factors, Chronic Pain
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- The paper
- Vartiainen, P., Mäntyselkä, P., Heiskanen, T., Hagelberg, N., Mustola, S., Forssell, H., Kautiainen, H., & Kalso, E. (2017). Validation of EQ-5D and 15D in the assessment of health-related quality of life in chronic pain. Pain. https://doi.org/10.1097/j.pain.0000000000000954