Estimating a preference-based single index from the Overactive Bladder Questionnaire

Value Health. 2009 Jan-Feb;12(1):159-66. doi: 10.1111/j.1524-4733.2008.00413.x. Epub 2008 Jul 18.

Abstract

Objectives: The aim of the study is to estimate a preference-based single index for calculating quality-adjusted life years for patients with overactive bladder (OAB), based on a survey of the UK general population using the 5-dimensional health classification system OAB-5D, derived from the validated Overactive Bladder Questionnaire (OAB-q).

Methods: An interview valuation survey of members of public in the South Yorkshire, UK was undertaken using the time-trade-off method. Each respondent was randomly allocated to one of 14 blocks, and valued seven states each plus the "pits" state, so that a total of 99 states were valued. A number of multivariate regression models were estimated for predicting a total of 3125 health state values defined by the classification. Models were compared and selected using a set of criteria, including overall diagnosis by adjusted R-squared, the sign and significance of individual parameter estimates, the relative size of coefficients within a given dimension and predictive ability.

Results: The mean model was recommended for use in economic evaluation.

Conclusion: This will permit the cost-effectiveness of new interventions to be assessed in patients with OAB using existing and future OAB-q data sets.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Health Status
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Models, Economic*
  • Patient Preference / economics*
  • Quality-Adjusted Life Years*
  • United Kingdom
  • Urinary Bladder, Overactive / economics*
  • Young Adult