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Health-related quality of life in elderly people with hypertension and the estimation of minimally important difference using EQ-5D-5L in Hong Kong SAR, China

Author

Listed:
  • Eliza Lai Yi Wong

    (The Chinese University of Hong Kong)

  • Richard Huan Xu

    (The Chinese University of Hong Kong)

  • Annie Wai Ling Cheung

    (The Chinese University of Hong Kong)

Abstract

Objective This study examined health-related quality of life (HRQoL) in elderly patients with hypertension in Hong Kong (HK) by using EQ-5D-5L and estimated the minimally important difference (MID) of the EQ-5D-5L index score for this population. Method We analysed secondary data from a population-based cross-sectional patient experience survey in HK. The EQ-5D-5L HK version was used to assess patients’ HRQoL. The mean EQ-5D index scores for different subgroups were evaluated by ANOVA. Tobit regression models were used to investigate the relationship between hypertension and HRQoL. An instrument-defined approach was adopted to estimate the MID of the EQ-5D-5L index score. Result A total of 3,351 patients’ records met the selection criteria and were used in this study for our analysis. The mean age was 72.74 years, and 54.97% of respondents were female. The mean EQ-5D index score was 0.83. Most of the respondents (83.36%) reported having no problem with self-care. The Tobit regression model indicated that an increasing number of chronic conditions co-morbidity with hypertension contribute to a decrease in the EQ-5D index score. The overall MID estimate of the EQ-5D index score was 0.0917 and the adjusted MID was 0.0715. The MID estimates varied among respondents of different sexes and ages. Conclusion The HRQoL and MID estimate of EQ-5D for elderly individuals with hypertension was reported, which provide valuable information for assisting health-care professionals in making clinical decisions in hypertensive care.

Suggested Citation

  • Eliza Lai Yi Wong & Richard Huan Xu & Annie Wai Ling Cheung, 2020. "Health-related quality of life in elderly people with hypertension and the estimation of minimally important difference using EQ-5D-5L in Hong Kong SAR, China," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(6), pages 869-879, August.
    • Handle: RePEc:spr:eujhec:v:21:y:2020:i:6:d:10.1007_s10198-020-01178-9
    DOI: 10.1007/s10198-020-01178-9
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    References listed on IDEAS

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    Cited by:

    1. Richard Huan Xu & Anju Devianee Keetharuth & Ling-ling Wang & Annie Wai-ling Cheung & Eliza Lai-yi Wong, 2022. "Measuring health-related quality of life and well-being: a head-to-head psychometric comparison of the EQ-5D-5L, ReQoL-UI and ICECAP-A," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(2), pages 165-176, March.
    2. Rigas G. Kalaitzidis & Panagiotis Theofilis & Kalliopi Touchantzidou & Aikaterini Vordoni & Kostas C. Siamopoulos & Petros Skapinakis, 2022. "Chronic Pain and Its Association with Depressive Symptoms and Renal Function in Hypertensive Patients," IJERPH, MDPI, vol. 19(3), pages 1-9, February.
    3. Richard Huan Xu & Yi Dai & Shamay S. M. Ng & Hector W. H. Tsang & Shuyang Zhang & Dong Dong, 2024. "Assessing validity of the EQ-5D-5L proxy in children and adolescents with Duchenne muscular dystrophy or spinal muscular atrophy," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(1), pages 103-115, February.

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    More about this item

    Keywords

    Health-related quality of life; Hypertension; Elderly patients; Minimally important difference; EQ-5D; Hong Kong; China;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • C1 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General

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