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Patient Utilities in Health States Based on Hoehn and Yahr and Off-Time in Parkinson’s Disease: A Swedish Register-Based Study in 1823 Observations

Author

Listed:
  • Jenny M. Norlin

    (The Swedish Institute for Health Economics)

  • Klas Kellerborg

    (The Swedish Institute for Health Economics)

  • Per Odin

    (Skåne University Hospital
    Lund University
    SWEPAR-net)

Abstract

Background Cost-effectiveness models in Parkinson’s disease often include health states based on Hoehn and Yahr (H&Y) and time in ‘off’. Few studies have investigated utilities in these health states. Objective The aim of this study was firstly to explore utilities in health states based on H&Y and off-time, and secondly to investigate to what extent H&Y and off-time correlated with EQ-5D dimensions. Methods Patients with idiopathic Parkinson’s disease in the National Parkinson’s Disease Patient Registry (PARKreg) in Sweden with observations of EQ-5D-3L, H&Y and off-time were included. Correlations with EQ-5D dimensions were analyzed. The relationship between the EQ-5D-3L and H&Y and off-time were estimated by a linear mixed-model with random intercept. Results Among patients in PARKreg, 1823 observations fulfilled inclusion criteria. The dimensions ‘self-care’, ‘mobility’ and ‘usual activities’ correlated moderately with H&Y (rs = 0.45, rs = 0.46, rs = 0.45). Weak correlations were found for ‘anxiety/depression’ and ‘pain/discomfort’ (rs = 0.24, rs = 0.22) (p values

Suggested Citation

  • Jenny M. Norlin & Klas Kellerborg & Per Odin, 2021. "Patient Utilities in Health States Based on Hoehn and Yahr and Off-Time in Parkinson’s Disease: A Swedish Register-Based Study in 1823 Observations," PharmacoEconomics, Springer, vol. 39(10), pages 1141-1149, October.
  • Handle: RePEc:spr:pharme:v:39:y:2021:i:10:d:10.1007_s40273-021-01056-z
    DOI: 10.1007/s40273-021-01056-z
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