Publication:
Towards a better QALY model

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Date
2006-07-03
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Authors
Abellán Perpiñán, José María ; Pinto Prades, José Luis ; Méndez Martínez, Ildefonso ; Badía Llach, Xabier
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Publisher
Wiley
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DOI
https://doi.org/10.1002/hec.1095
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Description
© 2006 John Wiley & Sons, Ltd. This document is the Published version of a Published Work that appeared in final form in Health Economics. To access the final edited and published work see https://doi.org/10.1002/hec.1095
Abstract
This paper presents a test of the predictive validity of various classes of QALY models (i.e. linear, power and exponential models). We first estimated TTO utilities for 43 EQ-5D chronic health states and next these states were embedded in nonchronic health profiles. The chronic TTO utilities were then used to predict the responses to TTO questions with nonchronic health profiles. We find that the power QALY model clearly outperforms linear and exponential QALY models. Optimal power coefficient is 0.65. Our results suggest that TTO-based QALY calculations may be biased. This bias can be corrected using a power QALY model.
Citation
Health Economics, 2006, Vol. 15, N. 7, pp. 665-676
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