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Health utility and health-related quality of life of Japanese prostate cancer patients according to progression status measured using EQ-5D-5L and FACT-P.

Authors :
Murasawa, Hideki
Sugiyama, Takayuki
Matsuoka, Yuki
Okabe, Takashi
Hino, Amiko
Tanaka, Nobumichi
Sugimoto, Mikio
Oyama, Masafumi
Fujimoto, Kiyohide
Horie, Shigeo
Noto, Shinichi
Shimozuma, Kojiro
Source :
Quality of Life Research. Sep2019, Vol. 28 Issue 9, p2383-2391. 9p. 4 Charts, 1 Graph.
Publication Year :
2019

Abstract

<bold>Purpose: </bold>To obtain health utility data to allow for cost-effectiveness analysis in groups stratified by disease progression along with health-related quality of life (HRQoL) information in Japanese prostate cancer (PC) patients.<bold>Methods: </bold>In this cross-sectional observational study, EuroQol-5 Dimension- 5 Level (EQ-5D-5L), EuroQol Visual Analog Scale (EQ-VAS), and Functional Assessment of Cancer Therapy-Prostate (FACT-P) measures were used to examine utility, VAS scores, and disease-specific HRQoL, respectively. Scores obtained were statistically examined for the correlation among measures and domains. Parameter estimates of statistically significant factors were assessed using generalized linear models (GLM).<bold>Results: </bold>A total of 380 patients stratified by their disease progression status were analyzed. The numbers (%) of patients in groups stratified as having localized (L), localized progression (LP), distant metastatic (DM), and DM-castration-resistant PC (CRPC) were 275 (72.4), 40 (10.5), 27 (7.1), and 38 (10.0), respectively. EQ-5D-5L mean (standard deviation, SD) scores of L, LP, DM, and DM-CRPC in study participants were 0.87 (0.15), 0.86 (0.15), 0.85 (0.18), and 0.84 (0.17), respectively. The mean (SD) scores assessed by EQ-5D-5L, EQ-VAS, and FACT-P instruments were 0.86 (0.16), 74.6 (16.8), and 110.8 (19.6), respectively. Utility scores correlated well with FACT-P scores. Eastern Cooperative Oncology Group performance status had significant influences on all instruments' scores.<bold>Conclusions: </bold>We obtained health utility and HRQoL scores of Japanese PC patients stratified by disease progression in detail. Our results will be useful for establishing cost-effectiveness analyses in Japanese PC settings. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09629343
Volume :
28
Issue :
9
Database :
Academic Search Index
Journal :
Quality of Life Research
Publication Type :
Academic Journal
Accession number :
138126815
Full Text :
https://doi.org/10.1007/s11136-019-02184-y