A comparison of SF-36 and EQ-5D utility scores in a study of patients with schizophrenia

Paul McCrone, Anita Patel, Martin Knapp, Aart Schene, Maarten Koeter, Francesco Amaddeo, Mirella Ruggeri, Anne Giessler, Bernd Puschner, Graham Thornicroft (2009)

Please note: this is a legacy publication from CPEC (formely PSSRU at LSE).

Journal of Mental Health Policy and Economics 12 1 27-31

http://www.icmpe.org/test1/journal/journal.htm

Available online: 30 March 2009

Abstract
Economic evaluations of healthcare interventions increasingly measure outcomes using quality-adjusted life years (QALYs). The SF-6D and the EQ-5D are alternative ways of generating utility scores for use in QALY estimations. This study compares these measures in a sample of patients with schizophrenia. Mean utility scores were very similar at baseline (EQ-5D 0.68, SF-6D 0.67) and follow-up (EQ-5D 0.71, SF-6D 0.68). The SF-6D scores followed a normal distribution whilst the EQ-5D scores were negatively skewed with a clustering at 1.00. There were few differences in sensitivity to change between the EQ-5D and SF-6D. From an analytical perspective the SF-6D has advantages over the EQ-5D due to its normal distribution and lack of ceiling effect. However, both measures produce similar mean utility scores. Overall the SF-6D appears more suitable as a measure if utility in this patient group.