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Comparing EQ-5D-3L and EQ-5D-5L descriptive system

There is growing evidence on the comparative psychometric performance of the EQ-5D-3L and EQ-5D-5L descriptive systems. A recently published systematic review By Buchholz and colleagues of studies found that the 5-level version performed better, or at least the same in terms of measurement properties when compared to the 3-level version. While this review supports the use of both the 3-level and 5-level versions in a broad range of patients, populations and countries/regions; the EQ-5D-5L is to be preferred. Evidence on test-retest reliability and responsiveness is inconclusive and further research is required on these properties.

Study TitleFirst AuthorJournalYearType
A Systematic Review of Studies Comparing the Measurement Properties of the Three-Level and Five-Level Versions of the EQ-5D. Pharmacoeconomics.Buchholz IPharmacoeconomics2018review
Responsiveness of the anxiety/depression dimension of the 3- and 5-level versions of the EQ-5D in assessing mental healthCrick KQuality of Life Research2018longitudinal study
Is EQ-5D-5L Better Than EQ-5D-3L? A Head-to-Head Comparison of Descriptive Systems and Value Sets from Seven CountriesJanssen MFPharmacoeconomics2018cross sectional
Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L in psoriasis patientsPoor AKQuality of Life Research2017cross sectional
Assesment of the psychometric properties of the EQ-5D-3L and EQ-5D-5L instruments in psoriasisYfantopoulos JArch Dermatol Res.2017cross sectional
Validation and comparison of the psychometric properties of the EQ-5D-3L and EQ-5D-5L instruments in GreeceYfantopoulos JEur J Health Econ.2017cross sectional
Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adultsFerreira LNHealth Qual Life Outcomes2016cross sectional
Comparing the mapping between EQ-5D-5L, EQ-5D-3L and the EORTC-QLQ-C30 in non-small cell lung cancer patientsKhan IHealth Qual Life Outcomes2016cross sectional
Japanese population norms for preference-based measures: EQ-5D-3L, EQ-5D-5L, and Sf-6DShiroiwa TQuality of Life Research2016cross sectional
Cross-cultural measurement equivalence of the 5-level EQ-5D (EQ-5D-5L) in patients with type 2 diabetes mellitus in SingaporeWang YHealth Qual Life Outcomes2016cross sectional
The EQ-5D-5L is More Discriminative Than the EQ-5D-3L in Patients with Diabetes in SingaporeWang PValue Health Reg Issues.   2016cross sectional
Measuring changes in health over time using the EQ-5D 3L and 5L: a head-to-head comparison of measurement properties and sensitivity to change in a German inpatient rehabilitation sampleBuchholz IQuality of Life Research2015longitudinal study
Reliability and validity of the EQ-5D-5L compared to the EQ-5D-3L in patients with osteoarthritis referred for hip and knee replacementConner-Spady BLQuality of Life Research2015cross sectional
Assessing the health of the general population in England: how do the three- and five-level versions of EQ-5D compare?Feng YHealth Qual Life Outcomes2015cross sectional
Validity of EQ-5D-5L in stroke patientsGolicki DQuality of Life Research2015cross sectional
Comparing responsiveness of the EQ-5D-5L, EQ-5D-3L and EQ VAS in stroke patientsGolicki DQuality of Life Research2015longitudinal study
The EQ-5D-5L Improves on the EQ-5D-3L for Health-related Quality-of-life Assessment in Patients Undergoing Total Hip ArthroplastyGreene MEClin Orthop Relat Res.2015cross sectional
The EQ-5D-5L index score is more discriminative than the EQ-5D-3L index score in diabetes patientsPan CWQuality of Life Research2015cross sectional
Measurement properties of the EQ-5D-5L compared to EQ-5D-3L in the Thai diabetes patientsPattanaphesaj JHealth Qual Life Outcomes2015cross sectional
Health Related Quality of Life norm data of the general population in Italy: results using the EQ-5D-3L and EQ-5D-5L instrumentsScalone LEpidemiol Biostat Public Health.2015cross sectional
Comparing the EQ-5D 3L and 5L: measurement properties and association with chronic conditions and multimorbidity in the general populationAgborsangaya CBHealth Qual Life Outcomes2014cross sectional
Health problems are more common, but less severe when measured using newer EQ-5D versionsCraig BMJ Clin Epidemiol2014cross sectional
Comparison between the EQ-5D-5L and the EQ-5D-3L in patients with hepatitis BJia YXQuality of Life Research2014cross sectional
Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: a multi-country study.Janssen MFQuality of Life Research2013cross sectional
Psychometric properties of the EQ-5D-5L in the general population of South Korea.Kim THQuality of Life Research2013cross sectional
Comparing the performance of the standard EQ-5D 3L with the new version EQ-5D 5L in patients with chronic hepatic diseasesScalone LQuality of Life Research2013cross sectional
Comparing the psychometric properties of the EQ-5D-3L and EQ-5D-5L in cancer patients in Korea.Kim SHQuality of Life Research2012cross sectional
Comparing the standard EQ-5D-3L versus 5L version for the assessment of health of patients with liver diseases.Scalone LEuroQol proceedings2011cross sectional
Comparing the standard EQ-5D three-level system with a five-level version.Janssen MFValue in Health2008cross sectional
Psychometric comparison of the standard EQ-5D to a 5 level version in cancer patientsPickard ASMedical Care2007cross sectional
Should the EuroQol descriptive system be extended from three to five levels? A methodological strategy with an empirical pilot.Janssen MFValue in Health2002cross sectional

(Version 16OCT2018)

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