Responsiveness was similar between direct and mapped SF-6D in colorectal cancer patients who declined

Publication Type:
Journal Article
Journal of Clinical Epidemiology, 2014, 67 (2), pp. 219 - 227
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Objectives To evaluate the responsiveness of generic and mapped preference-based measures based on the anchor of global change in health condition of colorectal cancer (CRC) patients. Study Design and Setting A baseline sample of 333 Chinese CRC patients was recruited between September 2009 and July 2010 and was surveyed prospectively at 6-month follow-up. Preference-based indices were derived from the generic SF-6D measure (SF-6DDirect), from the Short Form-12 (SF-6DSF-12), and mapped from the condition-specific Functional Assessment of Cancer Therapy-Colorectal (SF-6DFACT-C). Responsiveness of three measures was assessed using standardized effect size, standardized response mean, responsiveness statistic, and receiver operating characteristic (ROC) curve analysis. Results The SF-6DSF-12and SF-6DFACT-Cindices were significantly more responsive to detect positive changes than the SF-6DDirectindex in improved groups. In worsened group, the SF-6DDirectand SF-6DFACT-Cindices showed significant decline from baseline to 6-month follow-up. The areas under the ROC curve for SF-6DDirectand SF-6DFACT-Cindices were not statistically different from 0.7. The SF-6DFACT-Cindex was more responsive to changes in health status compared with other indices. Conclusion Direct SF-6D measure was more responsive than mapped preference-based measures in improved group but the direction was reversed in worsened group. The use of a preference-based index mapped from a condition-specific measure captures both negative and positive important changes among CRC. © 2014 Elsevier Inc. All rights reserved.
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