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Danish value sets for the EORTC QLU-C10D (cancer utility)

Value setpeer-reviewed✓ Source-grounded

This value set provides Danish-specific utility weights for the EORTC QLU-C10D, a tool that measures health-related quality of life in cancer patients. It allows researchers to convert patient-reported outcomes into utility scores used in economic evaluations, reflecting how different cancer-related symptoms affect overall well-being from the perspective of the Danish general population.

At a glance

Use when

Conducting cost-utility analyses in oncology within the Danish healthcare context; translating EORTC QLQ-C30 or QLU-C10D patient-reported outcomes into quality-adjusted life years (QALYs) using Danish preference weights.

Avoid when

When population preferences from another country are required; when using non-cancer populations or non-oncology conditions where the QLU-C10D may not be valid; when patient-based weights are preferred over general population weights.

Inputs

Health state descriptions based on the 10 dimensions of the EORTC QLU-C10D (e.g., physical functioning, pain, role functioning, fatigue, etc.) at specific severity levels.

Outputs

Utility scores (preference weights) for cancer-related health states, anchored on a scale where 1 = full health and 0 = death, derived from Danish population preferences.

How it works

Danish utility weights for the EORTC QLU-C10D were derived using a discrete choice experiment (DCE) with 1001 representative adults from the Danish general population. Participants responded to 16 choice sets based on the 10 dimensions of the QLU-C10D. Conditional logistic regression was used to estimate utility weights, with corrections applied for non-monotonicity. The resulting value set enables the calculation of health state utilities for cost-utility analyses in oncology, specific to Danish population preferences.

HTA domains
Costs & Economic Evaluation, Patient and Social Aspects
Categories
HRQoL
Assumptions
Respondents' choices in the DCE reflect consistent preferences over health states; the QLU-C10D dimensions adequately capture relevant aspects of cancer-related quality of life; population representativeness allows generalization to the broader Danish population.
Strengths
Based on a large, representative sample of the Danish general population (n = 1001),Follows standardized methodology for DCE-based value set development,Provides country-specific utility weights for a cancer-specific multi-attribute utility instrument,Includes correction for non-monotonicity, enhancing model validity
Limitations
Non-monotonicity observed in some dimensions (sleep disturbances, lack of appetite, bowel problems), though not statistically significant,Web-based survey may exclude certain population groups with limited digital access,Weights reflect general population preferences, which may differ from patient perspectives
Also known as
Danish EORTC QLU-C10D value set, Danish utility weights for QLU-C10D

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