EQ-5D-Y-3L value sets
This is a set of values that helps measure how different health conditions affect the quality of life of children and adolescents, specifically from the perspective of a 10-year-old child. It was developed for use in Slovenia but is the first such set available globally for the EQ-5D-Y-3L questionnaire.
At a glance
Use when
Conducting economic evaluations involving children and adolescents in Slovenia or similar settings; when EQ-5D-Y-3L data need to be converted into QALYs
Avoid when
When child self-reported preferences are required; in populations with significantly different cultural values regarding child health; for use outside pediatric populations
Inputs
EQ-5D-Y-3L health state descriptions (five dimensions: mobility, self-care, usual activities, pain/discomfort, anxiety/depression, each with three severity levels)
Outputs
Health state utility values on a scale where 1 = full health, 0 = death, and negative values = states worse than death
How it works
The EQ-5D-Y-3L value set for Slovenia was derived using a discrete-choice experiment (DCE) with 1074 adults who evaluated health states by assuming the perspective of a 10-year-old child. The value of the worst health state (33333) was anchored using 200 composite time trade-off (cTTO) interviews. A mixed logit model was used to estimate the coefficients, all of which were statistically significant and showed expected negative signs. Pain/discomfort had the largest impact on health state valuation, followed by anxiety/depression, usual activities, mobility, and self-care.
- Project
- IMPACT HTA
- Funding
- Horizon 2020
- Project status
- Completed 2021
- HTA domains
- Costs & Economic Evaluation
- Categories
- HRQoL
- Technology
- Non-specific
- Assumptions
- Adults can accurately proxy the health state preferences of a 10-year-old child; the latent scale in DCE data is corrected using cTTO anchoring; health state values are transferable across populations with similar cultural context
- Strengths
- First EQ-5D-Y-3L value set published globally; follows international valuation protocol; large, representative sample; uses both DCE and cTTO methods; robust statistical modeling with mixed logit approach
- Limitations
- Relies on adult proxy valuation rather than child self-report; online survey may introduce selection bias; cultural specificity limits generalizability to other countries
- Geographic & clinical scope
- Germany; Slovenia; Spain
- Also known as
- EQ-5D-Y value set for Slovenia, EQ-5D-Y-3L Slovenia value set
Questions this answers
- › How do different health problems affect the quality of life of children in Slovenia?
- › How can we calculate QALYs for children using the EQ-5D-Y-3L instrument?
- › Which health dimensions matter most to children's quality of life according to adult proxies?
- › What is the value of full health versus different levels of health problems in children?
- › How was the worst possible health state valued in this study?
- › Can this value set be used in economic evaluations involving children?
References & sources
- paperDOI: 10.1007/s40273-020-00994-4 ↗
- deliverableec.europa.eu ↗
Related methods
Similar by meaning
Beta record. Generated from the primary source via AI extraction and independent audit, pending final human review.

