Swedish experience-based EQ-5D-3L value sets (Burström)
This value set provides Swedish population-based values for different health states measured by the EQ-5D-3L instrument, based on real-life health experiences of around 45,000 people. It helps estimate quality-adjusted life years (QALYs) using values that reflect how Swedes actually experience their health, rather than hypothetical scenarios.
At a glance
Use when
Conducting health economic evaluations in Sweden, especially for reimbursement submissions requiring experience-based utility values; when mental health impact needs accurate representation; when using EQ-5D-3L data from Swedish populations
Avoid when
When a hypothetical valuation perspective is required; when applying to non-Swedish populations; when using EQ-5D-5L or other variants without cross-walking
Inputs
EQ-5D-3L health state profiles from individuals or populations, optionally including demographic covariates (age, sex, education, socioeconomic group)
Outputs
Utility values (on a 0–1 scale) for EQ-5D-3L health states based on Swedish population experience, including TTO-based and VAS-based value sets
How it works
The value set was derived from a large general population survey (n ≈ 45,000) linking EQ-5D-3L responses to experience-based time trade-off (TTO) and visual analogue scale (VAS) valuations. Multivariate regression models were used to estimate the impact of each EQ-5D dimension and severity level on TTO and VAS scores. The value set accounts for age, sex, education, and socioeconomic group, though these had modest effects. Anxiety/depression had the largest negative impact on health valuations. The set supports QALY calculation in economic evaluations consistent with Swedish reimbursement guidelines.
- HTA domains
- Clinical Effectiveness, Patient and Social Aspects
- Categories
- HRQoL
- Assumptions
- Health state valuations are consistent across subgroups; the EQ-5D-3L adequately captures relevant aspects of health; experience-based values reflect societal preferences sufficiently for economic evaluation purposes
- Strengths
- Based on a very large, nationally representative sample (n ≈ 45,000),Uses experience-based valuation (TTO and VAS), aligning with patient-centered and real-world health assessment,Supports national HTA and reimbursement guidelines in Sweden,Highlights the significant impact of mental health on quality of life
- Limitations
- Does not include valuation of the worst health state via TTO (due to floor effects),Limited impact of usual activities dimension in modeling,Modest improvement in explanatory power when including sociodemographic variables,May not be generalizable to other countries or cultures
- Also known as
- Burström EQ-5D-3L value set, Swedish EQ-5D-3L experience-based values, Swedish TTO-based EQ-5D value set
Questions this answers
- › What is the value of a given EQ-5D-3L health state based on the experiences of the Swedish general population?
- › How do different dimensions and severity levels of health (e.g., anxiety/depression) affect health-related quality of life in Sweden?
- › How do real-world (experience-based) valuations of health states compare to hypothetical valuations?
- › How should EQ-5D-3L data from Swedish populations be converted into utility values for cost-utility analysis?
- › What is the relative impact of mental health dimensions on overall health valuation in Sweden?
- › How do self-rated health (SRH) and EQ-5D dimensions correlate with TTO and VAS values?
References & sources
Similar by meaning
- Swedish EQ-5D-5L experience-based value sets (Burström TTO & VAS)
- Swedish experience-based value sets for EQ-5D health states
- Estimating a social value set for EQ-5D-5L in Sweden
- Experience-Based Swedish TTO and VAS Value Sets for EQ-5D-5L Health States
- Differences between hypothetical and experience-based value sets for EQ-5D used in Sweden: Implications for decision makers
Beta record. Generated from the primary source via AI extraction and independent audit, pending final human review.