title: Mapping utility scores from the Barthel index.
abstract: OBJECTIVE
  It is not always possible to collect utility-based outcome data, like EQ-5D, needed for conducting economic evaluations in populations of older people. Sometimes, information on other non-utility outcome measures may have been collected. This paper examines the possibility of mapping the EQ-5D from a non-utility-based outcome, the Barthel index.
  
  
  METHODS
  Data for 1,189 UK intermediate care patients were used. Ordinary least squares (OLS), censored least absolute deviations (CLAD) estimator and multinomial logistic (ML) models were used. The mean absolute error (MAE) and root-mean-squared error (RMSE) were used to estimate the predictive accuracy of eight regression models. Validation of primary models was carried out on random samples of data collected at admission and discharge.
  
  
  RESULTS
  Models where the EQ-5D was entered as a continuous dependent variable and Barthel dimensions used as explanatory variables performed better. CLAD performed best on MAE and OLS on the RMSE, while the ML performed the worst on both measures. The CLAD predicted EQ-5D scores that matched the observed values more closely than the OLS.
  
  
  CONCLUSIONS
  It is possible to reasonably predict that the EQ-5D from the Barthel using regression methods and the CLAD model (4) is recommended.
authors: Health Economics Unit, University of Birmingham, Edgbaston, Birmingham, UK. b.c.kaambwa@bham.ac.uk
authors: Billingsley
authors: B
authors: Kaambwa
authors: Lucinda
authors: L
authors: Billingham
authors: Stirling
authors: S
authors: Bryan
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D015577:Geriatric Assessment; D006304:Health Status; D006801:Humans; D016018:Least-Squares Analysis; D016015:Logistic Models; D008297:Male; D017063:Outcome Assessment, Health Care; D011237:Predictive Value of Tests; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D006113:United Kingdom