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Pan-European value set for the EQ-5D-3L

Value setvalidated✓ Source-grounded

A single value set that combines health state preferences from multiple European countries to estimate quality of life for use in health technology assessments across Europe.

At a glance

Use when

Conducting multinational or EU-level HTA; when country-specific value sets are unavailable; for comparative economic evaluations across Europe

Avoid when

Local value sets exist and local preferences are prioritized; when cultural or healthcare system differences are expected to strongly influence health valuations

Inputs

EQ-5D-3L health state descriptions (five dimensions with three levels each)

Outputs

Health state utility values on a scale typically ranging from 0 (death) to 1 (full health), allowing for negative values (worse than death)

How it works

A pan-European value set for the EQ-5D-3L was developed by synthesizing published time trade-off (TTO) data from 12 European countries. Utility values for all 243 health states were simulated using national value set coefficients. An OLS regression model with interaction terms was selected based on goodness-of-fit. Population weighting was tested but had minimal impact.

Project
PECUNIA
Funding
Horizon 2020
Project status
Completed 2021
HTA domains
Costs & Economic Evaluation
Categories
HRQoL
Technology
Non-specific
Assumptions
National EQ-5D-3L valuation studies are methodologically comparable; preferences across Europe are sufficiently similar to justify aggregation; simulated utilities based on published coefficients accurately reflect original data
Strengths
Enables consistent economic evaluations across Europe; fills gap for countries without national value sets; model is transparent and easily updatable with new national data
Limitations
May mask important cultural or regional differences in health preferences; relies on simulated data rather than primary valuation studies; does not replace need for local validation
Also known as
Pan-European EQ-5D-3L value set

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