Age- and sex-specific Canadian utility norms, based on the 2013-2014 Canadian Community Health Survey.

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  • Additional Information
    • Source:
      Publisher: Canadian Medical Association Country of Publication: Canada NLM ID: 9711805 Publication Model: Print Cited Medium: Internet ISSN: 1488-2329 (Electronic) Linking ISSN: 08203946 NLM ISO Abbreviation: CMAJ Subsets: MEDLINE
    • Publication Information:
      Publication: Ottawa : Canadian Medical Association
      Original Publication: [Ottawa] : The Association = L'Association, [1985]-
    • Subject Terms:
      Economics* ; Health Status*; Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Canada ; Child ; Cost-Benefit Analysis ; Female ; Health Surveys ; Humans ; Male ; Middle Aged ; Multivariate Analysis ; Reference Values ; Regression Analysis ; Sex Factors ; Young Adult
    • Abstract:
      Background: Although many Canadian studies have provided disease-specific or patient group-specific utility scores, the utility score norms currently available for the general Canadian population are outdated. Canadian guideline recommendations for the economic evaluation of health technologies advocate for utilities reflecting those of the general population and for stratified analyses when results are heterogeneous; as such, there is also a need for age-, sex- and jurisdiction-specific utility score norms.
      Methods: We used data from the 2013-2014 Canadian Community Health Survey. We used the Health Utilities Index Mark 3 to calculate utility scores. We estimated means (with 95% confidence intervals [CIs]) and medians (with interquartile ranges [IQRs]) for utility scores. In addition to Canadian-level measures, we stratified all utility score norms by respondents' age, sex, and province or territory of residence. We weighted respondents' answers and computed 95% CIs using sampling weights and bootstrap weights provided by Statistics Canada to extrapolate the study findings to the Canadian population.
      Results: Respondents to the 2013-2014 Canadian Community Health Survey represented 30 014 589 community-dwelling Canadians 12 years of age and older (98% of the Canadian population); half of the respondents were female (50.6%), and the weighted average age was 44.8 (95% CI 44.7-44.9) years. The mean and median self-reported utility scores for Canadians were estimated at 0.863 (95% CI 0.861-0.865) and 0.927 (IQR 0.838-0.972), respectively.
      Interpretation: This study provides utility score norms for several age-, sex-and jurisdiction-specific strata in Canada. These results will be useful for future cost-utility analyses and could serve as benchmark values for comparisons with future studies.
      Competing Interests: Competing interests: David Feeny has a proprietary interest in Health Utilities Incorporated, the firm that distributes the copyrighted Health Utilities Index questionnaires, algorithms and related materials. No other competing interests were declared.
      (© 2018 Joule Inc. or its licensors.)
    • References:
      Health Qual Life Outcomes. 2010 Jan 27;8:12. (PMID: 20105304)
      Pharmacoeconomics. 2008;26(9):769-79. (PMID: 18767897)
      Health Qual Life Outcomes. 2016 Jul 18;14 (1):105. (PMID: 27431327)
      Health Policy. 1996 Jul;37(1):53-72. (PMID: 10158943)
      Arch Gerontol Geriatr. 2009 Sep-Oct;49(2):317-21. (PMID: 19135266)
      Med Care. 2007 Dec;45(12):1162-70. (PMID: 18007166)
      Popul Health Metr. 2010 Apr 29;8:8. (PMID: 20429875)
      Qual Life Res. 2007 Nov;16(9):1539-1546. (PMID: 17899447)
      Pharmacoeconomics. 1999 Apr;15(4):369-76. (PMID: 10537955)
      Med Care. 2002 Feb;40(2):113-28. (PMID: 11802084)
      Int J Health Econ Manag. 2016 Mar;16(1):1-21. (PMID: 27878706)
      Pediatr Blood Cancer. 2012 Oct;59(4):717-24. (PMID: 22294502)
      Med Care. 2001 Jun;39(6):562-74. (PMID: 11404641)
      Can J Gastroenterol. 2012 Jul;26(7):445-51. (PMID: 22803020)
      Health Rep. 2003 Aug;14(4):41-53. (PMID: 14608795)
      Health Qual Life Outcomes. 2003 Oct 16;1:54. (PMID: 14613568)
      ScientificWorldJournal. 2004 Aug 27;4:746-57. (PMID: 15349514)
      Pharmacoeconomics. 2014 Apr;32(4):367-75. (PMID: 24477679)
      Ann Med. 2001 Jul;33(5):344-9. (PMID: 11491193)
      Infect Control Hosp Epidemiol. 1995 Apr;16(4):240-7. (PMID: 7636174)
      Am J Public Health. 1994 Jul;84(7):1100-5. (PMID: 8017532)
      Value Health. 2006 Jul-Aug;9(4):213-8. (PMID: 16903990)
      Med Care. 2005 Nov;43(11):1078-86. (PMID: 16224300)
      Med Care. 2016 Jan;54(1):98-105. (PMID: 26492214)
      Health Promot Chronic Dis Prev Can. 2016 Oct;36(10 ):205-213. (PMID: 27768557)
    • Publication Date:
      Date Created: 20180215 Date Completed: 20190403 Latest Revision: 20190403
    • Publication Date:
      20221213
    • Accession Number:
      PMC5809215
    • Accession Number:
      10.1503/cmaj.170317
    • Accession Number:
      29440335