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. 2024 Nov;25(8):1383-1391.
doi: 10.1007/s10198-024-01677-z. Epub 2024 Feb 25.

Measuring EQ-5D-5L utility values in parents who have experienced perinatal death

Elizabeth M Camacho  1   2 , Katherine J Gold  3 , Margaret Murphy  4 , Claire Storey  5 , Alexander E P Heazell  6   7
Affiliations

Measuring EQ-5D-5L utility values in parents who have experienced perinatal death

Elizabeth M Camacho et al. Eur J Health Econ. 2024 Nov.

Abstract

Background: Policymakers use clinical and cost-effectiveness evidence to support decisions about health service commissioning. In England, the National Institute for Health and Care Excellence (NICE) recommend that in cost-effectiveness analyses "effectiveness" is measured as quality-adjusted life years (QALYs), derived from health utility values. The impact of perinatal death (stillbirth/neonatal death) on parents' health utility is currently unknown. This knowledge would improve the robustness of cost-effectiveness evidence for policymakers.

Objective: This study aimed to estimate the impact of perinatal death on parents' health utility.

Methods: An online survey conducted with mothers and fathers in England who experienced a perinatal death. Participants reported how long ago their baby died and whether they/their partner subsequently became pregnant again. They were asked to rate their health on the EQ-5D-5L instrument (generic health measure). EQ-5D-5L responses were used to calculate health utility values. These were compared with age-matched values for the general population to estimate a utility shortfall (i.e. health loss) associated with perinatal death.

Results: There were 256 survey respondents with a median age of 40 years (IQR 26-40). Median time since death was 27 months (IQR 8-71). The mean utility value of the sample was 0.774 (95% CI 0.752-0.796). Utility values in the sample were 13% lower than general population values (p < 0.05). Over 10 years, this equated to a loss of 1.1 QALYs. This reduction in health utility was driven by anxiety and depression.

Conclusions: Perinatal death has important and long-lasting health impacts on parents. Mental health support following perinatal bereavement is especially important.

Keywords: EQ-5D; Foetal death; Health utility values; Neonatal death; Stillbirth.

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Conflict of interest statement

All authors report no competing interests.

Figures

Fig. 1
Fig. 1
Distribution of responses on EQ-5D-5L
See this image and copyright information in PMC

References

    1. National Institute for Health and Care Excellence (NICE): NICE health technology evaluations: the manual. NICE, London (2022)
    1. Santos, A.S., Guerra-Junior, A.A., Godman, B., Morton, A., Ruas, C.M.: Cost-effectiveness thresholds: methods for setting and examples from around the world. Expert Rev. Pharmacoecon. Outcomes Res. 18, 277–288 (2018). 10.1080/14737167.2018.1443810 - DOI - PubMed
    1. Office for National Statistics: Births in England and Wales: 2021. , London (2022)
    1. Veettil, S.K., Kategeaw, W., Hejazi, A., Workalemahu, T., Rothwell, E., Silver, R.M., Chaiyakunapruk, N.: The economic burden associated with stillbirth: A systematic review. Birth (2023). 10.1111/birt.12714 - DOI - PubMed
    1. Ogwulu, C.B., Jackson, L.J., Heazell, A.E.P., Roberts, T.E.: Exploring the intangible economic costs of stillbirth. BMC Pregnancy Childbirth 15, 188 (2015). 10.1186/s12884-015-0617-x - DOI - PMC - PubMed

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