Valuation of Child Health-Related Quality of Life in the United States.


Journal Article

Many economic analyses fail to incorporate evidence on child health-related quality of life because of a paucity of quality-adjusted life year (QALY) estimates. This health valuation study is the first to summarize the EQ-5D-Y on a QALY scale. Drawn from a nationally representative panel, 5207 adult respondents were asked to choose between two losses in child health-related quality of life. Based on their choices, a 1-year increase in child pain/discomfort from 'some' to 'a lot' equals a loss of 4 QALYs (95% CI, 3.8-4.4). Likewise, a 1-year increase in child anxiety/depression from 'a bit' to 'very worried, sad, or unhappy' equals a loss of 2 QALYs (95% CI, 1.9-2.2). These findings enable the integration of child-reported outcomes with adult preferences to inform economic analysis. Results inform both clinical practice and resource allocation decisions by enhancing understanding of difficult tradeoffs in child-reported outcomes. Copyright © 2015 John Wiley & Sons, Ltd.

Full Text

Duke Authors

Cited Authors

  • Craig, BM; Greiner, W; Brown, DS; Reeve, BB

Published Date

  • June 2016

Published In

Volume / Issue

  • 25 / 6

Start / End Page

  • 768 - 777

PubMed ID

  • 25926161

Pubmed Central ID

  • 25926161

Electronic International Standard Serial Number (EISSN)

  • 1099-1050

Digital Object Identifier (DOI)

  • 10.1002/hec.3184


  • eng

Conference Location

  • England