Determining the value of hand surgery through mapping algorithms.

IF 1.6

The Journal of hand surgery, European volume Pub Date : 2026-05-01 Epub Date: 2026-02-11 DOI:10.1177/17531934251408719

Luke Geoghegan, Conrad J Harrison, Shehan Hettiaratchy, Jeremy N Rodrigues

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Abstract

Introduction: Health state utility values describe the desirability of health states and are needed to calculate quality-adjusted life years. Traditionally, they are derived using generic measures such as the EuroQol 5-Dimension scale. No hand-specific measures can be used to derive them. This study aimed to develop and evaluate mapping algorithms to estimate the EuroQol 5-Dimension utility index from the Patient Evaluation Measure.

Methods: Matched Patient Evaluation Measures and EuroQol 5-Dimension 5-Level data from 2043 patients were used to develop mapping algorithms. Transfer-to-utility models were developed and assessed through a 1000-fold bootstrap validation.

Results: We present a range of mapping algorithms to derive health state utility values from the Patient Evaluation Measure, a commonly used hand-specific Patient Reported Outcome Measure (PROM). The population-level prediction error of our best performing models was clinically relevant.

Conclusions: This suggests that mapping hand-specific PROMs on to generic preference-based measures may not be appropriate.

Level of evidence: II.

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通过映射算法确定手部手术的价值。

简介：健康状态效用值描述了健康状态的可取性，并且需要计算质量调整寿命年。传统上，它们是使用通用的测量方法，如EuroQol 5维量表得出的。没有特定于手的测量方法可以用来得出它们。本研究旨在开发和评估映射算法，以估计EuroQol 5维效用指数从患者评价措施。方法：利用2043例患者的matching Patient Evaluation Measures和EuroQol 5-Dimension 5-Level数据开发制图算法。通过1000倍的引导验证，开发和评估了转移到实用新型。结果：我们提出了一系列映射算法，从患者评估测量中获得健康状态效用值，这是一种常用的手部特定患者报告结果测量（PROM）。我们表现最好的模型的总体水平预测误差与临床相关。结论：这表明将手部特异性prom映射到基于一般偏好的措施上可能不合适。证据水平：II。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Journal of hand surgery, European volume

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