Type 1 diabetes

Health state utility values for children and adolescents with type 1 diabetes: A systematic review and meta‐analysis

Diabet MedPublished Systematic review and meta-analysis

Authors' conclusion

This study developed a reference set of pooled utility estimates for children and adolescents with T1DM, which is helpful for understanding the overall health status of T1DM and conducting economic evaluations. Further studies are needed to explore the utilities of T1DM with different types of complications.

Study context

Population
Children and adolescents (aged ≤18 years) with T1D; health utility values measured by direct and indirect preference elicitation; MEDLINE and Embase to March 2023
Participants
1,276 children6 studies
Outcome
Pooled health utility value
Methodological detailssubgroup analyses by populations and elicitation approaches
  • Subgroup analyses by populations and elicitation approaches

Pooled result

As reported in the abstract

Overall pooled utility value

Overall utility value, children and adolescents with T1D

0.91

95% CI 0.89–0.93

Further pooled results

OutcomeValues
Utility value by ageChildren (aged <13 years) 0.90 · Adolescents (aged 13-18 years) 0.85
Utility value by elicitation instrumentEQ-5D-3L 0.91 · HUI3 0.89 · SF-6Dv1 0.83 · Time trade-off 0.81
Utility value by reporterParent proxy-reported 0.91 · Patient self-reported 0.91
Utility value by complications
Value
With complications
0.90(95% CI 0.88–0.92)
Without complications
0.96(95% CI 0.95–0.97)
Lower with complications than without

Utility value by age

Higher in children than adolescents

Utility value by elicitation instrument

EQ-5D-3L higher than HUI3, SF-6Dv1 and time trade-off

Utility value by reporter

Parent proxy-reported similar to patient self-reported

Original publication

Health state utility values for children and adolescents with type 1 diabetes: A systematic review and meta‐analysis. Diabet Med. Published 8 November 2023. doi:10.1111/dme.15251

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