Mapping utility scores from the Barthel index

Research output: Contribution to journalArticlepeer-review

External organisations

  • MRC Midland Hub for Trials Methodology Research
  • University of British Columbia


Purpose: It is not always possible to collect utility-based outcome data, like EQ-5D, needed for conducting economic evaluations in populations of older people. Sometimes, information on other non-utility outcome measures may have been collected. This paper examines the possibility of mapping the EQ-5D from a non-utility-based outcome, the Barthel index. Methods: Data for 1,189 UK intermediate care patients were used. Ordinary least squares (OLS), censored least absolute deviations (CLAD) estimator and multinomial logistic (ML) models were used. The mean absolute error (MAE) and root-mean-squared error (RMSE) were used to estimate the predictive accuracy of eight regression models. Validation of primary models was carried out on random samples of data collected at admission and discharge. Results: Models where the EQ-5D was entered as a continuous dependent variable and Barthel dimensions used as explanatory variables performed better. CLAD performed best on MAE and OLS on the RMSE, while the ML performed the worst on both measures. The CLAD predicted EQ-5D scores that matched the observed values more closely than the OLS. Conclusions: It is possible to reasonably predict that the EQ-5D from the Barthel using regression methods and the CLAD model (4) is recommended. © 2011 Springer-Verlag.


Original languageEnglish
Pages (from-to)231-241
Number of pages11
JournalThe European journal of health economics : HEPAC : health economics in prevention and care
Issue number2
Publication statusPublished - 2 Nov 2011


  • Health-related quality of life, Mapping, Older people, Utility