10.56. EuroQol 5-Dimension, 5-Level Health Scale (EQ-5D-5L)


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A descriptive system comprising five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The second task component is a visual scale wherein the patient is asked to rate their health on a scale of 0 to 100.

EQ-5D-5L evolved from EQ-5D-3L, as the five level classifier provided greater discriminative ability and more power to detect differences between groups.

10.56.1. History and guide

  • Brooks R (1996). EuroQol: The current state of play. Health Policy. 37: 53–72. doi: 10.1016/0168-8510(96)00822-6. PMID 10158943.

  • Pickard AS et al. (2007). Psychometric comparison of the standard EQ-5D to a 5 level version in cancer patients. Med Care 45: 259–263 PMID 17304084.

  • Herdman M et al. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Research: 1727–1736. PMID 21479777.

Scoring the EQ-5D-5L from EQ-5D-3L:

  • Ben van Hout et al. (2012) Interim Scoring for the EQ-5D-5L: Mapping the EQ-5D-5L to EQ-5D-3L Value Sets Value in Health, Volume 15, Issue 5: 708-715 PMID 22867780.

More on scoring:

10.56.2. Source

See https://euroqol.org/support/how-to-obtain-eq-5d/.

10.56.3. Intellectual property rights

As per https://euroqol.org/support/how-to-obtain-eq-5d/ (accessed 2018-10-25):


Please note that without the prior written consent of the EuroQol Office, you are not
permitted to i.e. use, reproduce, alter, amend, convert, translate, publish or make
available in whatever way (digital, hard-copy etc.) the EQ-5D and related proprietary

The EuroQol Research Foundation stresses that any and all copyrights in the EQ-5D,
its (digital) representations, and its translations exclusively vest in the
EuroQol Research Foundation. EQ-5D™ is a trade mark of the EuroQol Research Foundation.

As a result, the EQ-5D-5L scale itself is not included in CamCOPS, though its content may be added if you have the necessary permissions and scale, as above.