The EQ-5D Health-Related Quality of Life Questionnaire

  • N. Gusi
  • P. R. Olivares
  • R. Rajendram


Assessment of health care requires measurement and monitoring of health. The EuroQOL five dimensions  questionnaire ( EQ-5D) is one of the most commonly used generic questionnaires to measure health-related  quality of life (HRQOL). The conceptual basis of the EQ-5D is the holistic view of health, which includes the medical definition, as well as the fundamental importance of independent physical, emotional and social functioning. The concept of health in EQ-5D also encompasses both positive aspects (well-being) and negative aspects (illness). The EQ-5D is short, easy to use and flexible. It has been used successfully in several different settings (scientific trials, health policies, pharmacoeconomics, clinics, etc.). It consists of a questionnaire and a  visual analogue scale (EQ-VAS). The EQ-VAS is a self-rated health status using a VAS. The EQ-VAS records the subject’s perceptions of their own current overall health and can be used to monitor changes with time. The self-assessment questionnaire is self-reported description of the subject’s current health in 5 dimensions i.e., mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The subject is asked to grade their own current level of function in each dimension into one of three degrees of disability (severe, moderate or none). The combination of these with the conditions “death” and “unconscious” enables description of 245 different health states. Each health state can be ranked and transformed a single score called the utility. The utility score is an expression of the Quality Adjusted Life Years (QALY) and is commonly used to make evidence-based decisions in analyses of cost-effectiveness. Therefore, the EQ-5D can be used for health outcomes studies and economic analyses. The EQ-5D was initially developed for adults; a new version has recently been developed for children aged 8–18 years old ( EQ-5D-Y).


Visual Analogue Scale Descriptive System Utility Score Quality Adjust Life Year Level Version 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:


child friendly euroQOL five dimensions questionnaire


euroQOL five dimensions questionnaire


euroQOL five dimensions questionnaire for young


health related quality of life


National Institute of Clinical Excellence


quality adjusted life years


6-item short form health survey questionnaire




visual analogue scale


  1. Badia X, Garcia-Hernandez G, Cobos N, Lopez-David C, Nocea G, Roset M. (2001a). Med Clin (Barc). 116: 565–572.Google Scholar
  2. Badia X, Roset M, Herdman M, Kind P. (2001b). Med Decis Making. 21: 7–16.PubMedCrossRefGoogle Scholar
  3. Badia X, Roset M, Montserrat S, Herdman M, Segura A. (1999). Med Clin (Barc). 112 (Suppl. 1): 79–85.Google Scholar
  4. Betegon L, Badia X. (2006). In: Badia X (ed.) Review of the use of the EQ-5D in cost-utility analysis. Paper Presented at the 23rd Scientific Plenary Meeting of the EuroQOL Group. Health Economics & Outcomes Research IMS Health, Barcelona.Google Scholar
  5. Brooks R. (1996). Health Policy. 37: 53–72.PubMedCrossRefGoogle Scholar
  6. Campbell H, Rivero-Arias O, Johnston K, Gray A, Fairbank J, Frost H. (2006). Spine. 31: 815–822.PubMedCrossRefGoogle Scholar
  7. Devlin N, Williams A. (1999). N. Z. Med J. 112: 68–71.PubMedGoogle Scholar
  8. EuroQOL Group. (1990). Health Policy. 16: 199–208.Google Scholar
  9. Gusi N, Badia X, Herdman M, Olivares PR. (2009). Aten Primaria. (in press).Google Scholar
  10. Gusi N, Herrera E, Davila M, Campon JC. (2007). Development of the socio-sanitary program “exercise looks after you”: phase I for elderly. Paper Presented at the Third Annual Meeting of HEPA Europe, Graz (Austria).Google Scholar
  11. Gusi N, Tomas-Carus P, Hakkinen A, Hakkinen K, Ortega-Alonso A. (2006). Arthritis Rheum. 55: 66–73.PubMedCrossRefGoogle Scholar
  12. Hennessy S, Kind P. (2002). Measuring health status in children:developing and testing a child friendly version of EQ-5D. Paper Presented at the EuroQOL Plenary Meeting. University of New York, New York.Google Scholar
  13. Hung SY, Pickard AS, Witt WP, Lambert BL. (2007). J Clin Epidemiol. 60: 963–970.PubMedCrossRefGoogle Scholar
  14. Janssen MF, Birnie E, Bonsel GJ. (2008). Qual Life Res. 17(3): 463–473.Google Scholar
  15. Jonsson L, Andreasen N, Kilander L, Soininen H, Waldemar G, NygaardH, Winblad B, Jonhagen ME, Hallikainen M, Wimo A. (2006). Alzheimer Dis Assoc Disord. 20: 49–55.PubMedCrossRefGoogle Scholar
  16. Kind P. (2007). Med Care. 45: 809–811.PubMedCrossRefGoogle Scholar
  17. Matza LS, Secnik K, Mannix S, Sallee FR. (2005). Pharmacoeconomics. 23: 777–790.PubMedCrossRefGoogle Scholar
  18. Oppe M, Rabin R, & De Charro F. (2007). EQ-5D User Guide version 1.0. EuroQOL Group.Google Scholar
  19. Pickard AS, De Leon MC, Kohlmann T, Cella D, Rosenbloom S. (2007a). Med Care. 45: 259–263.PubMedCrossRefGoogle Scholar
  20. Pickard AS, Kohlmann T, Janssen MF, Bonsel G, Rosenbloom S, Cella D. (2007b). Med Care. 45: 812–819.PubMedCrossRefGoogle Scholar
  21. Polinder S, Meerding WJ, Toet H, Mulder S, Essink-Bot ML, Van Beeck EF. (2005). Pediatrics. 116: e810–817.PubMedCrossRefGoogle Scholar
  22. Sach TH, Barton GR. (2007). Int J Pediatr Otorhinolaryngol. 71: 435–445.PubMedCrossRefGoogle Scholar
  23. Stolk EA, Busschbach JJ, Vogels T. (2000). Qual Life Res. 9: 29–38.PubMedCrossRefGoogle Scholar
  24. Szende A, Oppe M, Devlin N. (2007). EQ-5D Value Sets: Inventory, Comparative Review and User Guide. Springer, Berlin.CrossRefGoogle Scholar
  25. Szende A, Williams A (ed.). (2004). Measuring Self-Reported Population Health: An International Perspective Based on EQ-5D. SpringMed Publishing Ltd, Budapest, Hungary.Google Scholar
  26. Van Agt H, Bonsel G. (2005). In: Kind P, Brooks R, Rabin R (ed.) EQ-5D Concepts and Methods: A Developmental History. Springer, Berlin.Google Scholar
  27. Wille N, Rabens-Sieberer U, Bonsel G, Burstrom K, Cavrini G, Egmar AC, Greiner W, Gusi N, Herdmann M, Jelsma J, Kind P, Krabbe-Lugner A, Scalone L. (2006). Establishing definitions of the concepts included in CF-EQ-5D: a revision of the definition of EQ-5D concepts for adults. In: Badia X (ed.) Paper Presented at the 23rd Scientific Plenary Meeting of the EuroQOL Group. Health Economics & Outcomes Research IMS Health, Barcelona.Google Scholar
  28. Williams A. (2005). In: Kind P, Brooks R, Rabin R (eds.) EQ-5D Concepts and Methods. Springer, Dordrecht, Netherlands.Google Scholar
  29. Wolfs CA, Dirksen CD, Kessels A, Willems DC, Verhey FR, Severens JL. (2007). Health Qual Life Outcomes. 5: 33.Google Scholar

Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • N. Gusi
    • 1
  • P. R. Olivares
    • 1
  • R. Rajendram
    • 2
  1. 1.Faculty of Sports SciencesUniversity of ExtremaduraCáceresSpain
  2. 2.Departments of General Medicine and Intensive CareJohn Radcliffe HospitalOxfordUnited Kingdom

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