Examining the construct and known-group validity of a composite endpoint for the Older Persons and Informal Caregivers Survey Minimum Data Set (TOPICS-MDS); A largescale data sharing initiative

Cynthia S. Hofman, Jennifer E. Lutomski, Han Boter, Bianca M. Buurman, Anton J M De Craen, A Rogier T Donders, Marcel G M Olde Rikkert, Peter Makai, René J.F. Melis, N. Bleijenberg, J. W. Blom, G. I J M Kempen, P. F M Krabbe, E.P. Moll van Charante, M. E. Muntinga, Ewout W. Steyerberg, J. Gussekloo, H.E. van der Horst, Marcel G M Olde Rikkert, S.E.J.A. de RooijJos M. G. A. Schols, M. J. Schuurmans, D. A. Smilde, D. Van Den Brink, L. Qin,

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Abstract

Background Preference-weighted multi-faceted endpoints have the potential to facilitate comparative effectiveness research that incorporates patient preferences. The Older Persons and Informal Caregivers Survey Composite endpoint (TOPICS-CEP) is potentially a valuable outcome measure for evaluating interventions in geriatric care as it combines multiple outcomes relevant to older persons in a single metric. The objective of this study was to validate TOPICS-CEP across different study settings (general population, primary care and hospital). Methods Data were extracted from TOPICS Minimum Dataset (MDS), a pooled public-access national database with information on older persons throughout the Netherlands. Data of 17,603 older persons were used. Meta-correlations were performed between TOPICS-CEP indexed scores, EuroQol5-D utility scores and Cantril's ladder life satisfaction scores. Mixed linear regression analyses were performed to compare TOPICS-CEP indexed scores between known groups, e.g. persons with versus without depression. Results In the complete sample and when stratified by study setting TOPICS-CEP and Cantril's ladder were moderately correlated, whereas TOPICS-CEP and EQ-5D were highly correlated. Higher mean TOPICS-CEP scores were found in persons who were: married, lived independently and had an education at university level. Moreover, higher mean TOPICS-CEP scores were found in persons without dementia, depression, and dizziness with falls, respectively. Similar results were found when stratified by subgroup. Conclusion This study supports that TOPICS-CEP is a robust measure which can potentially be used in broad settings to identify the effect of intervention or of prevention in elderly care.

Original languageEnglish
Article numbere0173081
JournalPLoS ONE [E]
Volume12
Issue number3
DOIs
Publication statusPublished - 1 Mar 2017

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