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Titolo:
Rating of arthritis health states by patients, physicians, and the generalpublic. Implications for cost-utility analyses
Autore:
Suarez-Almazor, ME; Conner-Spady, B;
Indirizzi:
Baylor Coll Med, Vet Affairs Med Ctr, Hlth Serv Res, Houston, TX 77030 USABaylor Coll Med Houston TX USA 77030 Hlth Serv Res, Houston, TX 77030 USA
Titolo Testata:
JOURNAL OF RHEUMATOLOGY
fascicolo: 3, volume: 28, anno: 2001,
pagine: 648 - 656
SICI:
0315-162X(200103)28:3<648:ROAHSB>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; TIME TRADE-OFF; VISUAL ANALOG SCALE; CANCER-PATIENTS; RHEUMATOID-ARTHRITIS; OUTCOME MEASURES; CLINICAL-TRIALS; DECISION-MAKING; BREAST-CANCER; PREFERENCES;
Keywords:
cost-effectiveness analysis; preferences; utilities; quality of life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
51
Recensione:
Indirizzi per estratti:
Indirizzo: Suarez-Almazor, ME Baylor Coll Med, Vet Affairs Med Ctr, Hlth Serv Res, Stn 152,2002 HolcombeBlvd, Houston, TX 77030 USA Baylor Coll Med Stn 152,2002Holcombe Blvd Houston TX USA 77030
Citazione:
M.E. Suarez-Almazor e B. Conner-Spady, "Rating of arthritis health states by patients, physicians, and the generalpublic. Implications for cost-utility analyses", J RHEUMATOL, 28(3), 2001, pp. 648-656

Abstract

We elicited preferences for 2 arthritis health states (mild and severe) using visual analog scales, time tradeoff, and standard gamble by interviewing 104 individuals from the general public, 51 patients with rheumatoid arthritis, and 43 health professionals. The health scenarios were based on attributes described in a health status classification instrument, the EuroQol (EQ-5D). In addition, we compared the ratings in our survey with those obtained far the same scenarios by one of the scoring algorithms used for the EQ-5D (York weights). Statistically significant differences were observed inthe ratings of the health scenarios, mostly for the severe vignette. Most of the variability was related to the method employed. The cost-utility ratio for a hypothetical intervention varied according to the method employed to determine the utility of the health states, from $15,000 to $111,000 US per quality adjusted life year (QALY). Patient derived weights resulted in cost-utility ratios that ranged from $39,000 to $222,000. Our findings showthat the methodology used to elicit and analyze utilities can have substantial implications in the economic evaluation of interventions for patients with RA.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/21 alle ore 16:12:47