Assessing utility values for treatment-related health states of acute myeloid leukemia in the United States
Abstract Background Preference valuations of health status are essential in health technology and economic appraisal. This study estimated utilities for treatment-related health states of acute myeloid leukemia (AML) and disutilities of severe adverse events (SAEs) using a representative sample of a...
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | Health and Quality of Life Outcomes |
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| Online Access: | http://link.springer.com/article/10.1186/s12955-018-1013-9 |
| _version_ | 1819262000694296576 |
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| author | Eytan M. Stein Min Yang Annie Guerin Wei Gao Philip Galebach Cheryl Q. Xiang Subrata Bhattacharyya Gaetano Bonifacio George J. Joseph |
| author_facet | Eytan M. Stein Min Yang Annie Guerin Wei Gao Philip Galebach Cheryl Q. Xiang Subrata Bhattacharyya Gaetano Bonifacio George J. Joseph |
| author_sort | Eytan M. Stein |
| collection | DOAJ |
| description | Abstract Background Preference valuations of health status are essential in health technology and economic appraisal. This study estimated utilities for treatment-related health states of acute myeloid leukemia (AML) and disutilities of severe adverse events (SAEs) using a representative sample of adults from the general population in the United States (US). Methods Treatment-related AML health states, defined based on literature and interviews with clinicians, included complete remission (CR), no CR, relapse, stem cell transplant (SCT), and post SCT short-term recovery. Six attributes with varying levels, including fever, lack of energy, problems with daily function, anxiety/depression, blood transfusions, and hospitalization, were used to define health states. An online survey using discrete choice experiment methodology was designed to capture preferences for health status scenarios including the identified attributes and key grade 3/4 chemotherapy-related SAEs. Health state utilities and SAE disutilities were generated from a conditional logistic regression with generalized estimating equations. Results Of the 300 survey participants, the demographic distributions were within a 3% margin of those in the 2010 US Census. CR had the highest utility value (0.875), followed by post-SCT short-term recovery (0.398), relapse (0.355), no CR (0.262), and SCT (0.158). Of the SAEs, serious infection had the highest decline in utility (0.218), followed by severe diarrhea (0.176), abnormally low blood cell counts (0.100), and severe redness/skin peeling (0.060). Conclusions AML and treatments can result in reduced quality of life and impaired ability to perform daily activities. Findings of this study underline the value that society places on treatment-related AML health states and SAEs. |
| first_indexed | 2024-12-23T19:50:44Z |
| format | Article |
| id | doaj.art-d237ba30b31c4c1a8cd41e5c026b90bd |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-12-23T19:50:44Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-d237ba30b31c4c1a8cd41e5c026b90bd2022-12-21T17:33:24ZengBMCHealth and Quality of Life Outcomes1477-75252018-09-0116111210.1186/s12955-018-1013-9Assessing utility values for treatment-related health states of acute myeloid leukemia in the United StatesEytan M. Stein0Min Yang1Annie Guerin2Wei Gao3Philip Galebach4Cheryl Q. Xiang5Subrata Bhattacharyya6Gaetano Bonifacio7George J. Joseph8Memorial Sloan Kettering Cancer CenterAnalysis Group, IncAnalysis Group, IncAnalysis Group, IncAnalysis Group, IncAnalysis Group, IncNovartis Healthcare Pvt, LtdNovartis Pharmaceuticals CorporationNovartis Pharmaceuticals CorporationAbstract Background Preference valuations of health status are essential in health technology and economic appraisal. This study estimated utilities for treatment-related health states of acute myeloid leukemia (AML) and disutilities of severe adverse events (SAEs) using a representative sample of adults from the general population in the United States (US). Methods Treatment-related AML health states, defined based on literature and interviews with clinicians, included complete remission (CR), no CR, relapse, stem cell transplant (SCT), and post SCT short-term recovery. Six attributes with varying levels, including fever, lack of energy, problems with daily function, anxiety/depression, blood transfusions, and hospitalization, were used to define health states. An online survey using discrete choice experiment methodology was designed to capture preferences for health status scenarios including the identified attributes and key grade 3/4 chemotherapy-related SAEs. Health state utilities and SAE disutilities were generated from a conditional logistic regression with generalized estimating equations. Results Of the 300 survey participants, the demographic distributions were within a 3% margin of those in the 2010 US Census. CR had the highest utility value (0.875), followed by post-SCT short-term recovery (0.398), relapse (0.355), no CR (0.262), and SCT (0.158). Of the SAEs, serious infection had the highest decline in utility (0.218), followed by severe diarrhea (0.176), abnormally low blood cell counts (0.100), and severe redness/skin peeling (0.060). Conclusions AML and treatments can result in reduced quality of life and impaired ability to perform daily activities. Findings of this study underline the value that society places on treatment-related AML health states and SAEs.http://link.springer.com/article/10.1186/s12955-018-1013-9Acute myeloid leukemiaDiscrete choice experimentHealth statePreference valuationUtility |
| spellingShingle | Eytan M. Stein Min Yang Annie Guerin Wei Gao Philip Galebach Cheryl Q. Xiang Subrata Bhattacharyya Gaetano Bonifacio George J. Joseph Assessing utility values for treatment-related health states of acute myeloid leukemia in the United States Health and Quality of Life Outcomes Acute myeloid leukemia Discrete choice experiment Health state Preference valuation Utility |
| title | Assessing utility values for treatment-related health states of acute myeloid leukemia in the United States |
| title_full | Assessing utility values for treatment-related health states of acute myeloid leukemia in the United States |
| title_fullStr | Assessing utility values for treatment-related health states of acute myeloid leukemia in the United States |
| title_full_unstemmed | Assessing utility values for treatment-related health states of acute myeloid leukemia in the United States |
| title_short | Assessing utility values for treatment-related health states of acute myeloid leukemia in the United States |
| title_sort | assessing utility values for treatment related health states of acute myeloid leukemia in the united states |
| topic | Acute myeloid leukemia Discrete choice experiment Health state Preference valuation Utility |
| url | http://link.springer.com/article/10.1186/s12955-018-1013-9 |
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