2000
DOI: 10.1097/00005650-200010000-00008
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A Trial for Comparing Methods for Eliciting Treatment Preferences From Men With Advanced Prostate Cancer

Abstract: Use of the utility techniques in cost-effectiveness analysis and decision making has been widely recommended. The results of this study raise serious questions as to the validity and usefulness of the measures.

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Cited by 42 publications
(26 citation statements)
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“…Selfreported current health status using the rating scale and standard gamble was low compared to the U.S. average scores. Most (74%) subjects' standard gamble utility assessment scores were higher than their rating scale scores, which is consistent with the relationship between these scores typically observed literature [25][26][27][28]. Four subjects (17%) were highly risk-averse on the standard gamble and discussed their dislike for gambling, which is consistent with the prevalence of this attitude toward risk reported in studies conducted in other settings [29,30].…”
Section: Resultssupporting
confidence: 86%
“…Selfreported current health status using the rating scale and standard gamble was low compared to the U.S. average scores. Most (74%) subjects' standard gamble utility assessment scores were higher than their rating scale scores, which is consistent with the relationship between these scores typically observed literature [25][26][27][28]. Four subjects (17%) were highly risk-averse on the standard gamble and discussed their dislike for gambling, which is consistent with the prevalence of this attitude toward risk reported in studies conducted in other settings [29,30].…”
Section: Resultssupporting
confidence: 86%
“…21,30 There is considerable debate about the best tool for measuring preferences in certain circumstances because different tools appear more appropriate and different tools often generate different utilities, even for the same health state. 36,44,45 The prospective measure of preference tools are modifications of the time trade-off and standard gamble, which are derived from economic principles and the Bexpected utility^theory. This particular tool has now been used in four different studies in colorectal surgery, including surgery in colorectal cancer, adjuvant therapy in rectal cancer, ulcerative colitis, and the current study in Crohn_s disease; other studies in colorectal surgery and other specialties are in progress.…”
Section: Discussionmentioning
confidence: 99%
“…22 Another commonly used metric for the impact of a treatment complication on quality of life is a utility weight. While a discussion of this literature is beyond the scope of this review, [123][124][125][126][127][128][129][130][131] utility weights are mentioned here because our previous work suggested that the disutility associated with multiple symptoms was higher than the disutility associated with a single symptom. 131 While this was not surprising, the relationship between utility weights and number of symptoms was neither additive nor multiplicative; therefore, individual preferences need to be considered because there does not seem to be a straightforward way to infer the impact of multiple symptoms on an individual's quality of life.…”
Section: Discussionmentioning
confidence: 99%