Baseline Characteristics and Treatment Preferences of Oral Surgery Patients

Atchison, Kathryn A.; Gironda, Melanie W.; Black, Edward E.; Schweitzer, Simone; Der‐Martirosian, Claudia; Felsenfeld, Alan L.; Leathers, Richard; Belin, Thomas R.

doi:10.1016/j.joms.2007.04.011

Cited by 16 publications

(17 citation statements)

References 14 publications

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“…In a study covering 203 patients with jaw fractures it was established that most patients were willing to pay a higher price for restoration or in case there were no scars from the intervention, or if the nerves of the third molar were not devitalized. The clinical characteristics of respondents have no effect on the willingness to pay to the difference of socio-demographic and psychological health characteristics of covered patients [9]. These findings are quite similar to our results so far as recent clinical history did not become a predictor neither for patient preferences nor the willingness to pay for the chosen option.…”

Section: Discussionsupporting

confidence: 90%

Possibilities to Model Patients’ Preferences and Their Willingness to Pay for a Molar Treatment

Atanasov¹,

Stoyanova²,

Alexandrova³

2016

Dent. Med. Probl.

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The purpose of this study is to model two variables of essential importance to the analysis of the financial burden of certain dental diseases. These are the patients' preferences for the treatment of a broken molar with treated root canals and their willingness to pay for the selected option.The tools used to identify patients' preferences and their willingness to pay are based on Vernazza's interview [1] used in his doctoral thesis entitled "The monetary value of oral health: willingness to pay for treatment and prevention". Vernazza used an interview for his study. We compiled a direct anonymous questionnaire containing Vernazza's questions relating to: AbstractBackground. This study is an attempt to model patient's preferences for molar treatment and the willingness to pay (WTP) for a chosen health alternative. The results from modeling could be used as a basis for making more efficient decisions from both medical and economic point of view. The study is based on questions from Vernazza's interview. Objectives. The first purpose of present study is to be explored and established the most wished preferences from previously stated ones and closely related with patient choice's WTP. The second aim is to be built and interpreter models of the consumer choices and its WTP. Material and Methods. The sample consisted of 111 adult patients who visited for treatment different dental cabinets located in Plovdiv, Bulgaria. The study was conducted using the method of direct anonymous questionnaire containing questions on the choice of health alternative and the WTP for it; demographic, social and economic characteristics of respondents; history and severity of dental diseases, and frequency of dental visits. The study used two types of regression models: binominal logit of patient's choice and negative binominal of the WTP for a crown that led to statistically credible results. Results. The main predictor for the willingness to pay turned out to be the total monthly income of the household. Other factors, such as frequency of visits to the dentist, age or employment status of respondents can not be used to explain the changes in their WTP. Conclusions. The economical factors especially the WTP and the household income stay essential. That empirically confirmed fact puts the economic welfare and it variables as predictors with critical meaning in health market researches. The second important outline is that we found a similarity in results with Vernazza's study. That fact supports a reliability of the applied instrument (Dent. Med. Probl. 2016, 53, 1, 41-49).

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Section: Discussionsupporting

confidence: 90%

Possibilities to Model Patients’ Preferences and Their Willingness to Pay for a Molar Treatment

Atanasov¹,

Stoyanova²,

Alexandrova³

2016

Dent. Med. Probl.

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“…In a previous manuscript describing the baseline association between the patient’s preference for treatment (wiring or surgery to repair a fractured jaw) and patient socioeconomic and health-related characteristics, we reported that the predominantly male, unemployed fracture patients demonstrated no significant differences in their SG score than third-molar patients 14. For both groups, however, subjects who chose surgery were willing to accept a greater hypothetical risk of possible nerve damage or scarring than those who chose wiring.…”

Section: Introductionmentioning

confidence: 85%

“…Risk tolerance is often measured using the SG, a health-value utility measure assessing the tradeoff between good outcomes, such as improved health function or appearance, and a serious complication associated with treatment 7,8,10,11, 12, 14,15,16, 17, 18. The strength of the preference for a specific treatment is expressed in terms of the amount of risk the respondent would accept for obtaining improved health function.…”

Section: Methodsmentioning

confidence: 99%

Predictors of Risk Tolerance Among Oral Surgery Patients

Atchison

Der‐Martirosian

Belin

et al. 2010

Journal of Oral and Maxillofacial Surgery

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Purpose This study attempts to provide insight on how the treatment preference for a mandible fracture and treatment received and its consequences, are related to the patient’s risk tolerance, as measured by the Standard Gamble(SG). Patients and Methods Data from a prospective cohort study of 203 subjects receiving treatment at the former King/Drew Medical Center (KDMC) in Los Angeles for either a mandible fracture(n=98) or third-molar removal (n=105) are examined. Subjects were interviewed at four time points; upon admission to the medical center, and at three monthly follow-up visits. Risk tolerance for hypothetical treatment scenarios is measured using the SG, a health-value utility measure assessing the tradeoff between good outcomes and serious complications associated with treatment. Separate regression analyses with subsets of predictors (sociodemographic, psychosocial health, and clinical characteristics) were conducted and then synthesized using the significant predictors in separate analyses. Results For fracture subjects, there is a noticeable rise in the SG reports from admission to the one-month follow-up. Their greater risk tolerance was associated with being older, receiving surgery, having a lower PTSD score, and having a swollen jaw or face. For third-molar subjects, SG does not change substantively over the course of the study. Predictors of greater risk tolerance for third molar subjects include the jaw or face being swollen and having to use less pain medication. Conclusions Findings from this study demonstrate a preference for less invasive treatment, with the majority of both groups preferring wiring and support the theory that treatment choices differ between subjects with different health states. Factors associated with risk tolerance include the patient’s age, treatment received, psychosocial health state, experience with prior treatment, and value for oral health quality of life.

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“…However, the samples did not differ on marital status (less than 20% in each sample were married), ethnicity (over 60% were African American in both groups), education (over 60% had at least graduated from high school in both groups), or employment (over 60% were unemployed in both groups). In a follow-up study of similar patients (n=98) with mandibular fractures and a comparison group of third molar patients (n=103), Atchison and colleagues (26) noted that the facial injury patients also reported less perceived social support and smaller social networks.…”

Section: Introductionmentioning

confidence: 99%

The Psychosocial Characteristics and Needs of Patients Presenting with Orofacial Injury

Glynn

2010

Oral and Maxillofacial Surgery Clinics of North America

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Summary Individuals presenting with orofacial injury to urban trauma centers in the US tend to be disproportionately socioeconomically disadvantaged, young, adult, ethnic minority males. Most injuries are assaultive in origin, thus suggesting poor impulse control and maladaptive social behaviors. Compared to matched control populations, orofacial patients are more likely to report higher levels of substance use behaviors and manifest greater levels hostility, anxiety and depression. Although they have significantly greater current and lifetime mental health and social service needs, actual use of social services is relatively low. The underlying psychosocial characteristics of many orofacial injury patients along with unmet service needs render them vulnerable for post-trauma psychological sequelae and may compromise functional outcomes and recovery.

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Baseline Characteristics and Treatment Preferences of Oral Surgery Patients

Abstract: Background-Patient preferences for treatment choices may depend on subject characteristics.

Cited by 16 publications

References 14 publications

Possibilities to Model Patients’ Preferences and Their Willingness to Pay for a Molar Treatment

Possibilities to Model Patients’ Preferences and Their Willingness to Pay for a Molar Treatment

Predictors of Risk Tolerance Among Oral Surgery Patients

The Psychosocial Characteristics and Needs of Patients Presenting with Orofacial Injury

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