Patient preferences in surgery for scoliosis.

Bunch, Wilton H.; Chapman, Randall G.

doi:10.2106/00004623-198567050-00017

Cited by 37 publications

(21 citation statements)

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“…This is a well established market research technique that is increasingly being applied to healthcare research. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] It allows the relative importance of different factors to be assessed 23 and shows what features individuals are prepared to trade to gain what they think is most important. There are several approaches to conjoint analysis.…”

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confidence: 99%

Views of older people on cataract surgery options: an assessment of preferences by conjoint analysis

Ross

2003

Quality and Safety in Health Care

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Background: Key issues in the quality of care for people with cataracts in the UK include hospital waiting lists, complication rates from surgery, and the use of junior surgeons. The main objective of this study was to investigate the relative importance that older people attach to these factors when given theoretical choices over options for cataract surgery. Method: A systematic sample of 194 individuals aged 60-84 years on a general practice register in Nottingham were invited to take part in an interview based survey. Respondents ranked 11 "cataract surgery packages" containing different waiting list lengths, complication risks, and surgeon grades. Conjoint analysis was performed to determine the relative importance of these factors for individuals and for the group as a whole. Results: Of the 194 subjects invited to participate, 146 (72%) completed the interview. For the group as a whole the "averaged importance" of the factors was: complication risk 45.8%; waiting time 41.1%, surgeon grade 13.1%. Analysis of importance scores for individuals showed that some were particularly concerned about complication risk while others were more concerned about waiting times. There was a strong negative correlation between importance scores for these factors (Spearman's rho -0.78, p<0.001). Conclusions: Most respondents thought that either risk of damage to sight and/or waiting time were important, while surgeon grade was relatively unimportant. The findings show that some potential cataract patients prefer a greater risk of complication combined with a short wait than a low complication rate and a longer wait.

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Views of older people on cataract surgery options: an assessment of preferences by conjoint analysis

Ross

2003

Quality and Safety in Health Care

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“…As Tversky and Kahneman [28] showed, the choice of words framing alternatives influences responses. Third, a different method of assessing values (conjoint analysis [7] or standard gamble) might have yielded different responses and different thresholds. These criticisms would indeed nullify any inference about the correct treatment threshold for suspected meniscal tears.…”

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confidence: 99%

The Variability of Patient Preferences

Bernstein

2012

Clinical Orthopaedics &Amp; Related Research

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BackgroundWide variation in procedure utilization suggests that surgical indications might not be rigorously defined. An alternative explanation is that surgical outcomes are valued differently across groups. When a patient, using the information provided by the surgeon, places high value on successful results or is indifferent to the costs of ineffective treatment, the treatment threshold is lower and more surgery will be chosen.

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“…A multivariate assessment of patients and parents considering surgery revealed that despite their stated concerns about surgery, the most prevalent issue among them was the fear of paralysis. 13 …”

Section: Psychosocial Implicationsmentioning

confidence: 99%

“…13 Plumbline for sagittal balance. A vertical line is constructed from the midpoint of the C7 vertebra through the pelvis on upright lateral image.…”

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confidence: 99%

5 Clinical and Radiographic Evaluation of the Scoliotic Patient

Newton¹,

O’Brien²,

Shufflebarger³

et al. 2011

Idiopathic Scoliosis

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5 60 A-D E-H This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited. space, and presence of a bony spike. (A) Frontal view showing significant truncal imbalance. (B) A posterior view shows the hairy patch in the middle of the child's major spinal curve. (C) Close-up view of the hairy patch. (D) Plain X-ray film showing the triad mentioned above. (E) MRI scan showing spinal cord duplication at the midaxial cut.This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

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Patient preferences in surgery for scoliosis.

Cited by 37 publications

References 0 publications

Views of older people on cataract surgery options: an assessment of preferences by conjoint analysis

Views of older people on cataract surgery options: an assessment of preferences by conjoint analysis

The Variability of Patient Preferences

5 Clinical and Radiographic Evaluation of the Scoliotic Patient

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