|
Sign In to gain access to subscriptions and/or personal tools.
|
Measuring Preferences for Health States Worse than Death
Donald L. Patrick, PhD, MSPH
Helene E. Starks, MPH
Kevin C. Cain, PhD
Richard F. Uhlmann, MD, MPH
Robert A. Pearlman, MD, MPH
Previous research indicates that persons assigning values to ranges of health states consider some states to be worse than death. In a study of decisions regarding life-sustaining treat ments, the authors adapted and assessed existing methods for their ability to identify and quantify preferences for health states near to or worse than death in a population of well adults and nursing home residents. The cognitive burdens involved in these decisions were also evaluated. Hypothetical health states based on six attributes of functional status were constructed to describe severe constant pain, dementia, and coma. The methods of rank order, category scaling, time tradeoff, and standard gamble were adapted to quantify states worse than death. Cognitive burden was assessed using completion rates, interviewer as sessments, respondents' self-reporting, and investigators' evaluations. For both respondent groups, all methods showed similar degrees of cognitive burden for those able to complete the tasks and were similar in their ability to identify and quantify preferences. The majority of nursing home residents, however, were unable to complete or comprehend the mea surement tasks. Most respondents evaluated their current health and severe constant pain as better than death; dementia and coma were more often considered equal to or worse than death. These results indicate that respondents can and do evaluate some health states as worse than death. The authors recommend systematic inclusion of states worse than death to describe a more complete range of preference values and routine assessment of the cognitive burdens of assessment techniques to evaluate methodologies. Keywords: health status measurement; preference weights; utility measurement; health-state prefer ences; cognitive burden. (Med Decis Making 1994;14:9-18)
Medical Decision Making, Vol. 14, No. 1,
9-18 (1994)
DOI: 10.1177/0272989X9401400102
 CiteULike  Complore  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
H. Starks and J. R. Curtis
Is Withholding Life Support Associated With a Premature Death?: If So, What Does This Mean for ICU Practice?
Chest,
June 1, 2008;
133(6):
1298 - 1300.
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. Shanawani, M. D. Wenrich, M. R. Tonelli, and J. R. Curtis
Meeting Physicians' Responsibilities in Providing End-of-Life Care
Chest,
March 1, 2008;
133(3):
775 - 786.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Brazier, C. Czoski-Murray, J. Roberts, M. Brown, T. Symonds, and C. Kelleher
Estimation of a Preference-Based Index from a Condition-Specific Measure: The King's Health Questionnaire
Med Decis Making,
January 1, 2008;
28(1):
113 - 126.
[Abstract]
[PDF]
|
|
|
|
|
|
|
F. Shimizu, A. Igarashi, T. Fukuda, Y. Kawachi, S. Minowada, Y. Ohashi, and M. Fujime
Decision Analyses in Consideration of Treatment Strategies for Patients with Biochemical Failure After Curative Therapy on Clinically Localized Prostate Cancer in the Prostate-Specific Antigen Era
Jpn. J. Clin. Oncol.,
October 22, 2007;
(2007)
hym105v1.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. R. Vetter
A Primer on Health-Related Quality of Life in Chronic Pain Medicine
Anesth. Analg.,
March 1, 2007;
104(3):
703 - 718.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. F. M. Krabbe
Valuation Structures of Health States Revealed with Singular Value Decomposition
Med Decis Making,
January 1, 2006;
26(1):
30 - 37.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. Casarett, J. Kapo, and A. Caplan
Appropriate Use of Artificial Nutrition and Hydration -- Fundamental Principles and Recommendations
N. Engl. J. Med.,
December 15, 2005;
353(24):
2607 - 2612.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. C. Earle
Outcomes Research in Lung Cancer
J Natl Cancer Inst Monographs,
October 1, 2004;
2004(33):
56 - 77.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. W Stone, S. Bakken, C. R Curran, and P. H Walker
Evaluation of studies of health economics
Evid. Based Nurs.,
October 1, 2002;
5(4):
100 - 104.
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. J. T. Jansen, J. Kievit, M. A. Nooij, and A. M. Stiggelbout
Stability of Patients' Preferences for Chemotherapy: The Impact of Experience
Med Decis Making,
August 1, 2001;
21(4):
295 - 306.
[Abstract]
[PDF]
|
|
|
|
|
|
|
G. W. Torrance, D. Feeny, and W. Furlong
Visual Analog Scales: Do They Have a Role in the Measurement of Preferences for Health States?
Med Decis Making,
August 1, 2001;
21(4):
329 - 334.
[Abstract]
[PDF]
|
|
|
|
|
|
|
X. Badia, M. Roset, M. Herdman, and P. Kind
A Comparison of United Kingdom and Spanish General Population Time Trade-off Values for EQ-5D Health States
Med Decis Making,
February 1, 2001;
21(1):
7 - 16.
[Abstract]
[PDF]
|
|
|
|
|
|
|
H. A. Glick, D. Polsky, R. J. Willke, and K. A. Schulman
A Comparison of Preference Assessment Instruments Used in a Clinical Trial: Responses to the Visual Analog Scale from the EuroQol EQ-5D and the Health Utilities Index
Med Decis Making,
August 1, 1999;
19(3):
265 - 275.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Saigal, B. L. Stoskopf, D. Feeny, W. Furlong, E. Burrows, P. L. Rosenbaum, and L. Hoult
Differences in Preferences for Neonatal Outcomes Among Health Care Professionals, Parents, and Adolescents
JAMA,
June 2, 1999;
281(21):
1991 - 1997.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. J.T. Jansen, A. M. Stiggelbout, P. P. Wakker, T. P.M. Vliet Vlieland, J.-W. H. Leer, M. A. Nooy, and J. Kievit
Patients' Utilities for Cancer Treatments: A Study of the Chained Procedure for the Standard Gamble and Time Tradeoff
Med Decis Making,
October 1, 1998;
18(4):
391 - 399.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. B. Russell, M. R. Gold, J. E. Siegel, N. Daniels, and M. C. Weinstein
The Role of Cost-effectiveness Analysis in Health and Medicine
JAMA,
October 9, 1996;
276(14):
1172 - 1177.
[Abstract]
[PDF]
|
|
|
|
|
|
|
B. F. Gage, A. B. Cardinalli, and D. K. Owens
The Effect of Stroke and Stroke Prophylaxis With Aspirin or Warfarin on Quality of Life
Arch Intern Med,
September 9, 1996;
156(16):
1829 - 1836.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. D. Hays, A. L. Siu, E. Keeler, G. N. Marshall, R. M. Kaplan, S. Simmons, D. El Mouchi, and J. F. Schnelle
Long-term Care Residents' Preferences for Health States on the Quality of Well-Being Scale
Med Decis Making,
August 1, 1996;
16(3):
254 - 261.
[Abstract]
[PDF]
|
|
|
|
|
|
|
P. F.M. Krabbe, M.-L. Essink-Bot, and G. J. Bonsel
On the Equivalence of Collectively and Individually Collected Responses: Standard-gamble and Time-tradeoff Judgments of Health States
Med Decis Making,
June 1, 1996;
16(2):
120 - 132.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. H. Ebell
When Everything Is Too Much: Quantitative Approaches to the Issue of Futility
Arch Fam Med,
April 1, 1995;
4(4):
352 - 356.
[Abstract]
[PDF]
|
|
|
|
|
|
|
P. C. Sorum
Deciding About Cardiopulmonary Resuscitation: The Contributions of Decision Analysis
Arch Intern Med,
March 13, 1995;
155(5):
513 - 521.
[Abstract]
[PDF]
|
|
|
|
|
