UTILITY ELICITATION STUDY IN THE UK GENERAL PUBLIC FOR LATE STAGE CHRONIC LYMPHOCYTIC LEUKAEMIA
Author(s)
Tolley K1, Goad C2, Yi Y2, Maroudas PA3, Thompson G41Tolley Health Economics, Buxton, United Kingdom, 2Mapi Values, Bollington, United Kingdom, 3GlaxoSmithKline, Uxbridge, Middlesex, United Kingdom, 4GlaxoSmithKline, Uxbridge, United Kingdom
OBJECTIVES: In the UK, Chronic Lymphocytic Leukaemia (CLL) makes up 40% of all leukaemias in patients over 65 years. The objective of this UK-based study was to obtain societal preferences for “progression-free” and “progressive” stages of late-stage CLL, and selected treatment-related adverse events. METHODS: A utility study, using the Time-Trade Off (TTO) method, was conducted in the UK with 110 members of the general public for a baseline disease state (before treatment), 3 primary disease states (Progression-free survival (PFS) response, PFS non-response and Disease progression) and 4 adverse event (AE) sub-states (PFS response with thrombocytopenia, neutropenia or severe infection, and PFS non-response with severe infection). Disease state vignettes were developed using literature and validated by expert CLL clinicians. Face-to-face interviews were conducted by trained interviewers. The TTO scores were converted into a utility value for each disease state and disutilities were calculated for AEs. Visual Analogue Scale (VAS) scores were also obtained. RESULTS: All participants were included in the analysis. The mean utility scores from the TTO for the primary disease states were: baseline: 0.549; PFS response: 0.671; PFS non-response: 0.394; and progression: 0.294. The mean TTO utility (disutility) scores for the AEs were: PFS response with thrombocytopenia, neutropenia or infection, 0.563 (-0.108), 0.508 (-0.163), 0.476 (-0.195), respectively; PFS non-response with infection, 0.333 (-0.061). The VAS results were in line with the TTO results. CONCLUSIONS: Overall, the utility was higher for the PFS state than for baseline, but decreased below baseline in non-response and disease progression states. AEs had an important impact on utility within the PFS response state. The severe infection AE appeared to have a greater impact on patients responding to treatment compared to non-responders, which may be related to the quality of life which is already low for the latter.
Conference/Value in Health Info
2010-11, ISPOR Europe 2010, Prague, Czech Republic
Value in Health, Vol. 13, No. 7 (November 2010)
Code
PCN117
Topic
Patient-Centered Research
Topic Subcategory
Health State Utilities
Disease
Oncology, Systemic Disorders/Conditions