UTILITIES FOR HEALTH STATES IN PATIENTS WITH RELAPSED/REFRACTORY NON-HODGKIN LYMPHOMA AND FACTORS INFLUENDING UTILITY VALUES
Author(s)
Choi I, Park S, Song J, Jun JH, Suh D
Chung-Ang University, Seoul, South Korea
OBJECTIVES: To elicit utility values for health states associated with relapsed/refractory non-Hodgkin lymphoma and compare utilities after adjusting for demographic and societal characteristics in South Korea’s general public. METHODS: Health state ‘vignettes’ associated with a treatment for R/R non-Hodgkin lymphoma were developed and characterized as: complete response(CR), partial response(PR), stable(SD), progressive disease(PD), and treatment related adverse events(neutropenia, mucositis, thrombocytopenia, anemia; AE). Vignettes were valued by South Koreans using the time trade-off method. The health state vignettes combined information gathered from sources such as published literature, consultations with clinical specialists, and interviews with patients, which were used to develophealth dimensions consistent with the EQ-5D. Utility values were summarized and compared by characteristics of interviewees. The influencing factors of utility values were estimated using mixed Beta regressions. Since the utility values for various health states were measured by a subject, subjects were used as a strata. The glimmix SAS procedure was used to determine factors influencing utility. RESULTS: A total 166 Korean were interviewed. The subjects were aged 46(±10.6) years old with a near even gender split. Mean utilities were CR;0.89(±0.08), PR;0.79(±0.13), SD;0.75(±0.12), PD;0.45(±0.16), AE-neutropenia;0.70(±0.17), AE-mucositis;0.79(±014), AE-thrombocytopenia;0.77(±0.14), and AE-anemia;0.79(±0.13). Utility values for PR and PD were significantly different between males and females (p=0.0135 and p=0.047, respectively). The treatment responses and AE were significant factors in reducing utility values. The ratios of expected utility to disutility (=1-utility) in PR, SD and PD were 0.47, 0.38, and 0.13 times lower than those of CR, respectively. The ratios in AEs(neutropenia, mucositis, thrombocytopenia, and anemia) were 0.45, 0.51, 0.46, and 0.51 times lower than those of CR, respectively. CONCLUSIONS: This study found that patients’ quality of life was significantly deteriorated by relapsed/refractory non-Hodgkin lymphoma. It is important to provide an appropriate treatment to improve quality of life.
Conference/Value in Health Info
2015-05, ISPOR 2015, Philadelphia, PA, USA
Value in Health, Vol. 18, No. 3 (May 2015)
Code
PCN109
Topic
Patient-Centered Research
Topic Subcategory
Health State Utilities
Disease
Oncology