A FEASIBILITY STUDY ON APPLYING PREFERENCE-BASED QUALITY-OF-LIFE MEASURES IN CHRONIC MYELOID LEUKEMIA OUTPATIENTS TREATED WITH IMATINAB IN TAIWAN
Author(s)
Chen TC1, Chen LC2, Huang YB1, Chang CS11Kaohsiung Medical University, Kaohsiung, Taiwan, 2University of Nottingham, United Kingdom
OBJECTIVES: Since the launch of imatinib in Taiwan, survival of chronic myeloid leukemia (CML) has significantly improved with the cost of numerously increasing drug expenditure. Neither health-related quality-of-life (QoL) of CML patients nor long-term cost-effectiveness of imatinib, however, has been investigated in Taiwan. This study aimed to explore the feasibility of preference-based utility measures on CML patients with imatinib treatment. METHODS: This cross-sectional survey was conducted at a medical center in southern Taiwan from June 2011 to January 2012 after approved by the Institutional Review Board. CML outpatients receiving imatinib were invited to participate the interviews; their QoL were measured by EuroQol group 5-dimension (EQ-5D) questionnaire, 100-mm visual analogue scale (EQ-5D VAS) and time-trade-off (TTO) method, and then transformed into utility value. Japanese preference weight was used to transform EQ-5D index into utility. Patients' demography, socioeconomic characteristics and progression history were collected to adjust utility values by multiple regression. RESULTS: Of the 42 (mean age: 50.0±16.0 years, male: 54.8%) participants, 36 (85.7%) have been regularly followed up over 1.5 years, and 13 (31.0%) had history of progressing to accelerated or blast phase. In EQ-5D survey, most participants choose “no problem” in the domains of mobility, self-care, and usual activities, and 10 (23.8%) and 7 (16.7%) participants choose “some problem” in pain/discomfort and anxiety/depression, respectively. Mean utility values and response rates for EQ-5D, EQ-5D VAS, and TTO were 0.80±0.09 (100%), 0.78±0.13 (97.6%), and 0.80±0.18 (92.9%) and there was no significant difference in utility between three measures. No association between participant' characteristics and utility was found, except for utility derived from EQ-5D VAS was significantly associated with education level. CONCLUSIONS: Preference-based utility measured are applicable to CML patients receiving routine treatments. Since no Taiwanese preference weight for transferring EQ-5D assessment, further large-scale studies are needed, however, to validate and cross-validate the measurements.
Conference/Value in Health Info
2012-09, ISPOR Asia Pacific 2012, Taipei, Taiwan
Value in Health, Vol. 15, No. 7 (November 2012)
Code
PCN28
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Oncology