CONJOINT-ANALYSIS QALYS FOR ACUTE CONDITIONS-

Author(s)

F. Reed Johnson, PhD, Senior Fellow and Principal Economist, Brett Hauber, PhD, Senior Director, Health Economics, Semra Ozdemir, MS, Research Economist RTI International, Research Triangle Park, NC, USA

OBJECTIVE: Demonstrate using conjoint analysis to obtain generalized, nonlinear, time-tradeoff estimates of quality-adjusted life-years (QALYs) for clinically relevant durations and severities of acute, non-fatal conditions such as vasomotor symptoms. METHODS: A self-administered, web-enabled, graded-pairs conjoint-analysis survey elicited women's preferences for the treatment of vasomotor symptoms. The included treatment attributes are frequency and severity of vasomotor symptoms (daytime hot flashes and nighttime sweats) and duration of these symptoms. Participants also considered vasomotor-symptom, treatment-related side effects. Observed tradeoffs between symptom duration and symptom relief were used to calculate generalized conjoint time equivalents for specified health states without first calculating utilities anchored at 0 and 1. RESULTS: A total of 523 women with a mean age of 52 years completed the survey. For these women, improvement from severe (severe >6 hot flushes a day and >3 sweats a night) to moderate (moderate 3-6 hot flushes a day and 1-3 sweats a night) vasomotor symptoms over a 7-year treatment period is equivalent to 3.7 years of normal health, while improvement from moderate to mild (mild 1-2 hot flushes a day and no night sweats) symptoms is equivalent to 4.4 years of normal health. QALY benefits of symptom relief are larger for younger women (

Conference/Value in Health Info

2006-10, ISPOR Europe 2006, Copenhagen, Denmark

Value in Health, Vol. 9, No.6 (November/December 2006)

Code

PIH20

Topic

Patient-Centered Research

Topic Subcategory

Health State Utilities

Disease

Reproductive and Sexual Health

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