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
Presentation Documents
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