Abstract:
BACKGROUND:There are few empirical studies on the valuation of health profiles that describe the short-term fluctuations of chronic diseases. OBJECTIVE:This study aimed to value chronic obstructive pulmonary disease (COPD) health profiles, which describe the health of these patients over the course of 1 year from a societal perspective. METHODS:We developed 16 COPD health profiles. Each profile combined a description of the severity of COPD during the stable phase with a description of the exacerbation profile in terms of severity, frequency and duration. These profiles were valued by a representative sample of 239 Dutch adults using the visual analogue scale (VAS) and time trade-off (TTO) methods. Value functions were estimated using random effects regression analysis. RESULTS:Both VAS and TTO values consistently decreased as severity of the COPD profiles increased. Estimated TTO values ranged from 0.97 for mild COPD without exacerbations to 0.43 for very severe COPD with one non-serious and one serious exacerbation per year. The estimated decrements in TTO values ranged from 0.010 for having one non-serious exacerbation to 0.088 for having one non-serious plus one serious exacerbation per year. CONCLUSIONS:The value function may be an alternative way to model the joint impact of COPD severity and exacerbations on utility values in health economic modelling studies.
journal_name
Pharmacoeconomicsjournal_title
PharmacoEconomicsauthors
Rutten-van Mölken MP,Hoogendoorn M,Lamers LMdoi
10.2165/00019053-200927060-00003subject
Has Abstractpub_date
2009-01-01 00:00:00pages
465-77issue
6eissn
1170-7690issn
1179-2027pii
3journal_volume
27pub_type
杂志文章abstract::We estimated the cost effectiveness of adding the ACE inhibitor ramipril to conventional treatment in patients with heart failure after acute myocardial infarction. These estimates were based on the Acute Infarction Ramipril Efficacy (AIRE) study and on complementary Swedish healthcare resource use data for a subset o...
journal_title:PharmacoEconomics
pub_type: 临床试验,杂志文章
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journal_title:PharmacoEconomics
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journal_title:PharmacoEconomics
pub_type: 已发布勘误
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journal_title:PharmacoEconomics
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journal_title:PharmacoEconomics
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journal_title:PharmacoEconomics
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journal_title:PharmacoEconomics
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journal_title:PharmacoEconomics
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journal_title:PharmacoEconomics
pub_type: 杂志文章,评审
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journal_title:PharmacoEconomics
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journal_title:PharmacoEconomics
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journal_title:PharmacoEconomics
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更新日期:2000-01-01 00:00:00
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更新日期:2018-03-01 00:00:00