Assessing utility values for treatment-related health states of acute myeloid leukemia in the United States Journal Article


Authors: Stein, E. M.; Yang, M.; Guerin, A.; Gao, W.; Galebach, P.; Xiang, C. Q.; Bhattacharyya, S.; Bonifacio, G.; Joseph, G. J.
Article Title: Assessing utility values for treatment-related health states of acute myeloid leukemia in the United States
Abstract: Background: Preference valuations of health status are essential in health technology and economic appraisal. This study estimated utilities for treatment-related health states of acute myeloid leukemia (AML) and disutilities of severe adverse events (SAEs) using a representative sample of adults from the general population in the United States (US). Methods: Treatment-related AML health states, defined based on literature and interviews with clinicians, included complete remission (CR), no CR, relapse, stem cell transplant (SCT), and post SCT short-term recovery. Six attributes with varying levels, including fever, lack of energy, problems with daily function, anxiety/depression, blood transfusions, and hospitalization, were used to define health states. An online survey using discrete choice experiment methodology was designed to capture preferences for health status scenarios including the identified attributes and key grade 3/4 chemotherapy-related SAEs. Health state utilities and SAE disutilities were generated from a conditional logistic regression with generalized estimating equations. Results: Of the 300 survey participants, the demographic distributions were within a 3% margin of those in the 2010 US Census. CR had the highest utility value (0.875), followed by post-SCT short-term recovery (0.398), relapse (0.355), no CR (0.262), and SCT (0.158). Of the SAEs, serious infection had the highest decline in utility (0.218), followed by severe diarrhea (0.176), abnormally low blood cell counts (0.100), and severe redness/skin peeling (0.060). Conclusions: AML and treatments can result in reduced quality of life and impaired ability to perform daily activities. Findings of this study underline the value that society places on treatment-related AML health states and SAEs. © 2018 The Author(s).
Keywords: utility; acute myeloid leukemia; discrete choice experiment; health state; preference valuation
Journal Title: Health and Quality of Life Outcomes
Volume: 16
ISSN: 1477-7525
Publisher: Biomed Central Ltd  
Date Published: 2018-09-01
Start Page: 193
Language: English
DOI: 10.1186/s12955-018-1013-9
PROVIDER: scopus
PMCID: PMC6151058
PUBMED: 30241538
DOI/URL:
Notes: Article -- Export Date: 1 November 2018 -- Source: Scopus
Altmetric
Citation Impact
MSK Authors
  1. Eytan Moshe Stein
    166 Stein