Obtaining utility estimates of the health value of commonly prescribed treatments for asthma and depression.

Medical Decision Making : an International Journal of the Society for Medical Decision Making
Maria Orlando EdelenGary Rachelefsky

Abstract

Comparing the costs and health value associated with alternative quality improvement efforts is useful. This study employs expert panel methodology to elicit numerical estimates based on a 0 to 1 utility scale of the health benefit of usual treatment patterns for 2 medical conditions. The approach includes development of clinical profiles and derivation of treatment benefit estimates via the elicitation of utility ratings before and after treatment. Clinical profiles specified characteristics of patient groups, treatments to be rated, and their combinations. A panel of 13 asthma and depression experts made a series of utility ratings (before any new treatment, 1 or 3 mo later with no treatment, 1 or 3 mo after initiating various common treatments) for adult patient groups with depression or asthma. The panel convened to discuss discrepancies and subsequently made final ratings. Treatment benefit estimates were derived from the ratings made by the panelists after the panel meeting. The treatment benefit estimates had face validity and minimal variability, indicating considerable consensus among experts. Treatment benefit estimates ranged from -0.03 to 0.25 for depression and from -0.04 to 0.24 for asthma. There was minimal varia...Continue Reading

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Citations

Feb 20, 2013·The Patient·Marsha N WittinkStephen J Bartels
Mar 5, 2015·Journal of Medical Economics·Thomas R EinarsonMichiel E H Hemels
Dec 7, 2010·Journal of Clinical Epidemiology·Amy H WarrinerKen Saag
Nov 17, 2009·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Katherine E WatkinsHoward H Goldman

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