Catalyst Health Economics Consultants, Northwood, UK.
Leuk Lymphoma. 2012 May;53(5):928-33. doi: 10.3109/10428194.2011.631155. Epub 2011 Dec 5.
This study estimated time trade-off preference values associated with the four chronic myelogenous leukemia (CML) chronic phase-related health states (i.e. untreated, hematologic response, cytogenetic response and molecular response) among members of the general public in the UK (n = 241). All four health states were associated with decreases in preference values from full health. The molecular response to treatment was the most preferred health state (mean utility of 0.94). The second-most preferred health state was cytogenetic response followed by hematologic response (mean utilities were 0.89 and 0.80, respectively). The least preferred health state was untreated chronic phase CML (mean utility of 0.72). The utility values for each state were significantly different from one another (p < 0.001). This study demonstrated and quantified the impact that more robust treatment responses have on the health-related quality of life of patients with chronic phase CML.
本研究估算了英国普通公众中与慢性髓性白血病(CML)慢性期相关的四种健康状态(即未经治疗、血液学反应、细胞遗传学反应和分子学反应)的时间权衡偏好值(n=241)。所有四种健康状态都与健康状态的偏好值降低有关。治疗的分子反应是最受欢迎的健康状态(平均效用值为 0.94)。其次是细胞遗传学反应,其次是血液学反应(平均效用值分别为 0.89 和 0.80)。最不受欢迎的健康状态是未经治疗的慢性期 CML(平均效用值为 0.72)。每个状态的效用值彼此显著不同(p < 0.001)。这项研究表明并量化了更强大的治疗反应对慢性期 CML 患者的健康相关生活质量的影响。