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Preference Assessment Method Affects Decision-Analytic Recommendations: A Prostate Cancer Treatment Example

Author

Listed:
  • Elena B. Elkin

    (Departments of Biostatistics and Epidemiology, Memorial Sloan-Kettering Cancer Center, New York)

  • Mark E. Cowen
  • Daniel Cahill

    (St. Joseph Mercy Hospital, Ann Arbor, Michigan)

  • Mary Steffel

    (Columbia University, New York)

  • Michael W. Kattan

    (Departments of Biostatistics and Epidemiology and Urology, Memorial Sloan-Kettering Cancer Center, New York; Department of Biostatistics and Epidemiology, Wb4, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195; phone: 216-444-0584; fax: 630-604-3605kattanm@ccf.org)

Abstract

Purpose. To evaluate the effect of preference assessment method on treatment recommended by an individualized decision-analytic model for early prostate cancer. Methods. Health state preferences were elicited by time tradeoff, rating scale, and a power transformation of the rating scale from 63 men ages 55 to 75. The authors used these values in a Markov model to determine whether radical prostatectomy or watchful waiting yielded the greater quality-adjusted life expectancy. Results. Time tradeoff and transformed rating scale recommendations differed widely. Time tradeoff and transformed rating scale utilities differed in their treatment recommendation for 21% to 52% of men, and the mean difference in quality-adjusted life years varied from less than 0.5 to greater than 1.0. Conclusions. Treatment recommendations from the prostate cancer decision model were sensitive to the method of preference assessment. If decision analysis is used to counsel individual patients, careful considerationmust be given to the method of preference elicitation.

Suggested Citation

  • Elena B. Elkin & Mark E. Cowen & Daniel Cahill & Mary Steffel & Michael W. Kattan, 2004. "Preference Assessment Method Affects Decision-Analytic Recommendations: A Prostate Cancer Treatment Example," Medical Decision Making, , vol. 24(5), pages 504-510, October.
    • Handle: RePEc:sae:medema:v:24:y:2004:i:5:p:504-510
    DOI: 10.1177/0272989X04268954
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    References listed on IDEAS

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    1. David Feeny & Marie Townsend & William Furlong & Darrell Tomkins & Gail Robinson & George Torrance & Patrick Mohide & Qinan Wang, 2000. "Assessing Health-Related Quality-of-Life in Prenatal Diagnosis Comparing Chorionic Villi Sampling and Amniocentesis: A Technical Report," Centre for Health Economics and Policy Analysis Working Paper Series 2000-04, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    2. Torrance, George W., 1976. "Social preferences for health states: An empirical evaluation of three measurement techniques," Socio-Economic Planning Sciences, Elsevier, vol. 10(3), pages 129-136.
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