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United States Value Set for the Functional Assessment of Cancer Therapy-General Eight Dimensions (FACT-8D), a Cancer-Specific Preference-Based Quality of Life Instrument

Author

Listed:
  • Madeleine T. King

    (University of Sydney)

  • D. A. Revicki

    (Revicki Outcomes Research Consulting)

  • R. Norman

    (Curtin University)

  • F. Müller

    (Amsterdam UMC Location University of Amsterdam)

  • R.C. Viney

    (University of Technology Sydney)

  • A. S. Pickard

    (University of Illinois at Chicago)

  • D. Cella

    (Northwestern University Feinberg School of Medicine)

  • J. W. Shaw

    (Global Health Economics and Outcomes Research)

Abstract

Objectives To develop a value set reflecting the United States (US) general population’s preferences for health states described by the Functional Assessment of Cancer Therapy (FACT) eight-dimensions preference-based multi-attribute utility instrument (FACT-8D), derived from the FACT-General cancer-specific health-related quality-of-life (HRQL) questionnaire. Methods A US online panel was quota-sampled to achieve a general population sample representative by sex, age (≥ 18 years), race and ethnicity. A discrete choice experiment (DCE) was used to value health states. The valuation task involved choosing between pairs of health states (choice-sets) described by varying levels of the FACT-8D HRQL dimensions and survival (life-years). The DCE included 100 choice-sets; each respondent was randomly allocated 16 choice-sets. Data were analysed using conditional logit regression parameterized to fit the quality-adjusted life-year framework, weighted for sociodemographic variables that were non-representative of the US general population. Preference weights were calculated as the ratio of HRQL-level coefficients to the survival coefficient. Results 2562 panel members opted in, 2462 (96%) completed at least one choice-set and 2357 (92%) completed 16 choice-sets. Pain and nausea were associated with the largest utility weights, work and sleep had more moderate utility weights, and sadness, worry and support had the smallest utility weights. Within dimensions, more severe HRQL levels were generally associated with larger weights. A preference-weighting algorithm to estimate US utilities from responses to the FACT-General questionnaire was generated. The worst health state’s value was −0.33. Conclusions This value set provides US population utilities for health states defined by the FACT-8D for use in evaluating oncology treatments.

Suggested Citation

  • Madeleine T. King & D. A. Revicki & R. Norman & F. Müller & R.C. Viney & A. S. Pickard & D. Cella & J. W. Shaw, 2024. "United States Value Set for the Functional Assessment of Cancer Therapy-General Eight Dimensions (FACT-8D), a Cancer-Specific Preference-Based Quality of Life Instrument," PharmacoEconomics - Open, Springer, vol. 8(1), pages 49-63, January.
    • Handle: RePEc:spr:pharmo:v:8:y:2024:i:1:d:10.1007_s41669-023-00448-5
    DOI: 10.1007/s41669-023-00448-5
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    References listed on IDEAS

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    1. Haode Wang & Donna L. Rowen & John E. Brazier & Litian Jiang, 2023. "Discrete Choice Experiments in Health State Valuation: A Systematic Review of Progress and New Trends," Applied Health Economics and Health Policy, Springer, vol. 21(3), pages 405-418, May.
    2. Arne Risa Hole, 2007. "A comparison of approaches to estimating confidence intervals for willingness to pay measures," Health Economics, John Wiley & Sons, Ltd., vol. 16(8), pages 827-840, August.
    3. Yitong Wang & Tingting Qiu & Junwen Zhou & Clément Francois & Mondher Toumi, 2021. "Which Criteria are Considered and How are They Evaluated in Health Technology Assessments? A Review of Methodological Guidelines Used in Western and Asian Countries," Applied Health Economics and Health Policy, Springer, vol. 19(3), pages 281-304, May.
    4. Rosalie Viney & Richard Norman & John Brazier & Paula Cronin & Madeleine T. King & Julie Ratcliffe & Deborah Street, 2014. "An Australian Discrete Choice Experiment To Value Eq‐5d Health States," Health Economics, John Wiley & Sons, Ltd., vol. 23(6), pages 729-742, June.
    5. Richard Norman & Rosalie Viney & John Brazier & Leonie Burgess & Paula Cronin & Madeleine King & Julie Ratcliffe & Deborah Street, 2014. "Valuing SF-6D Health States Using a Discrete Choice Experiment," Medical Decision Making, , vol. 34(6), pages 773-786, August.
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