Adolescent and parental utilities for the health states associated with pelvic inflammatory disease.
Adolescent and parental utilities for the health states associated with pelvic inflammatory disease.
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青少年和父母对与盆腔炎相关的健康状况的效用。
DOI：
10.1136/sextrans-2011-050187
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发表时间：
2011
影响因子：
3.6
通讯作者：
Frick,KevinD
中科院分区：
文献类型：
--
作者：
Trent,Maria;Lehmann,HaroldP;Qian,Qiang;Thompson,CarolB;Ellen,JonathanM;Frick,KevinD
目的关于青少年盆腔炎（PID）护理消费者如何重视与该疾病相关的健康状况的信息有限。本研究的目的是确定和比较青少年和家长PID相关的health utilities.MethodsAdolescent girls（N=134）和家长（N=121）完成了一个基于网络的实用程序启发式调查。参与者回顾了描述与PID相关的健康状态的五种情况（门诊治疗（轻中度疾病），住院治疗（严重疾病），异位妊娠，不孕症和慢性腹痛）。在每个场景之后，要求参与者使用视觉焦虑量表（VAS）对健康相关的生活质量（HRQL）进行评分，并完成时间权衡（TTO）评估。数据进行了评估，采用多元线性（VAS）和分位数（TTO）回归analysis.ResultsAdolescents有显着较低的平均值（p<0.01）比父母的VAS HRQL在每个健康状态（门诊（62与76），住院（57与74），异位（55与73），不孕症（59与68）和慢性腹痛（48与61））。使用分位数回归分析，青少年也愿意放弃更多的时间来获得较低的TTO中位数分数所指示的健康收益（p<0.01）门诊治疗（0.98对1.0），住院治疗（0.96 vs 1.0）和异位妊娠（0.98vs1.0）。结论作者证明，青少年分配更多的负效用（较低的估值）比父母的HRQL和三个五TTO评估PID相关的健康状态。未来的经济评估，使用患者的具体偏好，以确定资源分配的PID管理在青少年应包括青少年的健康结果和效用。
PurposeThere is limited information about how the consumers of adolescent pelvic inflammatory disease (PID) care value health states associated with the disorder. The aim of this study is to determine and compare adolescent and parent PID-related health utilities.MethodsAdolescent girls (N=134) and parents (N=121) completed a web-based utility elicitation survey. Participants reviewed five scenarios describing the health states associated with PID (outpatient treatment (mild–moderate disease), inpatient treatment (severe disease), ectopic pregnancy, infertility and chronic abdominal pain). After each scenario, participants were asked to rate health-related quality of life (HRQL) using a Visual Analogue Scale (VAS) and to complete a time trade-off (TTO) assessment. Data were evaluated using multiple linear (VAS) and quantile (TTO) regression analyses.ResultsAdolescents had significantly lower mean valuations (p<0.01) than the parents on the VAS for HRQL in each health state (outpatient (62 vs 76), inpatient (57 vs 74), ectopic (55 vs 73), infertility (59 vs 68) and chronic abdominal pain (48 vs 61)). Using quantile regression analysis, adolescents were also willing to give up more time for health gains indicated by lower median TTO scores (p<0.01) for outpatient treatment (0.98 vs 1.0), inpatient treatment (0.96 vs 1.0) and ectopic pregnancy (0.98 vs 1.0).ConclusionsThe authors demonstrate that adolescents assign more disutility (lower valuations) than parents for HRQL and three of five of the TTO assessments for PID-related health states. Future economic evaluations using patient-specific preferences to determine resource allocation for PID management in adolescents should include adolescent health outcomes and utilities.