A meta-analysis demonstrates no significant differences between patient and population preferences

To summarize and quantify mean differences between directly elicited patient and population health state evaluations (= preferences) and to identify factors explaining these differences. Two meta-analyses of observational studies comparing directly elicited patient and population preferences for two...

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Veröffentlicht in:Journal of clinical epidemiology 2006-07, Vol.59 (7), p.653-664
Hauptverfasser: Dolders, Maria G.T., Zeegers, Maurice P.A., Groot, Wim, Ament, André
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container_end_page 664
container_issue 7
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container_title Journal of clinical epidemiology
container_volume 59
creator Dolders, Maria G.T.
Zeegers, Maurice P.A.
Groot, Wim
Ament, André
description To summarize and quantify mean differences between directly elicited patient and population health state evaluations (= preferences) and to identify factors explaining these differences. Two meta-analyses of observational studies comparing directly elicited patient and population preferences for two stratified health state classifications: actual/hypothetical and hypothetical/hypothetical health states. Thirty-three articles comparing directly elicited patient and population preferences were included, yielding 78 independent preference estimates. These preference estimates served as input for the two stratified health state classifications. Data on health state assessments, elicitation methods, assessment method, and population characteristics was extracted by one reviewer, and checked by two other reviewers. These parameters were used to explain sources of heterogeneity. Overall, patients' actual health state preferences were not significantly higher than populations hypothetical health state preferences (summary mean difference [SMD] = −0.01, 95% confidence interval [CI] = −0.01, 0.03). Nor did preferences for hypothetical health states differ between patients and population (SMD −0.00, 95% CI = −0.02, 0.02). Most parameters substantially influenced the SMD, although the magnitude and direction differed for the two strata used (all P-values
doi_str_mv 10.1016/j.jclinepi.2005.07.020
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Two meta-analyses of observational studies comparing directly elicited patient and population preferences for two stratified health state classifications: actual/hypothetical and hypothetical/hypothetical health states. Thirty-three articles comparing directly elicited patient and population preferences were included, yielding 78 independent preference estimates. These preference estimates served as input for the two stratified health state classifications. Data on health state assessments, elicitation methods, assessment method, and population characteristics was extracted by one reviewer, and checked by two other reviewers. These parameters were used to explain sources of heterogeneity. Overall, patients' actual health state preferences were not significantly higher than populations hypothetical health state preferences (summary mean difference [SMD] = −0.01, 95% confidence interval [CI] = −0.01, 0.03). Nor did preferences for hypothetical health states differ between patients and population (SMD −0.00, 95% CI = −0.02, 0.02). Most parameters substantially influenced the SMD, although the magnitude and direction differed for the two strata used (all P-values &lt;.05). 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Two meta-analyses of observational studies comparing directly elicited patient and population preferences for two stratified health state classifications: actual/hypothetical and hypothetical/hypothetical health states. Thirty-three articles comparing directly elicited patient and population preferences were included, yielding 78 independent preference estimates. These preference estimates served as input for the two stratified health state classifications. Data on health state assessments, elicitation methods, assessment method, and population characteristics was extracted by one reviewer, and checked by two other reviewers. These parameters were used to explain sources of heterogeneity. Overall, patients' actual health state preferences were not significantly higher than populations hypothetical health state preferences (summary mean difference [SMD] = −0.01, 95% confidence interval [CI] = −0.01, 0.03). 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Two meta-analyses of observational studies comparing directly elicited patient and population preferences for two stratified health state classifications: actual/hypothetical and hypothetical/hypothetical health states. Thirty-three articles comparing directly elicited patient and population preferences were included, yielding 78 independent preference estimates. These preference estimates served as input for the two stratified health state classifications. Data on health state assessments, elicitation methods, assessment method, and population characteristics was extracted by one reviewer, and checked by two other reviewers. These parameters were used to explain sources of heterogeneity. Overall, patients' actual health state preferences were not significantly higher than populations hypothetical health state preferences (summary mean difference [SMD] = −0.01, 95% confidence interval [CI] = −0.01, 0.03). Nor did preferences for hypothetical health states differ between patients and population (SMD −0.00, 95% CI = −0.02, 0.02). Most parameters substantially influenced the SMD, although the magnitude and direction differed for the two strata used (all P-values &lt;.05). The actual/hypothetical and hypothetical/hypothetical meta-analyses demonstrated no significant differences between patient and population preferences, suggesting that both can be used to allocate scarce resources.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16765267</pmid><doi>10.1016/j.jclinepi.2005.07.020</doi><tpages>12</tpages></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier); ProQuest Central UK/Ireland
subjects Biological and medical sciences
Consumer Behavior
Decision making
Epidemiology
General aspects
Health policy
Health state
Health Status
Heterogeneity
Humans
Medical sciences
Meta-analysis
Methodology
Observational studies
Patient preferences
Patient Satisfaction
Population characteristics
Population preferences
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of life
Resource Allocation
Statistics, Nonparametric
Studies
Tradeoff analysis
title A meta-analysis demonstrates no significant differences between patient and population preferences
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