Format

Send to

Choose Destination
Am Heart J. 1998 Oct;136(4 Pt 1):703-13.

Utilities for major stroke: results from a survey of preferences among persons at increased risk for stroke.

Author information

1
Center for Clinical Health Policy Research, Sanford Institute of Public Policy, the Department of Medicine, Duke University, Durham, NC 27705, USA.

Abstract

BACKGROUND:

Patient beliefs, values, and preferences are crucial to decisions involving health care. In a large sample of persons at increased risk for stroke, we examined attitudes toward hypothetical major stroke.

METHODS AND RESULTS:

Respondents were obtained from the Academic Medical Center Consortium (n = 621), the Cardiovascular Health Study (n = 321 ), and United Health Care (n = 319). Preferences were primarily assessed by using the time trade off (TTO). Although major stroke is generally considered an undesirable event (mean TTO = 0.30), responses were varied: although 45% of respondents considered major stroke to be a worse outcome than death, 15% were willing to trade off little or no survival to avoid a major stroke.

CONCLUSIONS:

Providers should speak directly with patients about beliefs, values, and preferences. Stroke-related interventions, even those with a high price or less than dramatic clinical benefits, are likely to be cost-effective if they prevent an outcome (major stroke) that is so undesirable.

PMID:
9778075
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center