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A Comparison of Physician and Patient Time Trade-Offs for Postoperative Hip Outcomes |
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| Authors: | Ning Yan Gu MS Christopher Wolf MD Seth Leopold MD Paul A. Manner MD Jason N. Doctor PhD |
| Affiliation: | Clinical Pharmacy and Pharmaceutical Economics and Policy, University of Southern California, Los Angeles, CA, USA;;Orthopaedics and Sports Medicine, University of Washington Medical Center, Seattle, WA, USA |
| Abstract: | Objective: To elicit infected hip arthroplasty preferences from outpatients and surgeons using time trade-off method based on a paper-based survey. Methods: Outpatients were included if they were 20 to 80 years of age, did not have a history of hip pain or surgery, and did not have a diagnosis of dementia. Orthopedic surgeons were high-volume joint replacement specialists or who performed ≥50 joint replacements per year. Preference measures were elicited using trade-offs between impaired health versus full health with shortened life, and between two temporary health states. Results: Patient preference scores were in some cases higher than surgeon preference scores. The difference was most pronounced for the health state constant severe pain . Outpatients revealed much higher preferences for staying in short-term major medical complication as compared with surgeons. Conclusions: Preference measures derived in this study can be used in decision-making for complications related to hip surgeries. |
| Keywords: | preference-based measures questionnaire trade-offs utility utility assessment |
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