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Health Profile Preferences of Hepatitis C Patients
Authors:Jonathan R. Treadwell  David Kearney  Marta Davila
Affiliation:(1) Stanford Center for Biomedical Ethics, Stanford University Medical Center, Palo Alto, California;(2) Gastroenterology Section, Seattle Veterans"rsquo" Administration Medical Center, and University of Washington, Seattle, Washington;(3) Division of Gastroenterology, Stanford University Medical Center, Palo Alto, California
Abstract:The side effects of interferon-agr for chronic hepatitis C are well-known. Patients may differ with respect to their tolerance of these side effects and also with respect to their individual preferences. We administered a brief questionnaire to 67 outpatients with hepatitis C virus infection. Patients were asked to make hypothetical choices between six-month profiles of health. The results were as follows: (1) patients preferred to expedite rather than postpone intervals of poor health; (2) preferences of patients with low quality-of-life were quite similar to preferences of healthier patients; (3) patients' choices satisfied transitivity; (4) patients' choices satisfied preferential independence; and (5) patients gave a variety of reasons for their choices. These results corroborate other investigations of health preferences, and serve to introduce the field of preference elicitation to gastroenterologists.
Keywords:interferon  side effects  quality-of-life  preferences
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