Quality compared to quantity of life in laryngeal cancer: A time trade-off study

Hamilton, David W., Bins, Janneke, McMeekin, Peter, Pedersen, Ami, Steen, Nick, de Soyza, Anthony, Thomson, Richard G., Paleri, Vinidh and Wilson, Janet (2016) Quality compared to quantity of life in laryngeal cancer: A time trade-off study. Head & Neck, 38 (S1). E631-E637. ISSN 1043 3074

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Official URL: http://dx.doi.org/10.1002/hed.24061


Background - The purpose of this study was to use time trade-off to assess the factors influencing patients' decisions in advanced laryngeal cancer. Time trade-off is a well-established method of assessing how individuals value a particular health state.

Methods - We developed vignettes depicting life after chemoradiotherapy or laryngectomy. One hundred fourteen participants ranked them, assigned utility values, and rated the importance of survival on treatment choice.

Results - Chemoradiotherapy was preferred by 62% and laryngectomy by 38%. Chemoradiotherapy optimal outcome had the highest mean utility value (0.64) followed by total laryngectomy optimal outcome (0.56). Total laryngectomy poor outcome (0.33) was equivalent to chemoradiotherapy poor outcome (0.32).The average survival advantage required for a participant to change their preferred choice was 2.1 years.

Conclusion - The functional treatment outcome had a greater effect on health state utility values than treatment modality. In many individuals, larynx conservation may not be the primary consideration in treatment preference.

Item Type: Article
Uncontrolled Keywords: chemoradiotherapy; head and neck neoplasms; laryngeal neoplasms; laryngectomy; larynx
Subjects: B900 Others in Subjects allied to Medicine
L500 Social Work
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Becky Skoyles
Date Deposited: 12 Aug 2015 13:57
Last Modified: 12 Oct 2019 15:28
URI: http://nrl.northumbria.ac.uk/id/eprint/23544

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