Utilities for major stroke: results from a survey of preferences among persons at increased risk for stroke.
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.
Duke Scholars
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- United States
- Surveys and Questionnaires
- Sex Distribution
- Quality of Life
- Middle Aged
- Male
- Intracranial Embolism and Thrombosis
- Humans
- Health Status
- Female
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- United States
- Surveys and Questionnaires
- Sex Distribution
- Quality of Life
- Middle Aged
- Male
- Intracranial Embolism and Thrombosis
- Humans
- Health Status
- Female