Estimating utilities/disutilities for high-risk metastatic hormone-sensitive prostate cancer (mHSPC) and treatment-related adverse events

Autor:	F, Hall, H M, de Freitas, C, Kerr, T, Ito, B, Nafees, A J, Lloyd, J, Penton, M, Hadi, S, Lanar, T P, Pham
Rok vydání:	2019
Předmět:	Adult Male Young Adult Adolescent Drug-Related Side Effects and Adverse Reactions Quality of Life Humans Prostatic Neoplasms Androgen Antagonists Docetaxel Middle Aged Neoplasm Metastasis Aged
Zdroj:	Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 28(5)
ISSN:	1573-2649
Popis:	To capture UK societal health utility values for high-risk metastatic hormone-sensitive prostate cancer (mHSPC) and the disutility associated with treatment-related adverse events (AEs) to inform future cost-utility analyses.A literature review, and patient and clinical expert interviews informed the development of health states characterising mHSPC symptoms and the impact of treatment-related AEs on health-related quality of life (HRQL). Three base health states were developed describing a typical patient with high-risk mHSPC: receiving androgen deprivation therapy (ADT) [Base State 1]; receiving docetaxel plus ADT [Base State 2]; completed docetaxel and still receiving ADT whose disease has not yet progressed [Base State 3]. Six additional health states described treatment-related AEs. The health states were validated with experts and piloted with general public participants. Health state utilities were obtained using the time trade-off (TTO) method with 200 members of the UK general population. A generalised estimating equation (GEE) model was used to estimate disutility weights.Mean TTO scores for Base State 1 to 3 were 0.71 (SD = 0.26), 0.64 (SD = 0.27), and 0.68 (SD = 0.26), respectively, indicating that receiving docetaxel plus ADT was most impactful on HRQL. The GEE model indicated when compared to Base State 2 that the nausea and vomiting AE had the most impact on HRQL (- 0.21), while alopecia was least burdensome (- 0.04).The study highlights the differences in utility between base health states and the significant impact of treatment-related AEs on the HRQL of patients with mHSPC. These findings underline the importance of accounting for impaired HRQL when assessing treatments for mHSPC.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::329fd81a4c70a86a467f2b04b7d4ed27 https://pubmed.ncbi.nlm.nih.gov/30767088 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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