Preferences of heart failure patients in daily clinical practice: quality of life or longevity?

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Kraai, Imke H.University of Groningen, The Netherlands (författare)

Preferences of heart failure patients in daily clinical practice : quality of life or longevity?

Artikel/kapitelEngelska2013

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2014-01-27
John Wiley & Sons,2013
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:liu-99779
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-99779URI
https://doi.org/10.1093/eurjhf/hft071DOI

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Språk:engelska
Sammanfattning på:engelska

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SwePubSwePub

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Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

Anmärkningar

AIMS: Knowledge of patient preferences is vital for delivering optimal healthcare. This study uses utility measurement to assess the preferences of heart failure (HF) patients regarding quality of life or longevity. The utility approach represents the perspective of a patient; facilitates the combination of mortality, morbidity, and treatment regimen into a single score; and makes it possible to compare the effects of different interventions in healthcare.METHODS AND RESULTS: Patient preferences of 100 patients with HF were assessed in interviews using the time trade-off (TTO) approach. Health-related quality of life (HR-QoL) was assessed with the EQ-5D and the Minnesota Living with Heart Failure Questionnaire (MLHFQ). Patients' own estimation of life expectancy was assessed with a visual analogue scale (VAS). Of the 100 patients (mean age 70 ± 9 years; 71% male), 61% attach more weight to quality of life over longevity; while 9% and 14% were willing to trade 6 and 12 months, respectively, for perfect health and attach more weight to quality of life. Patients willing to trade time had a significantly higher level of NT-proBNP and reported significantly more dyspnoea during exertion. Predictors of willingness to trade time were higher NT-proBNP and lower EQ VAS.CONCLUSION: The majority of HF patients attach more weight to quality of life over longevity. There was no difference between both groups with respect to life expectancy described by the patients. These insights enable open and personalized discussions of patients' preferences in treatment and care decisions, and could guide the future development of more patient-centred care.

Ämnesord och genrebeteckningar

Utility
Patient preferences
Quality of life
Time trade-off

Biuppslag (personer, institutioner, konferenser, titlar ...)

Vermeulen, Karin M.University of Groningen, The Netherlands (författare)
Luttik, Marie Louise AUniversity of Groningen, The Netherlands (författare)
Hoekstra, TialdaUniversity of Groningen, The Netherlands (författare)
Jaarsma, TinyLinköpings universitet,Hälsa, Aktivitet, Vård (HAV),Hälsouniversitetet(Swepub:liu)tinja77 (författare)
Hillege, Hans L.University of Groningen, The Netherlands (författare)
University of Groningen, The NetherlandsHälsa, Aktivitet, Vård (HAV) (creator_code:org_t)

Sammanhörande titlar

Ingår i:European Journal of Heart Failure: John Wiley & Sons15:10, s. 1113-11211388-98421879-0844

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European Journal of Heart Failure (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Kraai, Imke H.; Vermeulen, Karin ...; Luttik, Marie Lo ...; Hoekstra, Tialda; Jaarsma, Tiny; Hillege, Hans L.

Artiklar i publikationen: European Journal ...

Av lärosätet: Linköpings universitet

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