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Related Experiment Videos

Patient preferences: survival vs quality-of-life considerations

D J Mazur1, D H Hickman

  • 1Department of Veterans Affairs Medical Center, Oregon Health Sciences University, Portland 97207.

Journal of General Internal Medicine
|July 1, 1993
PubMed
Summary

Patients prioritize quality of life over increased survival, showing a greater aversion to urinary incontinence risk than impotence. Symptomatic men are more willing to accept treatment risks.

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Area of Science:

  • Medical decision making
  • Patient preferences
  • Health outcomes research

Background:

  • Understanding patient risk perception is crucial for informed medical choices.
  • Balancing survival benefits against quality-of-life trade-offs remains a challenge in healthcare.

Purpose of the Study:

  • To evaluate how patients weigh mortality risks against quality-of-life impacts.
  • To assess patient willingness to accept complications for increased survival.

Main Methods:

  • A cross-sectional survey was conducted with 230 male patients at a university-based VA medical center.
  • Patients reviewed survival graphs comparing treatments and indicated preferences and acceptable risks for quality-of-life changes (urinary incontinence, impotence).

Main Results:

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  • Patients generally preferred maintaining quality of life over achieving longer survival.
  • A significant majority (p < 0.01) were more willing to avoid incontinence than impotence.
  • Symptomatic patients were more amenable to accepting treatment risks than asymptomatic ones.

Conclusions:

  • Patients can differentiate between morbidity severities and make nuanced risk-benefit assessments.
  • Men exhibit a stronger aversion to urinary incontinence risk compared to impotence.
  • Patient symptomatology influences their willingness to accept treatment-related complications.