患者对心脏膜疾病干预的偏好
Simon Fifer1, Brittany Keen1, Polo Guilbert-Wright2
1Community and Patient Preference Research (CaPPRe), Sydney, New South Wales, Australia.
概括
患有心脏门疾病 (HVD) 的患者更喜欢轻微侵入性手术而不是侵入性手术,优先考虑门的耐用性和更快的恢复. 这些发现指导医疗保健决策的患者价值治疗属性.
科学领域:
- 心血管医学 心血管医学
- 卫生经济学 卫生经济学
- 患者报告的结果
背景情况:
- 心脏膜疾病 (HVD) 需要做出治疗决策,需要在手术的好处和风险之间进行权衡.
- 了解患者的偏好对于优化HVD治疗策略和资源配置至关重要.
研究的目的:
- 确定HVD患者如何权衡侵袭性与微侵袭性手术的益处和风险.
- 确定患者对HVD治疗的偏好以及特定治疗属性的相对重要性.
主要方法:
- 对143名澳大利亚人和206名日本患者进行了离散选择实验 (DCE),这些患者接受了心脏门手术.
- DCE的属性包括死亡风险,中风风险,需要透析/起器,门耐用性,手术后的独立性和自付费用.
- 一个混合多项逻辑模型分析了患者在假设的侵入性和最小侵入性手术之间做出的选择.
主要成果:
- 澳大利亚和日本的患者都表示,他们更喜欢微创手术而不是侵袭性手术.
- 门的耐用性和术后独立的可能性是影响患者选择的最重要因素.
- 各国患者的偏好有所不同,澳大利亚人优先考虑门的耐用性,日本患者强调重新获得独立性.
结论:
- 至少侵入性手术是HVD患者的首选,无论之前的治疗经验.
- 门的耐用性和恢复速度是驱动患者治疗偏好的关键属性.
- 结果可以为医疗保健决策者提供以患者为中心的HVD治疗考虑的信息.
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