Quality-Adjusted Life Years

Publication Title: 
PharmacoEconomics

Lower back pain is one of the most prevalent musculoskeletal conditions in the developed world and accounts for significant health services use.

Author(s): 
Haas, Marion
De Abreu Lourenco, Richard
Publication Title: 
Health Technology Assessment (Winchester, England)

OBJECTIVES: To determine the effects of a policy of using acupuncture, compared with a policy of avoiding acupuncture, on headache in primary care patients with chronic headache disorders. The effects of acupuncture on medication use, quality of life, resource use and days off sick in this population and the cost-effectiveness of acupuncture were also examined. DESIGN: Randomised, controlled trial. SETTING: General practices in England and Wales. PARTICIPANTS: The study included 401 patients with chronic headache disorder, predominantly migraine.

Author(s): 
Vickers, A. J.
Rees, R. W.
Zollman, C. E.
McCarney, R.
Smith, C. M.
Ellis, N.
Fisher, P.
Van Haselen, R.
Wonderling, D.
Grieve, R.
Publication Title: 
PharmacoEconomics

Lower back pain is one of the most prevalent musculoskeletal conditions in the developed world and accounts for significant health services use.

Author(s): 
Haas, Marion
De Abreu Lourenco, Richard
Publication Title: 
The Journal of Medicine and Philosophy

Dramatically extending the human lifespan seems increasingly possible. Many bioethicists object that life-extension will have Malthusian consequences as new Methuselahs accumulate, generation by generation. I argue for a Life-Years Response to the Malthusian Objection. If even a minority of each generation chooses life-extension, denying it to them deprives them of many years of extra life, and their total extra life-years are likely to exceed the total life-years of a majority who do not want life-extension.

Author(s): 
Davis, John K.
Publication Title: 
Medical Decision Making: An International Journal of the Society for Medical Decision Making

BACKGROUND: Although congestive heart failure (CHF) is a primary target for disease management programs, previous studies have generated mixed results regarding the effectiveness and cost savings of disease management when applied to CHF. OBJECTIVE: We estimated the long-term impact of systolic heart failure disease management from the results of an 18-month clinical trial.

Author(s): 
Miller, George
Randolph, Stephen
Forkner, Emma
Smith, Brad
Galbreath, Autumn Dawn
Publication Title: 
Health Economics

In this study, the convergent validity of the contingent valuation method (CVM) and travel cost method (TCM) is tested by comparing estimates of the willingness to pay (WTP) for improving access to mammographic screening in rural areas of Australia. It is based on a telephone survey of 458 women in 19 towns, in which they were asked about their recent screening behaviour and their WTP to have a mobile screening unit visit their nearest town.

Author(s): 
Clarke, Philip M.
Publication Title: 
Medical Decision Making: An International Journal of the Society for Medical Decision Making

Whether respondents incorporate altruistic preferences in time tradeoff (TTO) exercises remains understudied. We present an extended quality-adjusted life-year model incorporating altruism. We derive that altruism may affect TTO values in 2 directions. First, "longevity altruists" may wish to prolong life for the sake of their loved ones (to avoid being missed). Second, "quality-of-life altruists" may have a preference to avoid bad health states resulting in being a burden to loved ones.

Author(s): 
Krol, Marieke
Attema, Arthur E.
van Exel, Job
Brouwer, Werner
Publication Title: 
Arthritis and Rheumatism

OBJECTIVE: To assess health values in subjects with systemic sclerosis (SSc) and determine variability explained by demographics, clinical factors, health status, and disease severity. METHODS: We interviewed 107 individuals with SSc who attended national and local Scleroderma Foundation meetings in 2005.

Author(s): 
Khanna, Dinesh
Ahmed, Mansoor
Furst, Daniel E.
Ginsburg, Shaari S.
Park, Grace S.
Hornung, Richard
Tsevat, Joel
Publication Title: 
BMJ (Clinical research ed.)

OBJECTIVE: An economic evaluation of therapeutic massage, exercise, and lessons in the Alexander technique for treating persistent back pain. DESIGN: Cost consequences study and cost effectiveness analysis at 12 month follow-up of a factorial randomised controlled trial. PARTICIPANTS: 579 patients with chronic or recurrent low back pain recruited from primary care. INTERVENTIONS: Normal care (control), massage, and six or 24 lessons in the Alexander technique. Half of each group were randomised to a prescription for exercise from a doctor plus behavioural counselling from a nurse.

Author(s): 
Hollinghurst, Sandra
Sharp, Debbie
Ballard, Kathleen
Barnett, Jane
Beattie, Angela
Evans, Maggie
Lewith, George
Middleton, Karen
Oxford, Frances
Webley, Fran
Little, Paul
Publication Title: 
The European journal of health economics: HEPAC: health economics in prevention and care

CONTEXT: Economic evaluations of commonly used complementary and alternative medicine (CAM) therapies such as homeopathy are needed to contribute to the evidence base on which policy makers, clinicians, health-care payers, as well as patients base their health-care decisions in an era of constrained resources. OBJECTIVES: To review and assess existing economic evaluations of homeopathy.

Author(s): 
Viksveen, Petter
Dymitr, Zofia
Simoens, Steven

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