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Exploring the relative value of end of life QALYs: Are the comparators important?

Neil McHugh, José Luis Pinto-Prades, Rachel Baker, Helen Mason and Cam Donaldson

Social Science & Medicine, 2020, vol. 245, issue C

Abstract: In the UK, life extending, end-of-life (EoL) treatments are an exception to standard cost-per-quality-adjusted life year (QALY) thresholds. This implies that greater value is placed on gaining these QALYs, than QALYs gained by the majority of other patient groups treated for anything else in the health system, even for other EoL contexts (such as quality of life (QoL) improvements alone). This paper reports a Person Trade-Off (PTO) study to test whether studies that find societal support for prioritising EoL life extensions can be explained by the severity, in terms of prospective QALYs loss, of the non-terminal comparator scenarios.

Keywords: End-of-life; Life extension; Person trade-off; Comparators; Stated preferences; UK (search for similar items in EconPapers)
Date: 2020
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DOI: 10.1016/j.socscimed.2019.112660

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