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Stability of Time-tradeoff Utilities in Survivors of Myocardial Infarction

Joel Tsevat, Lee Goldman, Jane R. Soukup, Gervasio A. Lamas, Kathleen F. Connors, Carole C. Chapin and Thomas H. Lee

Medical Decision Making, 1993, vol. 13, issue 2, 161-165

Abstract: To investigate whether time-tradeoff utilities of survivors of myocardial infarction change over time and whether changes in utilities correlate with changes in functional status, the authors conducted serial interviews using a time tradeoff and three measures of functional status in a cohort of 67 patients who had recently had myocardial infarction. The patients were also asked to rate their overall health on a rating scale and were asked about chest pain, exercise status, and employment status. Each patient was interviewed two to five times over one and a half years. The mean (95% Cl) time-tradeoff score for all patients was 0.88 (0.84, 0.93). Over a mean interval of 8.4 months, 28 (42%) patients changed Karnofsky scores, 28 (42%) changed Specific Activity Scale classes, and 11 (16%) changed New York Heart Association classes, with most changes representing improvements in functional status. Scores on the rating scale improved by a mean (95% Cl) of 0.06 [(0.03, 0.10); p

Date: 1993
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Citations: View citations in EconPapers (13)

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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:13:y:1993:i:2:p:161-165

DOI: 10.1177/0272989X9301300210

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