Assessing utility values for treatment-related health states of acute myeloid leukemia in the United States

• Published in: Health and quality of life outcomes Vol. 16; no. 1; p. 193
• Main Authors: Stein, Eytan M, Yang, Min, Guerin, Annie, Gao, Wei, Galebach, Philip, Xiang, Cheryl Q, Bhattacharyya, Subrata, Bonifacio, Gaetano, Joseph, George J
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 21.09.2018; BioMed Central; BMC
• Subjects: Acute myelocytic leukemia; Acute myeloid leukemia; Adolescent; Adult; Adults; Aged; Analysis; Anxiety; Blood; Blood cells; Blood transfusion; Care and treatment; Census of Population; Chemotherapy; Demographics; Diarrhea; Discrete choice experiment; Disease; Economic conditions; Experiments; Female; Fever; Health; Health state; Health Status; Humans; Leukemia; Leukemia, Myeloid, Acute - complications; Leukemia, Myeloid, Acute - therapy; Logistic Models; Male; Medical screening; Mental depression; Methods; Middle Aged; Myeloid leukemia; Patients; Predictive Value of Tests; Preference valuation; Preferences; Quality of Life; Recovery; Regulatory approval; Remission; Short term; Skin; Stem cell transplantation; Stem cells; Studies; Surveys and Questionnaires; Treatment Outcome; United States; Utilities; Utility; Valuation; Young Adult; United States > US; Preference valuation; Utility; Health state; Acute myeloid leukemia; Discrete choice experiment
• ISSN: 1477-7525; 1477-7525
• DOI: 10.1186/s12955-018-1013-9

Preference valuations of health status are essential in health technology and economic appraisal. This study estimated utilities for treatment-related health states of acute myeloid leukemia (AML) and disutilities of severe adverse events (SAEs) using a representative sample of adults from the general population in the United States (US). Treatment-related AML health states, defined based on literature and interviews with clinicians, included complete remission (CR), no CR, relapse, stem cell transplant (SCT), and post SCT short-term recovery. Six attributes with varying levels, including fever, lack of energy, problems with daily function, anxiety/depression, blood transfusions, and hospitalization, were used to define health states. An online survey using discrete choice experiment methodology was designed to capture preferences for health status scenarios including the identified attributes and key grade 3/4 chemotherapy-related SAEs. Health state utilities and SAE disutilities were generated from a conditional logistic regression with generalized estimating equations. Of the 300 survey participants, the demographic distributions were within a 3% margin of those in the 2010 US Census. CR had the highest utility value (0.875), followed by post-SCT short-term recovery (0.398), relapse (0.355), no CR (0.262), and SCT (0.158). Of the SAEs, serious infection had the highest decline in utility (0.218), followed by severe diarrhea (0.176), abnormally low blood cell counts (0.100), and severe redness/skin peeling (0.060). AML and treatments can result in reduced quality of life and impaired ability to perform daily activities. Findings of this study underline the value that society places on treatment-related AML health states and SAEs.