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Published in: Health and Quality of Life Outcomes 1/2010

Open Access 01-12-2010 | Research

Valuation of scleroderma and psoriatic arthritis health states by the general public

Authors: Dinesh Khanna, Tracy Frech, Puja P Khanna, Robert M Kaplan, Mark H Eckman, Ron D Hays, Shaari S Ginsburg, Anthony C Leonard, Joel Tsevat

Published in: Health and Quality of Life Outcomes | Issue 1/2010

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Abstract

Objective

Psoriatic arthritis (PsA) and scleroderma (SSc) are chronic rheumatic disorders with detrimental effects on health-related quality of life. Our objective was to assess health values (utilities) from the general public for health states common to people with PsA and SSc for economic evaluations.

Methods

Adult subjects from the general population in a Midwestern city (N = 218) completed the SF-12 Health Survey and computer-assisted 0-100 rating scale (RS), time trade-off (TTO, range: 0.0-1.0) and standard gamble (SG, range: 0.0-1.0) utility assessments for several hypothetical PsA and SSc health states.

Results

Subjects included 135 (62%) females, 143 (66%) Caucasians, and 62 (28%) African-Americans. The mean (SD) scores for the SF-12 Physical Component Summary scale were 52.9 (8.3) and for the SF-12 Mental Component Summary scale were 49.0 (9.1), close to population norms. The mean RS, TTO, and SG scores for PsA health states varied with severity, ranging from 20.2 to 63.7 (14.4-20.3) for the RS 0.29 to 0.78 (0.24-0.31) for the TTO, and 0.48 to 0.82 (0.24-0.34) for the SG. The mean RS, TTO, and SG scores for SSc health states were 25.3-69.7 (15.2-16.3) for the RS, 0.36-0.80 (0.25-0.31) for the TTO, and 0.50-0.81 (0.26-0.32) for the SG, depending on disease severity.

Conclusion

Health utilities for PsA and SSc health states as assessed from the general public reflect the severity of the diseases. These descriptive findings could have implications regarding comparative effectiveness research for tests and treatments for PsA and SSc.

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Metadata
Title
Valuation of scleroderma and psoriatic arthritis health states by the general public
Authors
Dinesh Khanna
Tracy Frech
Puja P Khanna
Robert M Kaplan
Mark H Eckman
Ron D Hays
Shaari S Ginsburg
Anthony C Leonard
Joel Tsevat
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2010
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-8-112

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