Skip to main content
Top
Published in: BMC Medical Informatics and Decision Making 1/2006

Open Access 01-12-2006 | Research article

Utilities of the Post-anesthesia State derived by the Standard Gamble method in surgical patients

Authors: Saifudin Rashiq, Diane Edlund, Bruce D Dick

Published in: BMC Medical Informatics and Decision Making | Issue 1/2006

Login to get access

Abstract

Background

There are no published utilities for the post-anesthesia state obtained by the standard gamble method (SG).

Methods

We obtained utilities for postoperative pain, nausea, vomiting, urinary retention and myalgia from 100 adults prior to elective surgery using SG.

Results

20% of volunteer participants could not demonstrate a satisfactory understanding of the SG process. Median utilities for each adverse effect were all very close to 1.0, and no statistically significant differences were found between them.

Conclusion

Our results suggest that the avoidance of anesthesia related side effects and pain is not viewed by patients prior to surgery as being worthy of the taking of even a miniscule risk of death. This may affect the decision to utilize anesthesia techniques that trade a lower incidence of common side effects for a very low but finite risk of a catastrophic complication.
Appendix
Available only for authorised users
Literature
1.
go back to reference Busemeyer JR, Townsend JT, Diederich A, Barkan R: Contrast effects or loss aversion?. Psychol Rev. 2005, 112 (1): 253-255. 10.1037/0033-295X.112.1.253.CrossRefPubMed Busemeyer JR, Townsend JT, Diederich A, Barkan R: Contrast effects or loss aversion?. Psychol Rev. 2005, 112 (1): 253-255. 10.1037/0033-295X.112.1.253.CrossRefPubMed
2.
go back to reference Chung F, Mezei G: Adverse outcomes in ambulatory anesthesia. Canadian Journal of Anaesthesia. 1999, 46 (5 Pt 2): R18-R34.CrossRefPubMed Chung F, Mezei G: Adverse outcomes in ambulatory anesthesia. Canadian Journal of Anaesthesia. 1999, 46 (5 Pt 2): R18-R34.CrossRefPubMed
3.
go back to reference Farquhar P: State of the art: Utility assessment methods. Management Science. 1984, 30 (11): 1283-1300.CrossRef Farquhar P: State of the art: Utility assessment methods. Management Science. 1984, 30 (11): 1283-1300.CrossRef
4.
go back to reference Gafni A: The standard gamble method: what is being measured and how it is interpreted. Health Serv Res. 1994, 29 (2): 207-224.PubMedPubMedCentral Gafni A: The standard gamble method: what is being measured and how it is interpreted. Health Serv Res. 1994, 29 (2): 207-224.PubMedPubMedCentral
5.
go back to reference Gan T, Sloan F, Dear GL, El Moalem HE, Lubarsky DA: How much are patients willing to pay to avoid postoperative nausea and vomiting?. Anesthesia & Analgesia. 2001, 92 (2): 393-400. 10.1097/00000539-200102000-00022.CrossRef Gan T, Sloan F, Dear GL, El Moalem HE, Lubarsky DA: How much are patients willing to pay to avoid postoperative nausea and vomiting?. Anesthesia & Analgesia. 2001, 92 (2): 393-400. 10.1097/00000539-200102000-00022.CrossRef
6.
go back to reference Gold MR, Patrick DL, Torrance GWF: Identifying and Valuing outcomes. Cost-Effectiveness in Health and Medicine. Edited by: Gold MR, Seigel JE, Russel LB, Weinstein MC. 1996, New York: Oxford University Press Gold MR, Patrick DL, Torrance GWF: Identifying and Valuing outcomes. Cost-Effectiveness in Health and Medicine. Edited by: Gold MR, Seigel JE, Russel LB, Weinstein MC. 1996, New York: Oxford University Press
7.
go back to reference Goossens ME, Vlaeyen JW, Rutten-van Molken MP, van der Linden SM: Patient utilities in chronic musculoskeletal pain: how useful is the standard gamble method?. Pain. 1999, 80 (1–2): 365-375. 10.1016/S0304-3959(98)00232-2.CrossRefPubMed Goossens ME, Vlaeyen JW, Rutten-van Molken MP, van der Linden SM: Patient utilities in chronic musculoskeletal pain: how useful is the standard gamble method?. Pain. 1999, 80 (1–2): 365-375. 10.1016/S0304-3959(98)00232-2.CrossRefPubMed
8.
go back to reference Hammerschmidt T, Zeitler HP, Gulich M, Leidl R: A comparison of different strategies to collect standard gamble utilities. Med Decis Making. 2004, 24 (5): 493-503. 10.1177/0272989X04269239.CrossRefPubMed Hammerschmidt T, Zeitler HP, Gulich M, Leidl R: A comparison of different strategies to collect standard gamble utilities. Med Decis Making. 2004, 24 (5): 493-503. 10.1177/0272989X04269239.CrossRefPubMed
9.
go back to reference Kaufman BR, Nystrom E, Nath S, Foucher G, Nystrom A: Debilitating chronic pain syndromes after presumed intraneural injections. Pain. 2000, 85 (1–2): 283-286. 10.1016/S0304-3959(99)00243-2.CrossRefPubMed Kaufman BR, Nystrom E, Nath S, Foucher G, Nystrom A: Debilitating chronic pain syndromes after presumed intraneural injections. Pain. 2000, 85 (1–2): 283-286. 10.1016/S0304-3959(99)00243-2.CrossRefPubMed
10.
go back to reference Macario A, Weinger M, Carney S, Kim A: Which clinical anesthesia outcomes are important to avoid?. The perspective of patients. Anesthesia & Analgesia. 1999, 89 (3): 652-658. 10.1097/00000539-199909000-00022. Macario A, Weinger M, Carney S, Kim A: Which clinical anesthesia outcomes are important to avoid?. The perspective of patients. Anesthesia & Analgesia. 1999, 89 (3): 652-658. 10.1097/00000539-199909000-00022.
11.
go back to reference Mittmann N, Trakas K, Risebrough N, Liu BA: Utility scores for chronic conditions in a community-dwelling population. Pharmacoeconomics. 1999, 15 (4): 369-376. 10.2165/00019053-199915040-00004.CrossRefPubMed Mittmann N, Trakas K, Risebrough N, Liu BA: Utility scores for chronic conditions in a community-dwelling population. Pharmacoeconomics. 1999, 15 (4): 369-376. 10.2165/00019053-199915040-00004.CrossRefPubMed
12.
go back to reference Rashiq S, Bray P: Relative value to surgical patients and anesthesia providers of selected anesthesia related outcomes. BMC Medical Informatics & Decision Making. 2003, 3 (1): 3-10.1186/1472-6947-3-3.CrossRef Rashiq S, Bray P: Relative value to surgical patients and anesthesia providers of selected anesthesia related outcomes. BMC Medical Informatics & Decision Making. 2003, 3 (1): 3-10.1186/1472-6947-3-3.CrossRef
13.
go back to reference Reeves SW, Friedman DS, Fleisher LA, Lubomski LH, Schein OD, Bass EB: A decision analysis of anesthesia management for cataract surgery. American Journal of Ophthalmology. 2001, 132 (4): 528-536. 10.1016/S0002-9394(01)01159-X.CrossRefPubMed Reeves SW, Friedman DS, Fleisher LA, Lubomski LH, Schein OD, Bass EB: A decision analysis of anesthesia management for cataract surgery. American Journal of Ophthalmology. 2001, 132 (4): 528-536. 10.1016/S0002-9394(01)01159-X.CrossRefPubMed
14.
go back to reference Sage DJ: Major Neurologic Injury Following Regional Anesthesia. Complications of Regional Anesthesia. Edited by: Finucane BT. 1999, London, Churchill Livingstone Sage DJ: Major Neurologic Injury Following Regional Anesthesia. Complications of Regional Anesthesia. Edited by: Finucane BT. 1999, London, Churchill Livingstone
15.
go back to reference Torrance GW: Measurement of health state utilities for economic appraisal. J Health Econ. 1986, 5 (1): 1-30. 10.1016/0167-6296(86)90020-2.CrossRefPubMed Torrance GW: Measurement of health state utilities for economic appraisal. J Health Econ. 1986, 5 (1): 1-30. 10.1016/0167-6296(86)90020-2.CrossRefPubMed
16.
go back to reference Tversky A, Kahneman D: The framing of decisions and the psychology of choice. Science. 1981, 211 (4481): 453-458.CrossRefPubMed Tversky A, Kahneman D: The framing of decisions and the psychology of choice. Science. 1981, 211 (4481): 453-458.CrossRefPubMed
17.
go back to reference Usher M, McClelland JL: Loss aversion and inhibition in dynamical models of multialternative choice. Psychol Rev. 2004, 111 (3): 757-769. 10.1037/0033-295X.111.3.757.CrossRefPubMed Usher M, McClelland JL: Loss aversion and inhibition in dynamical models of multialternative choice. Psychol Rev. 2004, 111 (3): 757-769. 10.1037/0033-295X.111.3.757.CrossRefPubMed
18.
go back to reference Ustun TB, Rehm J, Chatterji S, Saxena S, Trotter R, Room R: Multiple-informant ranking of the disabling effects of different health conditions in 14 countries. WHO/NIH Joint Project CAR Study Group. Lancet. 1999, 354 (9173): 111-115. 10.1016/S0140-6736(98)07507-2.CrossRefPubMed Ustun TB, Rehm J, Chatterji S, Saxena S, Trotter R, Room R: Multiple-informant ranking of the disabling effects of different health conditions in 14 countries. WHO/NIH Joint Project CAR Study Group. Lancet. 1999, 354 (9173): 111-115. 10.1016/S0140-6736(98)07507-2.CrossRefPubMed
Metadata
Title
Utilities of the Post-anesthesia State derived by the Standard Gamble method in surgical patients
Authors
Saifudin Rashiq
Diane Edlund
Bruce D Dick
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2006
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/1472-6947-6-8

Other articles of this Issue 1/2006

BMC Medical Informatics and Decision Making 1/2006 Go to the issue