A Meta-Analysis of Utility Weights for Stroke

뇌졸중의 효용가중치에 대한 메타분석

  • 허지행 (성균관대학교 약학대학) ;
  • 정규혁 (성균관대학교 약학대학) ;
  • 이의경 (숙명여자대학교 임상약학대학원)
  • Received : 2009.05.04
  • Accepted : 2009.07.21
  • Published : 2009.10.31

Abstract

The aims of this study are to conduct meta-analysis for obtaining pooled estimates of the utility weight for stroke and to explore the study design characteristics that determine the utility weight for stroke. Medline (Pubmed), CEA Registry (Tufts Medical Center), and KERIS (Korea Education & Research Information Service) were searched to find out the literature that reported quality of life with stroke. Patient characteristics, utility weights and standard errors were extracted and stratified by severity, study method, respondent and country. All estimates were measured on a 0 to 1 scale with 0 representing the death and 1 representing the perfect health. The pooled estimates of the utility weight were 0.627 for total stroke, 0.756 for mild stroke, 0.631 for moderate stroke, and 0.389 for severe stroke (p=0.0001). Non-patients showed significantly lower utility weights than patients for severe (p=0.0122) stroke.

Keywords

References

  1. 김연형 : 뇌졸중환자의 건강관련 삶의 질에 관한 연구. 대구대학교 재활과학대학원 (2006)
  2. 통계청(www.nso.go.kr), 2006년 사망률 자료 (2006)
  3. Liem, Y. S., Bosch, J. L. and Hunink, M. G. : Preference-based quality of life of patients on renal replacement therapy: A systematic review and meta-analysis, Value Health (2008)
  4. Michael F. Drummond, Mark J. Sculpher, George W. Torrance, Bernie J. O'Brien and Greg L. Stoddart : Methods for the Economic Evaluation of Health Care Programmes (2006)
  5. 오성삼 : 메타분석의 이론과 실제, 건국대학교 출판부 (2002)
  6. 홍여신, 서문자, 김금순, 김인자, 조남옥, 최희정, 정성희, 김은만 : 뇌졸중 환자의 삶의 질. 재활간호학회지 1(1) (1998)
  7. 건강보험심사평가원, 의약품 보험급여제도에서 경제성 평가자료의 활용방안 및 평가지침 개발 (2005)
  8. Lindsay wilson, Asha hareendran : Structured interview for the modified Rankin Scale-Questionnaire and Guidelines (2002)
  9. The Internet Stroke Center (www.strokecenter.org) (2008)
  10. Pickard, A. S., Johnson, J. A. and Feeny, D. H. : Responsiveness of generic health-related quality of life measures in stroke. Quality of Life Research 14(1), 207 (2005) https://doi.org/10.1007/s11136-004-3928-3
  11. Baker, R. and Robinson, A. : Responses to standard gambles: are preferences 'well constructed'? Health Economics 13(1), 37 (2004) https://doi.org/10.1002/hec.795
  12. Bosworth, H. B., Horner, R. D., Edwards, L. J. and Matchar, D. B. : Depression and other determinants of values placed on current health state by stroke patients: evidence from the VA Acute Stroke (VASt) study. Stroke 31(11), 2603 (2000) https://doi.org/10.1161/01.STR.31.11.2603
  13. Burstrm, K., Johannesson, M. and Diderichsen, F. : Swedish population health-related quality of life results using the EQ-5D. Quality of Life Research 10(7), 621 (2001) https://doi.org/10.1023/A:1013171831202
  14. Cup, E. H., Scholte op Reimer, W. J., Thijssen, M. C. and van Kuyk-Minis, M. A. : Reliability and validity of the canadian occupational performance measure in stroke patients. Clinical Rehabilitation 17(4), 402 (2003) https://doi.org/10.1191/0269215503cr635oa
  15. Dorman, P., Dennis, M. and Sandercock, P. : Are the modified 'simple questions" a valid and reliable measure of health related quality of life after stroke? United kingdom collaborators in the international stroke trial. Journal of Neurology, Neurosurgery, and Psychiatry 69(4), 487 (2000) https://doi.org/10.1136/jnnp.69.4.487
  16. Duncan, P. W., Lai, S. M. and Keighley, J. : Defining post-stroke recovery: implications for design and interpretation of drug trials. Neuropharmacology 39(5), 835 (2000) https://doi.org/10.1016/S0028-3908(00)00003-4
  17. Gage, B. F., Cardinalli, A. B., Albers, G. W. and Owens, D. K. : Cost-effectiveness of warfarin and aspirin for prophylaxis of stroke in patients with nonvalvular atrial fibrillation. JAMA 274(23), 1839 (1995) https://doi.org/10.1001/jama.274.23.1839
  18. Gage, B. F., Cardinalli, A. B. and Owens, D. K. : The effect of stroke and stroke prophylaxis with aspirin or warfarin on quality of life. Archives of Internal Medicine 156(16), 1829 (1996) https://doi.org/10.1001/archinte.156.16.1829
  19. Gage, B. F., Cardinalli, A. B. and Owens, D. K. : Costeffectiveness of preference-based antithrombotic therapy for patients with nonvalvular atrial fibrillation. Stroke 29(6), 1083 (1998) https://doi.org/10.1161/01.STR.29.6.1083
  20. Gore, J. M., Granger, C. B., Simoons, M. L., Sloan, M. A., Weaver, W. D., White, H. D., Barbash, G. I., Van de Werf, F., Aylward, P. E. and Topol, E. J. : Stroke after thrombolysis. Mortality and functional outcomes in the GUSTO-I trial. Global use of strategies to open occluded coronary arteries. Circulation 92(10), 2811 (1995) https://doi.org/10.1161/01.CIR.92.10.2811
  21. Grootendorst, P., Feeny, D. and Furlong, W. : Health utilities index mark 3: Evidence of construct validity for stroke and arthritis in a population health survey. Medical Care 38(3), 290 (2000) https://doi.org/10.1097/00005650-200003000-00006
  22. Haacke, C., Althaus, A., Spottke, A., Siebert, U., Back, T. and Dodel, R. : Long-term outcome after stroke: evaluating healthrelated quality of life using utility measurements. Stroke 37(1), 193 (2006) https://doi.org/10.1161/01.STR.0000196990.69412.fb
  23. King, J. T. Jr., Tsevat, J. and Roberts, M. S. : Preference-based quality of life in patients with cerebral aneurysms. Stroke 36(2), 303 (2005) https://doi.org/10.1161/01.STR.0000152950.46598.f1
  24. Lai, S. M. and Duncan, P. W. : Stroke recovery profile and the modified rankin assessment. Neuroepidemiology 20(1), 26 (2001) https://doi.org/10.1159/000054754
  25. Lenert, L. A. and Soetikno, R. M. : Automated computer interviews to elicit utilities: potential applications in the treatment of deep venous thrombosis. Journal of the American Medical Informatics Association 4(1), 49 (1997) https://doi.org/10.1136/jamia.1997.0040049
  26. Lundkvist, J., Carlsson, J., Ekman, M., Jnsson, L., Kartman, B. and Lithell, H. : The cost-effectiveness of candesartan-based antihypertensive treatment for the prevention of nonfatal stroke: Results from the study on cognition and prognosis in the elderly. Journal of Human Hypertension 19(7), 569 (2005) https://doi.org/10.1038/sj.jhh.1001857
  27. Maddigan, S. L., Feeny, D. H. and Johnson, J. A. : Healthrelated quality of life deficits associated with diabetes and comorbidities in a canadian national population health survey. Quality of Life Research 14(5), 1311 (2005) https://doi.org/10.1007/s11136-004-6640-4
  28. Mar, J., Begiristain, J. M. and Arrazola, A. : Cost-effectiveness analysis of thrombolytic treatment for stroke. Cerebrovascular Diseases 20(3), 193 (2005) https://doi.org/10.1159/000087204
  29. Mathias, S. D., Bates, M. M., Pasta, D. J., Cisternas, M. G., Feeny, D. and Patrick, D. L. : Use of the health utilities index with stroke patients and their caregivers. Stroke 28(10), 1888 (1997) https://doi.org/10.1161/01.STR.28.10.1888
  30. Mittmann, N., Trakas, K., Risebrough, N. and Liu, B. A. : Utility scores for chronic conditions in a community-dwelling population. Pharmacoeconomics 15(4), 369 (1999) https://doi.org/10.2165/00019053-199915040-00004
  31. Murphy, R., Sackley, C. M., Miller, P. and Harwood, R. H. : Effect of experience of severe stroke on subjective valuations of quality of life after stroke. Journal of Neurology, Neurosurgery, and Psychiatry 70(5), 679 (2001) https://doi.org/10.1136/jnnp.70.5.679
  32. Robinson, A., Thomson, R., Parkin, D., Sudlow, M. and Eccles, M. : How patients with atrial fibrillation value different health outcomes: a standard gamble study. Journal of Health Services Research & Policy 6(2), 92 (2001) https://doi.org/10.1258/1355819011927288
  33. Samsa, G. P., Matchar, D. B., Goldstein, L., Bonito, A., Duncan, P. W., Lipscomb, J., Enarson, C., Witter, D., Venus, P., Paul, J. E. and Weinberger, M. : Utilities for major stroke: results from a survey of preferences among persons at increased risk for stroke. American Heart Journal 136(4 Pt 1), 703 (1998) https://doi.org/10.1016/S0002-8703(98)70019-5
  34. Schultz, S. E. and Kopec, J. A. : Impact of chronic conditions. Health Reports/Statistics Canada, Canadian Centre for Health Information 14(4), 41 (2003)
  35. Shin, A. Y., Porter, P. J., Wallace, M. C. and Naglie, G. : Quality of life of stroke in younger individuals. Utility assessment in patients with arteriovenous malformations. Stroke 28(12), 2395 (1997) https://doi.org/10.1161/01.STR.28.12.2395
  36. Wardlaw, J. M., Keir, S. L., Seymour, J., Lewis, S., Sandercock, P. A., Dennis, M. S. and Cairns, J. : What is the best imaging strategy for acute stroke? Health Technology Assessment 8(1), 1 (2004)
  37. Warren, J. A., Jordan, W. D. Jr., Heudebert, G. R., Whitley, D. and Wirthlin, D. J. : Determining patient preference for treatment of extracranial carotid artery stenosis: carotid angioplasty and stenting versus carotid endarterectomy. Health Reports/Statistics Canada, Canadian Centre for Health Information 17(1), 15 (2003)
  38. Xie, J., Wu, E. Q., Zheng, Z. J., Croft, J. B., Greenlund, K. J., Mensah, G. A. and Labarthe, D. R. : Impact of stroke on health-related quality of life in the noninstitutionalized population in the united states. Stroke 37(10), 2567 (2006) https://doi.org/10.1161/01.STR.0000240506.34616.10
  39. 보건복지부, 한국보건사회연구원, 국민건강영양조사 제3기-활동제한 및 삶의 질 (2006)
  40. 성상석, 최찬범, 성윤경, 박용욱, 이혜순, 엄완식, 김태환, 전재범, 유대현, 이오영, 배상철 : 한국인에서 EQ-5D를 이용한 건강 관련 삶의 질 측정. 대한류마티스학회지 11(3) (2004)
  41. 하현근 : 뇌졸중 관련 특성에 따른 삶의 질 : 2005년 국민건강 영양조사자료. 연세대학교 보건대학원 (2008)
  42. Louise Longworth, Stirling Bryan : An empirical comparison of EQ-5D and SF-6D in liver transplant patients. Health Economics 12(12), 1061 (2003) https://doi.org/10.1002/hec.787
  43. Paul, F. M., Krabbe, Marie-louise, Essink-Bot, Gouke, J. Bonsel : The comparability and reliability of five health-state valuation methods. Social Science & Medicine 45(11), 1641 (1997) https://doi.org/10.1016/S0277-9536(97)00099-3