Evidence map›Paper›PMID 19015284›Full record

Trial reportMedical decision making : an international journal of the Society for Medical Decision Making

A randomized study of scleroderma health state values: a picture is worth a thousand words, and quite a few utiles. [corrected].

Dinesh Khanna, Robert M Kaplan, Mark H Eckman, Ron D Hays, Anthony C Leonard, Shaari S Ginsburg, Joel Tsevat

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medical decision making : an international journal of the Society for Medical Decision Making. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

7 authors.

Dinesh KhannaDivision of Rheumatology, Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA. dkhanna@mednet.ucla.edu
Robert M Kaplan
Mark H Eckman
Ron D Hays
Anthony C Leonard
Shaari S Ginsburg
Joel Tsevat

Funding

SYMPTOM DURATION AND QUALITY OF LIFEP01AG020679 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI FRYBACK, DENNIS G. · 2004 to 2007
$6.8M
Ohio Interdisciplinary Women's Health Career TrainingK12HD051953 · NICHD · UNIVERSITY OF CINCINNATI · PI TSEVAT, JOEL · 2005 to 2014
$4.2M
Health Values and Minimally Important Differences in Systemic SclerosisK23AR053858 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KHANNA, DINESH · 2007 to 2011
$617k
Mentorship and Research in Spirituality and HealthK24AT001676 · NCCIH · UNIVERSITY OF CINCINNATI · PI TSEVAT, JOEL · 2003 to 2007
$497k
NCCIH NIH HHS K24 AT001676NCCIH NIH HHS K24 AT 001678NIAMS NIH HHS K23 AR053858NIAMS NIH HHS K23 AR 053858-01A1NIA NIH HHS AG 20679-01NIA NIH HHS P01 AG020679NICHD NIH HHS K12 HD051953
6 · The paper itself

Abstract

objectiveAssigning utilities to hypothetical health states requires that the health states be described in adequate detail, but there is no agreement on exactly how health states should be described. We assess utilities from the general public for health states common in scleroderma (SSc) by describing the health states in writing alone v. with photographs of patients with SSc.

methodsSubjects rated several SSc health states on a 0 to 100 rating scale (RS) and completed computer-assisted time tradeoff (TTO; range, 0.0-1.0) and standard gamble (SG; range, 0.0-1.0) assessments. Half of the subjects were assigned to be shown photographs of patients with SSc health states in addition to written health state descriptions, whereas the other half were given only the written descriptions.

resultsOf the 213 participants, 133 (62%) were female, 138 (65%) were Caucasian, and 62 (29%) were African American. Median RS, TTO, and SG scores for 5 SSc health states ranged from 20 to 70, 0.28 to 0.94, and 0.50 to 0.90, respectively. In bivariate analyses, showing pictures was associated with lower RS scores for 2 of 5 health states and lower SG values for all 5 health states (P < 0:05 for comparison of pictures v. no pictures), but with no difference in TTO values. Multivariable analyses revealed negative associations between pictures and SG valuations for the 3 most severe SSc health states (R(2) range, 0.04-0.08).

conclusionAdding pictures of people with SSc to written health state descriptions can affect valuations of SSc health states, although the effect differs by valuation measurement method and by health state severity.

Indexed as

Medical RecordsPhotographyScleroderma, LocalizedSickness Impact ProfileFemaleHealth StatusHumansMaleMiddle AgedMultivariate AnalysisSeverity of Illness Index

Identifiers

PMID19015284
PMCPMC2779571

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.