Evidence map›Paper›PMID 25385749›Full record

ArticleMedical decision making : an international journal of the Society for Medical Decision Making2015

Comparison of general population, patient, and carer utility values for dementia health states.

Donna Rowen, Brendan Mulhern, Sube Banerjee, Rhian Tait, Caroline Watchurst, Sarah C Smith, Tracey A Young, Martin Knapp, John E Brazier

Abstract read
In one paragraph

Article in Medical decision making : an international journal of the Society for Medical Decision Making, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Assessment of the construct validity and responsiveness of preference-based quality of life measures in people with Parkinson's: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Pooled it
  2. Trial
  3. Health state values in cancer patients and the general population: evidence from SF-6Dv2.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  4. Health State Utility Values: The Implications of Patient versus Community Ratings in Assessing the Value of Care.Medical decision making : an international journal of the Society for Medical Decision Making · 2025
    Article
  5. Article
  6. Article
  7. Developing an Australian utility value set for the Early Childhood Oral Health Impact Scale-4D (ECOHIS-4D) using a discrete choice experiment.The European journal of health economics : HEPAC : health economics in prevention and care · 2023
    Article
  8. Article
  9. Evidence of a disability paradox in patient-reported outcomes in haemophilia.Haemophilia : the official journal of the World Federation of Hemophilia · 2021
    Article
  10. Article
  11. Article
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  14. Article
  15. Comparison of health state values derived from patients and individuals from the general population.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Article
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  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Donna RowenHealth Economics and Decision Science, School of Health and Related Research, University of Sheffield, Sheffield, UK (DR, BM, TAY, JEB)
Brendan MulhernHealth Economics and Decision Science, School of Health and Related Research, University of Sheffield, Sheffield, UK (DR, BM, TAY, JEB)
Sube BanerjeeInstitute of Psychiatry, King's College London, London, UK (SB, RT, CW, MK)
Rhian TaitInstitute of Psychiatry, King's College London, London, UK (SB, RT, CW, MK)
Caroline WatchurstInstitute of Psychiatry, King's College London, London, UK (SB, RT, CW, MK)
Sarah C SmithDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK (SCS)
Tracey A YoungHealth Economics and Decision Science, School of Health and Related Research, University of Sheffield, Sheffield, UK (DR, BM, TAY, JEB)
Martin KnappInstitute of Psychiatry, King's College London, London, UK (SB, RT, CW, MK)
John E BrazierHealth Economics and Decision Science, School of Health and Related Research, University of Sheffield, Sheffield, UK (DR, BM, TAY, JEB)

Funding

Department of Health 07/73/01
6 · The paper itself

Abstract

Utility values to estimate quality-adjusted life years (QALYs) for use in cost-utility analyses are usually elicited from members of the general population. Public attitudes and understanding of dementia in particular may mean that values elicited from the general population may differ from patients and carers for dementia health states. This study examines how the population impacts utility values elicited for dementia health states using interviewer-administered time tradeoff valuation of health states defined by the dementia-specific preference-based measures DEMQOL-U (patient-report) and DEMQOL-Proxy-U (carer-report). Eight DEMQOL-U states were valued by 78 members of the UK general population and 71 patients with dementia of mild severity. Eight DEMQOL-Proxy-U states were valued by 77 members of the UK general population and 71 carers of patients with dementia of mild severity. Random-effects generalized least squares regression estimated the impact of population, dementia health state, and respondent sociodemographic characteristics on elicited values, finding that values for dementia health states differed by population and that the difference varied across dementia health states. Patients with dementia and carers of patients with dementia gave systematically lower values than members of the general population that were not due to differences in the sociodemographic characteristics of the populations. Our results suggest that the population used to produce dementia health state values could impact the results of cost-utility analyses and potentially affect resource allocation decisions; yet, currently, only general population values are available for usage.

Indexed as

Health StatusQuality-Adjusted Life YearsAdolescentAdultAgedCaregiversDementiaFemaleHumansInterviews as TopicMaleMiddle AgedPsychometricsQuality of LifeSeverity of Illness IndexSocioeconomic FactorsAlzheimer’s diseasedementiahealth-related quality of lifepreference-based measures of healthquality-adjusted life yearsutilities

Identifiers

PMID25385749
PMCPMC4270996

What OpenQuestion holds

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LicenceCC BY
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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.