Evidence map›Paper›PMID 26122041›Full record

ArticleHealth and quality of life outcomes2015

Health state utilities associated with major clinical events in the context of secondary hyperparathyroidism and chronic kidney disease requiring dialysis.

Evan W Davies, Louis S Matza, Gavin Worth, David H Feeny, Jacqueline Kostelec, Steven Soroka, David Mendelssohn, Philip McFarlane, Vasily Belozeroff

Abstract read
In one paragraph

Article in Health and quality of life outcomes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Endoscopic parathyroidectomy versus open parathyroidectomy for patients with refractory secondary hyperparathyroidism: a meta-analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
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  16. Risks associated with antiretroviral treatment for human immunodeficiency virus (HIV): qualitative analysis of social media data and health state utility valuation.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
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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.

Evan W DaviesOutcomes Research, Evidera, W6 8DL, London, UK. evan.davies@evidera.com.
Louis S MatzaOutcomes Research, Evidera, Bethesda, MD, USA. Louis.matza@evidera.com.
Gavin WorthAmgen (Europe) GmbH, Zug, Switzerland. gworth@amgen.com.
David H FeenyDepartment of Economics, McMaster University, Hamilton, ON, Canada. dafeeny@telus.net.
Jacqueline KostelecOutcomes Research, Evidera, Bethesda, MD, USA. Jacqueline.kostelec@evidera.com.
Steven SorokaDepartment of Medicine, Dalhousie University, Halifax, NS, Canada. steven.soroka@cdha.nshealth.ca.
David MendelssohnDepartment of Nephrology, Humber River Hospital, Toronto, ON, Canada. dmendy@gmail.com.
Philip McFarlaneDivision of Nephrology, St. Michael's Hospital, Toronto, ON, Canada. phil.mcfarlane@utoronto.ca.
Vasily BelozeroffAmgen, Inc, Thousand Oaks, CA, USA. vasilyb@amgen.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with chronic kidney disease (CKD) and secondary hyperparathyroidism (SHPT) who require dialysis are at increased risk for cardiovascular events and bone fractures. To assist in economic evaluations, this study aimed to estimate the disutility of these events beyond the impact of CKD and SHPT.

methodsA basic one-year health state was developed describing CKD and SHPT requiring dialysis. Further health states added acute events (cardiovascular events, fractures, and surgical procedures) or chronic post-event effects. Acute health states described a year including an event, and chronic health states described a year subsequent to an event. General population participants in Canada completed time trade-off interviews from which utilities were derived. Pairwise comparisons were made between the basic state and event, and between comparable health states.

resultsA total of 199 participants (54.8% female; mean age = 46.3 years) completed interviews. Each health state had ≥130 valuations. The mean (SD) utility of the basic health state was 0.60 (0.34). For acute events, mean utility differences versus the basic state were: myocardial infarction, -0.06; unstable angina, -0.05; peripheral vascular disease (PVD) with amputation, -0.33; PVD without amputation, -0.11; heart failure, -0.14; stroke, -0.30; hip fracture, -0.14; arm fracture, -0.04; parathyroidectomy, +0.02; kidney transplant, +0.06. Disutilities for chronic health states were: stable angina, -0.09; stroke, -0.27; PVD with amputation, -0.30; PVD without amputation, -0.12; heart failure, -0.14.

conclusionsCardiovascular events and fractures were associated with lower utility scores, suggesting a perceived decrease in quality of life beyond the impact of CKD and SHPT.

Indexed as

AdultAgedFemaleFractures, BoneHumansHyperparathyroidism, SecondaryMaleMiddle AgedMyocardial InfarctionQuality of LifeRenal DialysisRenal Insufficiency, ChronicRisk FactorsStroke

Identifiers

PMID26122041
PMCPMC4487205

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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.