Evidence map›Paper›PMID 27007091›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2016

Are patients willing to pay for total shoulder arthroplasty? Evidence from a discrete choice experiment.

Nathan N O'Hara, Gerard P Slobogean, Tima Mohammadi, Carlo A Marra, Milena R Vicente, Amir Khakban, Michael D McKee

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 4% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 5 institutions in 2 countries.

Nathan N O'HaraFrom the R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD (O'Hara, Slobogean); the Centre for Health Evaluation and Outcome Sciences, University of British Columbia, St. Paul's Hospital, Vancouver, BC (Mohammadi); the School of Pharmacy, Memorial University, St. John's, NF (Marra); the Department of Orthopaedics, St. Michael's Hospital, Toronto, Ont. (Vincente, McKee); and the Collaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC (Khakban).
Gerard P SlobogeanFrom the R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD (O'Hara, Slobogean); the Centre for Health Evaluation and Outcome Sciences, University of British Columbia, St. Paul's Hospital, Vancouver, BC (Mohammadi); the School of Pharmacy, Memorial University, St. John's, NF (Marra); the Department of Orthopaedics, St. Michael's Hospital, Toronto, Ont. (Vincente, McKee); and the Collaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC (Khakban).
Tima MohammadiFrom the R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD (O'Hara, Slobogean); the Centre for Health Evaluation and Outcome Sciences, University of British Columbia, St. Paul's Hospital, Vancouver, BC (Mohammadi); the School of Pharmacy, Memorial University, St. John's, NF (Marra); the Department of Orthopaedics, St. Michael's Hospital, Toronto, Ont. (Vincente, McKee); and the Collaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC (Khakban).
Carlo A MarraFrom the R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD (O'Hara, Slobogean); the Centre for Health Evaluation and Outcome Sciences, University of British Columbia, St. Paul's Hospital, Vancouver, BC (Mohammadi); the School of Pharmacy, Memorial University, St. John's, NF (Marra); the Department of Orthopaedics, St. Michael's Hospital, Toronto, Ont. (Vincente, McKee); and the Collaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC (Khakban).
Milena R VicenteFrom the R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD (O'Hara, Slobogean); the Centre for Health Evaluation and Outcome Sciences, University of British Columbia, St. Paul's Hospital, Vancouver, BC (Mohammadi); the School of Pharmacy, Memorial University, St. John's, NF (Marra); the Department of Orthopaedics, St. Michael's Hospital, Toronto, Ont. (Vincente, McKee); and the Collaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC (Khakban).
Amir KhakbanFrom the R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD (O'Hara, Slobogean); the Centre for Health Evaluation and Outcome Sciences, University of British Columbia, St. Paul's Hospital, Vancouver, BC (Mohammadi); the School of Pharmacy, Memorial University, St. John's, NF (Marra); the Department of Orthopaedics, St. Michael's Hospital, Toronto, Ont. (Vincente, McKee); and the Collaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC (Khakban).
Michael D McKeeFrom the R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD (O'Hara, Slobogean); the Centre for Health Evaluation and Outcome Sciences, University of British Columbia, St. Paul's Hospital, Vancouver, BC (Mohammadi); the School of Pharmacy, Memorial University, St. John's, NF (Marra); the Department of Orthopaedics, St. Michael's Hospital, Toronto, Ont. (Vincente, McKee); and the Collaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC (Khakban).
University of Maryland, Baltimore · USCentre for Advancing Health Outcomes · CAMemorial University of Newfoundland · CASt. Paul's Hospital · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal shoulder arthroplasty (TSA) is a common treatment to decrease pain and improve shoulder function in patients with severe osteoarthritis (OA). In Canada, patients requiring this procedure often wait a year or more. Our objective was to determine patient preferences related to accessing TSA, specifically comparing out-of-pocket payments for treatment, travel time to hospital, the surgeon's level of experience and wait times.

methodsWe administered a discrete choice experiment among patients with endstage shoulder OA currently waiting for TSA. Respondents were presented with 14 different choice sets, each with 3 options, and they were asked to choose their preferred scenario. A conditional logit regression model was used to estimate the relative preference and willingness to pay for each attribute.

resultsSixty-two respondents completed the questionnaire. Three of the 4 attributes significantly influenced treatment preferences. Respondents had a strong preference for an experienced surgeon (mean 0.89 ± standard error [SE] 0.11), while reductions in travel time (-0.07 ± 0.04) or wait time (-0.04 ± 0.01) were of less importance. Respondents were found to be strongly averse (-1.44 ± 0.18) to surgical treatment by a less experienced surgeon and to paying out-of-pocket for their surgical treatment (-0.56 ± 0.05).

conclusionOur results suggest that patients waiting for TSA to treat severe shoulder OA have minimal willingness to pay for a reduction in wait time or travel time for surgery, yet will pay higher amounts for treatment by an experienced surgeon.

Indexed as

Health ExpendituresPatient PreferenceShoulder JointAgedAged, 80 and overArthroplasty, ReplacementCanadaChoice BehaviorClinical CompetenceFemaleHealth Services AccessibilityHumansLogistic ModelsMaleMiddle AgedOsteoarthritis

Identifiers

PMID27007091
PMCPMC4814283
OpenAlexW2321412547

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.