ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2016
The impact of a belief in life after death on health-state preferences: True difference or artifact?
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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Who cites it
24 citing papers in PubMed.
- Who Prefers Death to Life in Composite Time Trade-off Interviews, and Why? A Mixed-Methods Study among Asians in Singapore.The patient · 2026Article
- Valuing health-related quality of life: an EQ-5D-5L value set for Morocco.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- What Makes the Time Tradeoff Tick? A Sociopsychological Explanation.Medical decision making : an international journal of the Society for Medical Decision Making · 2024Article
- What if 0 is not equal to 0? Inter-personal health utilities anchoring using the largest health gains.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
- Health utilities and willingness to pay in adult patients with coeliac disease in Hungary.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Evaluation of EuroQol Valuation Technology (EQ-VT) Designs to Generate National Value Sets: Learnings from the Development of an EQ-5D Value Set for India Using an Extended Design (DEVINE) Study.Medical decision making : an international journal of the Society for Medical Decision Making · 2023Article
- Urban/rural differences in preferences for EQ-5D-5L health states: a study of a multi-ethnic region in China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Conceptual Framework for Optimised Proxy Value Set Selection Through Supra-National Value Set Development for the EQ-5D Instruments.PharmacoEconomics · 2022Review
- Determinants of Health Preferences Using Data from the Egyptian EQ-5D-5L Valuation Study.The patient · 2022Article
- Patient-Proxy and Societal Perspectives of Quality-of-Life Utilities in Children With Cleft Lip and Palate Managed With Surgical Repair vs No Repair in Ethiopia.JAMA network open · 2022Article
- Time trade-off with someone to live for: impact of having significant others on time trade-off valuations of hypothetical health states.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- Self-esteem in patients with venous thromboembolism predicts time trade-off values for own health.Health and quality of life outcomes · 2022Article
- Expect Nothing: The (Lack of) Influence of Subjective Life Expectancy on Valuation of Child Health States.Frontiers in health services · 2022Article
- Self vs. other, child vs. adult. An experimental comparison of valuation perspectives for valuation of EQ-5D-Y-3L health states.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Time for Tele-TTO? Lessons Learned From Digital Interviewer-Assisted Time Trade-Off Data Collection.The patient · 2021Article
- The Danish EQ-5D-5L Value Set: A Hybrid Model Using cTTO and DCE Data.Applied health economics and health policy · 2021Article
- Article
- Development of Population Tariffs for the CarerQol Instrument for Hungary, Poland and Slovenia: A Discrete Choice Experiment Study to Measure the Burden of Informal Caregiving.PharmacoEconomics · 2020Article
- Time Trade-off Utility Values in Noninfectious Uveitis.American journal of ophthalmology · 2019Article
- Valuation of EQ-5D-5L Health States in Poland: the First EQ-VT-Based Study in Central and Eastern Europe.PharmacoEconomics · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn most religions, the preservation of one's own, God-given, life is considered obligatory, while the time trade-off method (TTO) forces one to voluntarily forego life years. We sought to verify how this conflict impacts TTO-results among the religious.
methodsWe used the data from the only EQ-5D valuation in Poland (2008, three-level, 321 respondents, 23 states each)-a very religious, mostly Catholic country. We measured the religiosity with the belief in afterlife question on two levels: strong (definitely yes) and some (also rather yes), both about a third of the sample.
resultsThe religious more often are non-traders, unwilling to give up any time in exchange for quality of life: odds ratio (OR) equal to 1.97 (strong religiosity), OR 1.55 (some religiosity); and less often consider a state worse than death: OR 0.67 (strong), OR 0.81 (some). These associations are statistically significant ([Formula: see text]) and hold when controlling for possible demographic confounders. Strong religiosity abates the utility loss: in the additive approach by 0.14, in the multiplicative approach by the factor of 2.1 (both [Formula: see text]), especially among the older. Removing the effect of religiosity from the value set reduces the utility by 0.05 on average.
conclusionThe results may stem from a true difference in preferences or be a TTO-artifact and would vanish for other elicitation methods. Juxtaposing our findings with comments from respondents in other studies suggests the latter. Therefore, this Weltanschauung effect should be removed in cost-utility analysis.
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Registered trials
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.