Evidence map›Paper›PMID 31811595›Full record

SynthesisQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020

Characterizing health state utilities associated with Duchenne muscular dystrophy: a systematic review.

Shelagh M Szabo, Ivana F Audhya, Daniel C Malone, David Feeny, Katherine L Gooch

Abstract readSystematic Review
In one paragraph

Synthesis in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  17. A comprehensive qualitative framework for health-related quality of life in Duchenne muscular dystrophy.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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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

5 authors.

Shelagh M SzaboBroadstreet HEOR, 203 - 343 Railway St, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0002-9044-3192
Ivana F AudhyaSarepta Therapeutics Inc., 215 First St, Cambridge, MA, 02142, USA. iaudhya@sarepta.com.
Daniel C MaloneCollege of Pharmacy, The University of Arizona, Tucson, AZ, USA.ORCID http://orcid.org/0000-0002-5006-9394
David FeenyMcMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0002-1998-9408
Katherine L GoochSarepta Therapeutics Inc., 215 First St, Cambridge, MA, 02142, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreferences for health states for Duchenne muscular dystrophy (DMD) are necessary to assess costs and benefits of novel therapies. Because DMD progression begins in childhood, the impact of DMD on health-related quality-of-life (HRQoL) affects preferences of both DMD patients and their families. The objective of this review was to synthesize published evidence for health state utility from the DMD patient and caregiver perspectives.

methodsA systematic review was performed using MEDLINE and Embase, according to best practices. Data were extracted from studies reporting DMD patient or caregiver utilities; these included study and patient characteristics, health states considered, and utility estimates. Quality appraisal of studies was performed.

resultsFrom 888 abstracts, eight publications describing five studies were identified. DMD utility estimates were from preference-based measures presented stratified by ambulatory status, ventilation, and age. Patient (or patient-proxy) utility estimates ranged from 0.75 (early ambulatory DMD) to 0.05 (day-and-night ventilation). Caregiver utilities ranged from 0.87 (for caregivers of adults with DMD) to 0.71 (for caregivers of predominantly childhood patients). Both patient and caregiver utilities trended lower with higher disease severity. Variability in utilities was observed based on instrument, respondent type, and country. Utility estimates for health states within non-ambulatory DMD are under reported; nor were utilities for DMD-related health states such as scoliosis or preserved upper limb function identified.

conclusionPublished health state utilities document the substantial HRQoL impacts of DMD, particularly with disease progression. Additional research in patient utilities for additional health states, particularly in non-ambulatory DMD patients, is warranted.

Indexed as

AdolescentAdultChildFemaleHealth ServicesHumansMaleMuscular Dystrophy, DuchenneQuality of LifeDMDDuchenne muscular dystrophyHealth statePreferencesSystematic reviewUtility values

Identifiers

PMID31811595
PMCPMC7028804

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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.