Evidence map›Paper›PMID 35195860›Full record

ArticleAdvances in therapy2022

Defining Utility Values for Chorea Health States in Patients with Huntington's Disease.

Daniel O Claassen, Rajeev Ayyagari, Debbie Goldschmidt, Mo Zhou, Sam Leo, Rinat Ribalov

Open access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

6 authors at 4 institutions in 2 countries.

Daniel O ClaassenVanderbilt University Medical Center, 1161 21st Avenue South A-0118, Nashville, TN, 37232, USA. daniel.claassen@vumc.org.ORCID http://orcid.org/0000-0002-9853-4902
Rajeev AyyagariAnalysis Group, Inc., New York, NY, USA.ORCID http://orcid.org/0000-0003-0870-2309
Debbie GoldschmidtAnalysis Group, Inc., Boston, MA, USA.ORCID http://orcid.org/0000-0002-8334-2211
Mo ZhouAnalysis Group, Inc., New York, NY, USA.ORCID http://orcid.org/0000-0003-3538-7666
Sam LeoTeva Pharmaceuticals, Parsippany, NJ, USA.
Rinat RibalovTeva Pharmaceuticals, Tel Aviv, Israel.
Analysis Group (United States) · USTeva Pharmaceuticals (Israel) · ILTeva Pharmaceuticals (United States) · USVanderbilt University Medical Center · US

Funding

Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Lea K Davis · 2020 to 2026
$10.3M
NICHD NIH HHS P50 HD103537
6 · The paper itself

Abstract

introductionChorea is characterized by sudden, involuntary movements that interfere with quality of life (QOL). Utility values measure preferences for different health states and reflect societal perceived disease severity. To date, no studies have reported utility values specifically for Huntington's disease (HD) chorea. We estimated impact on QOL of HD chorea severity using utility values from the general population.

methodsParticipants were enrolled using computer-assisted telephone interviews. Participants read vignettes describing four health states for varying levels of chorea severity, with the same underlying HD severity. Time trade-off (TTO) methods were used to estimate utility values, which range from -1 (worse than death) to +1 (perfect health) and represent the number of years in an imperfect health state an individual is willing to give up to live in full health. TTO utilities were augmented with visual analog scale (VAS) participant responses. The primary outcome was HD chorea utility estimated by TTO.

resultsMean ± SD TTO-derived utility values were 0.07 ± 0.52, 0.26 ± 0.50, 0.48 ± 0.47, and 0.64 ± 0.41 for severe, moderate/severe, moderate/mild, and mild chorea severity, respectively. Differences between each health state and its adjacent less severe health state were statistically significant (all P < 0.0001). Respondents were willing to give up 3.6, 5.2, 7.4, and 9.3 years during a 10-year life span to avoid living with mild, mild/moderate, moderate/severe, and severe chorea, respectively. VAS and TTO results were consistent.

conclusionsSignificant decreases in utility values were seen as HD chorea severity increased. These data can be leveraged for cost-effectiveness modeling to better understand the value of treatments for chorea.

Indexed as

ChoreaHuntington DiseaseCost-Benefit AnalysisHealth StatusHumansQuality of LifeSeverity of Illness IndexChoreaHuntington’s diseaseQuality of lifeTime trade-offUtility values

Identifiers

PMID35195860
PMCPMC8990962
OpenAlexW4213214606

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.