ArticlePatient preference and adherence2026
Preferences of Patients and Cardiologists Regarding Pacemaker Characteristics in Spain: A Discrete Choice Experiment.
Article in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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Abstract
Purpose: A better understanding of the preferences of patients and cardiologists for pacemaker characteristics is essential for advancing patient-centered care. We therefore aimed to identify and quantify the preference that patients and cardiologists assign to specific characteristics. Patients and Methods: We conducted an observational, cross-sectional, descriptive study based on a discrete choice experiment (DCE). The design was informed by a literature review, a patient focus group, and a scientific committee. Results: A total of 42 patients (66.7% male, mean [SD] age 64.2 [12.1] years) and 42 cardiologists (64.3% male, mean age 47.3 [9.3] years) participated in the study. For both patients (P) and cardiologists (C), the most important characteristics of pacemakers (higher relative importance, RI) are MRI compatibility (P: 28.1%; C: 25.1%) and battery longevity (P: 22.6%; C: 23.8%). The type of follow-up is more highly valued by cardiologists than by patients (P: 10.2%; C: 21.1%), whereas pacemaker size is prioritized by patients (P: 19.1%; C: 7.7%). From the cardiologists' perspective, safety (12-month post-implantation infection rate: 19.39%) and technical aspects such as conduction system pacing (CSP) (15.14%), algorithms for minimizing unnecessary right ventricular stimulation (9.43%), and programming modes (9.11%) are also important decision drivers. Conclusion: MRI compatibility and battery longevity are key factors for both patients and cardiologists in decision-making. Patients also prioritize generator size and replacement processes, while cardiologists additionally focus on safety (infection rates) and technical aspects (CSP and algorithms to reduce unnecessary right ventricular stimulation).
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