TY - JOUR AU - Krabbe, Paul F. M. AB - ORIGINAL ARTICLE On the Assessment of Preferences for Health and Duration Maximal Endurable Time and Better Than Dead Preferences Peep F. M. Stalmeier, PhD,*† Leida M. Lamers, PhD,‡ Jan J. V. Busschbach, PhD,§ and Paul F. M. Krabbe, PhD* Key Words: QALY, preferences, values, utilities, decision Background: Several studies revealed difficulties with the valuation analysis, health economics and analysis of health states deemed worse than dead. These prob- (Med Care 2007;45: 835–841) lems may be linked to maximal endurable time (MET) preferences, the phenomenon that for severe states better than dead (BTD), shorter durations are often preferred to longer durations. Objective: To test the association between the duration of health states and their valuation. n health care evaluations, health-related quality of life Methods: A representative sample of 123 Dutch respondents (age I(HRQoL) is a frequently assessed patient outcome. There range, 18–45 years) valued 5 EQ-5D health states. With a straight- are several multidimensional instruments to measure HRQoL. forward method using BTD preferences, respondents indicated For cost-effectiveness studies, overall HRQoL appraisals of whether a state of a certain duration is better, equal to, or worse than health states must be expressed as a single number. Such dead. To validate these TI - On the Assessment of Preferences for Health and Duration Maximal Endurable Time and Better Than Dead Preferences JF - Medical Care DO - 10.1097/MLR.0b013e3180ca9ac5 DA - 2007-09-01 UR - https://www.deepdyve.com/lp/wolters-kluwer-health/on-the-assessment-of-preferences-for-health-and-duration-maximal-Ii00q9rTdC SP - 835 EP - 841 VL - 45 IS - 9 DP - DeepDyve ER -