Cost-effectiveness analysis of the Dutch liver transplantation programme.
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Biomedical subjects
Publications and source records attributed to M L Essink-Bot.
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This article evaluates current sexual functioning in patients with prostate cancer who are awaiting treatment. One-hundred fifty-eight patients filled out a 15-item questionnaire regarding current sexual functioning. Median age was 67 years. Sixty percent reported to have spontaneous erections at least once a week, and 37% reported a good firmness. Thirty-five percent reported that during sexual activity they had no difficulty in getting erections, and 33% reported that they had no difficulty in maintaining an erection. After diagnosis, all patients reported a decrease in sexual interest, activity, and pleasure. Diagnosis of prostate cancer does have an impact on sexual functioning, therefore sexual counseling prior to treatment is advised.
The standard-gamble and time-tradeoff methods for valuing health states were compared in a multifactorial design with 104 student volunteers. The main aim of the experiment was to compare average individual responses with group responses for the same tradeoff tasks. Group responses were collected using an interactive voting system. The standard EuroQol system was used to describe the health states to be valued. Generalizability theory was used to analyze the results. The averages and median values of the individual responses differed from the interactively collected group values only for the more severe health states. The results showed almost identical results for the two methods, but the time tradeoff was found to be more consistent than the standard gamble. The authors conclude that 1) there is significant similarity between the results of individual and collective response modes, and 2) the standard-gamble and time-tradeoff methods produce almost equivalent values, despite their different conceptual backgrounds. In this study the aggregated individual responses and the collective response proved to be sufficiently similar to support the validity of using aggregated individual valuations as a measure of the valuation of the group.