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https://hdl.handle.net/2440/75239
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Type: | Journal article |
Title: | Quality of life valuations of HPV-associated cancer health states by the general population |
Author: | Conway, E. Farmer, K. Lynch, W. Rees, G. Wain, G. Adams, J. |
Citation: | Sexually Transmitted Infections, 2012; 88(7):517-521 |
Publisher: | British Med Journal Publ Group |
Issue Date: | 2012 |
ISSN: | 1368-4973 1472-3263 |
Statement of Responsibility: | E Lynne Conway, K Chip Farmer, William J Lynch, Guy L Rees, Gerard Wain, Jane Adams |
Abstract: | Objectives To obtain health-related quality of life valuations (ie, utilities) for human papillomavirus (HPV)-related cancer health states of vulval, vaginal, penile, anal and oropharyngeal cancers for use in modelling cost-effectiveness of prophylactic HPV vaccination. Methods Written case descriptions of each HPV-associated cancer describing the ‘average’ patient surviving after the initial cancer diagnosis and treatment were developed in consultation with oncology clinicians. A general overview, standard gamble questionnaire for each health state and a quiz was conducted in 120 participants recruited from the general population. Results In the included population sample (n=99), the average age was 43 years (range = 18–70 years) with 54% men, 44% never married/43% married, 76% education beyond year 12 and 39% employed full-time. The utility values for the five health states were 0.57 (95% CI 0.52 to 0.62) for anal cancer, 0.58 (0.53 to 0.63) for oropharyngeal cancer, 0.59 (0.54 to 0.64) for vaginal cancer, 0.65 (0.60 to 0.70) for vulval cancer and 0.79 (0.74 to 0.84) for penile cancer. Participants demonstrated a very good understanding of the symptoms, diagnosis and treatment of these cancers with a mean score of 9 (SD=1.1) on a 10-item quiz. Conclusions This study provides utility estimates for the specific HPV-related cancers of vulval, vaginal, penile, anal and oropharyngeal cancers valued by a general population sample using standard gamble. The results demonstrate considerable quality of life impact associated with surviving these cancers that will be important to incorporate into modelling cost-effectiveness of prophylactic HPV vaccination in different populations. |
Keywords: | Humans Papillomavirus Infections Anus Neoplasms Oropharyngeal Neoplasms Vaginal Neoplasms Vulvar Neoplasms Penile Neoplasms Health Knowledge, Attitudes, Practice Quality of Life Adolescent Adult Aged Middle Aged Patient Acceptance of Health Care Female Male Young Adult Surveys and Questionnaires |
Rights: | This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode |
DOI: | 10.1136/sextrans-2011-050161 |
Published version: | http://dx.doi.org/10.1136/sextrans-2011-050161 |
Appears in Collections: | Aurora harvest 4 Dentistry publications |
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hdl_75239.pdf | Published version | 207.92 kB | Adobe PDF | View/Open |
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