Loading...
People living with moderate-to-severe COPD prefer improvement of daily symptoms over the improvement of exacerbations: a multicountry patient preference study
Cook, Nigel S. Criner, Gerard J. Burgel, Pierre-Régis Mycock, Katie Gardner, Tom Mellor, Phil Hallworth, Pam Sully, Kate Tatlock, Sophi Klein, Beyza
Cook, Nigel S.
Criner, Gerard J.
Burgel, Pierre-Régis
Mycock, Katie
Gardner, Tom
Mellor, Phil
Hallworth, Pam
Sully, Kate
Tatlock, Sophi
Klein, Beyza
Citations
Altmetric:
Genre
Journal article
Date
2022-05-05
Advisor
Committee member
Group
Department
Thoracic Medicine and Surgery
Medicine
Medicine
Subject
Permanent link to this record
Collections
Research Projects
Organizational Units
Journal Issue
DOI
http://dx.doi.org/10.1183/23120541.00686-2021
Abstract
Introduction: This patient preference study sought to quantify the preferences of people living with COPD regarding symptom improvement in the UK, USA, France, Australia and Japan. Methods: The inclusion criteria were people living with COPD aged 40 years or older who experienced ≥1 exacerbation in the previous year with daily symptoms of cough and excess mucus production. The study design included: 1) development of an attributes and levels grid through qualitative patient interviews; and 2) implementation of the main online quantitative survey, which included a discrete choice experiment (DCE) to allow assessment of attributes and levels using hypothetical health state profiles. Preference weights (utilities) were derived from the DCE using hierarchical Bayesian analysis. A preference simulator was developed that enabled different health state scenarios to be evaluated based on the predicted patient preferences. Results: 1050 people living with moderate-to-severe COPD completed the survey. All attributes were considered important when patients determined their preferences in the DCE. In a health state preference simulation, two hypothetical health states (comprising attribute levels) with qualitatively equivalent improvements in A) cough and mucus and B) shortness of breath (SOB) resulted in a clear preference for cough and mucus improved profile. When comparing two profiles with C) daily symptoms improved and D) exacerbations improved, there was a clear preference for the daily symptoms improved profile. Conclusions: People living with moderate-to-severe COPD prefer to reduce cough and mucus production together over improvement of SOB and would prefer to reduce combined daily symptoms over an improvement in exacerbations.
Description
Citation
People living with moderate-to-severe COPD prefer improvement of daily symptoms over the improvement of exacerbations: a multicountry patient preference study Nigel S. Cook, Gerard J. Criner, Pierre-Régis Burgel, Katie Mycock, Tom Gardner, Phil Mellor, Pam Hallworth, Kate Sully, Sophi Tatlock, Beyza Klein, Byron Jones, Olivier Le Rouzic, Kip Adams, Kirsten Phillips, Mike McKevitt, Kazuko Toyama, Florian S. Gutzwiller ERJ Open Research Apr 2022, 8 (2) 00686-2021; DOI: 10.1183/23120541.00686-2021
Citation to related work
European Respiratory Society (ERS)
Has part
ERJ Open Research
ADA compliance
For Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu