Patient Preferences for Outcomes Associated with Surgical Management of Prostate Cancer
Abstract
We evaluated preferences for current urinary and sexual function following radical prostatectomy in men with clinically localized prostate cancer. We used utility assessment to quantify patient preferences. Methods: We measured preferences in 209 community volunteers enrolled in a prostate cancer screening study who had radical prostatectomy between 1994 and 1998. We compared preferences in three outcome groups: (I) men who were bothered by both their current urinary and sexual functioning, (2) men who were only bothered by their current sexual functioning, and (3) men who were not bothered by either. Preferences were assessed via computer-based interview using time trade-off and standard gamble methods. Functioning was assessed via standardized questionnaire. Results: Differences in utilities were found by outcome group, with median utilities high across groups (0.9 for TTO and Standard Gamble), indicating that men were not willing to give up much remaining life years (1 year or 10% risk of death) with current functioning to achieve ideal functioning. Conclusion: Health related quality of life is generally good in patients treated for prostate cancer with radical prostatectomy; and those who have urinary and/or sexual dysfunction would not be willing to trade much of their remaining life span to have perfect functioning.
Document Details
- Document Type
- Technical Report
- Publication Date
- Apr 01, 2002
- Accession Number
- ADA406096
Entities
People
- William Catalona
Organizations
- Washington University in St. Louis