Surgical prioritization based on decision model outcomes is not sensitive to differences between the health-related quality of life values estimates of physicians and citizens

Purpose Decision models can be used to support allocation of scarce surgical resources. These models incorporate health-related quality of life (HRQoL) values that can be determined using physician panels. The predominant opinion is that one should use values obtained from citizens. We investigated...

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Bibliographic Details
Published in:Quality of life research 2024-02, Vol.33 (2), p.529-539
Main Authors: van Alphen, Anouk M. I. A., Krijkamp, Eline M., Gravesteijn, Benjamin Y., Baatenburg de Jong, Robert J., Busschbach, Jan J.
Format: Article
Language:English
Subjects:
Humans
Medicine
Medicine & Public Health
Physicians
Public Health
Quality of life
Quality of Life - psychology
Quality of Life Research
Sociology
Surgery
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Summary:Purpose Decision models can be used to support allocation of scarce surgical resources. These models incorporate health-related quality of life (HRQoL) values that can be determined using physician panels. The predominant opinion is that one should use values obtained from citizens. We investigated whether physicians give different HRQoL values to citizens and evaluate whether such differences impact decision model outcomes. Methods A two-round Delphi study was conducted. Citizens estimated HRQoL of pre- and post-operative health states for ten surgeries using a visual analogue scale. These values were compared using Bland–Altman analysis with HRQoL values previously obtained from physicians. Impact on decision model outcomes was evaluated by calculating the correlation between the rankings of surgeries established using the physicians’ and the citizens’ values. Results A total of 71 citizens estimated HRQoL. Citizens’ values on the VAS scale were − 0.07 points (95% CI − 0.12 to − 0.01) lower than the physicians’ values. The correlation between the rankings of surgeries based on citizens’ and physicians’ values was 0.96 ( p  
ISSN:0962-9343
1573-2649
DOI:10.1007/s11136-023-03544-5