How Does Non-Malignant Opioid Induced Constipation (Oic) Impact Health State Utility?

نویسندگان

  • R Lawson
  • K Marsh
  • A Altincatal
  • F King
چکیده

• Data were pooled from 2 randomized, double-blind, placebocontrolled phase 3 studies of naloxegol conducted over 12 weeks in patients with noncancer pain and OIC (N=1352; intent-to-treat [ITT], N=1337 [KODIAC-04, NCT01309841; KODIAC-05, NCT01323790]).3 – EQ-5D4 scores were collected at baseline, week 4, and week 12 and converted into estimates of utility using the Dolan algorithm, a tariff generated based on UK general population preferences5 and according to published guidance.6 – The health utility score was set to missing if 1 or more questions were not answered on the 5 dimensions of the EQ-5D. – Based on the patient’s response for each dimension, the health utility score was calculated by subtracting the time trade-off UK weights from 1 (Table 1). Table 1. UK Time Trade-Off Weights*5,6 No Problems (Level 1) Some Problems (Level 2) Extreme Problems (Level 3) Mobility 0 0.069 0.314 Self-care 0 0.104 0.214 Pain/discomfort 0 0.123 0.386 Usual activities 0 0.036 0.094 Anxiety/depression 0 0.071 0.236

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Impact of Treatment with Naloxegol for Opioid-Induced Constipation on Patients’ Health State Utility

INTRODUCTION Opioid-induced constipation (OIC) is the most common side effect of opioid treatment. Treatment for OIC typically involves a laxative. However, some patients have an inadequate response to these (laxative inadequate responders, or LIR). This has led to the development of treatments such as naloxegol. This analysis estimates the impact of naloxegol on the health state utility of LIR...

متن کامل

Measuring quality of life in opioid-induced constipation: mapping EQ-5D-3 L and PAC-QOL.

BACKGROUND In health economic evaluations, quality of life should be measured with preference-based utilities, such as the EuroQol 5 Dimension 3-level (EQ-5D-3 L). Non-preference-based instruments (often disease-specific questionnaires) are commonly mapped to utilities. We investigated if the relationship observed between the Patient Assessment of Constipation Quality of Life (PAC-QOL) and the ...

متن کامل

Clinical utility of naloxegol in the treatment of opioid-induced constipation

Opioids are a class of medications frequently used for the treatment of acute and chronic pain, exerting their desired effects at central opioid receptors. Agonism at peripherally located opioid receptors, however, leads to opioid-induced constipation (OIC), one of the most frequent and debilitating side effects of prolonged opioid use. Insufficient relief of OIC with lifestyle modification and...

متن کامل

Opioid-Induced Constipation: Pathophysiology, Clinical Consequences, and Management

Although opioids offer potent analgesia for severe acute and chronic noncancer pain, adverse gastrointestinal effects potentially undermine their clinical utility. In particular, between 40% and 95% of patients develop opioid-induced constipation (OIC). Therefore, there is a consensus that patients should commence laxatives at the start of opioid therapy and continue throughout treatment. Never...

متن کامل

When People with Opioid-Induced Constipation Speak: A Patient Survey

INTRODUCTION Opioid-induced constipation (OIC) is a common consequence of opioid use for chronic pain. OIC creates problems for patients independent of their pain syndromes, in addition to threatening pain treatment effectiveness. Healthcare practitioners need to be alert to how patients talk about OIC so that it is not missed. Using a survey mechanism, we sought patient expressions of the pers...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research

دوره 17 7  شماره 

صفحات  -

تاریخ انتشار 2014