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- Article] The relationship between risk attitude and treatment choice in patients with relapsing-remitting multiple sclerosis
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DocNo of ILP: 6139
Doc. Type: Article
Title: The relationship between risk attitude and treatment choice in patients with relapsing-remitting multiple sclerosis
Authors: Prosser, LA; Kuntz, KM; Bar-Or, A; Weinstein, MC
Full Name of Authors: Prosser, LA; Kuntz, KM; Bar-Or, A; Weinstein, MC
Keywords by Author: risk attitude; treatment choice; adherence; compliance; multiple sclerosis
Keywords Plus: DECISION-MAKING; LIFE YEARS; PREFERENCE; INTERVENTIONS; DISABILITY; UTILITY; CANCER
Abstract: Background. Many patients with multiple sclerosis (MS) eligible for beta-interferons or glatiramer acetate have chosen to forgo or discontinue treatment. The objective of this study was to evaluate risk attitude as a patient characteristic related to treatment choice for patients with MS. Methods. Sixty-two MS patients completed a survey on treatment history, risk preference, and socioeconomic and clinical variables. Multinomial logistic regression was used to assess the relationship between treatment choice and risk attitude. Risk attitude was measured using a standard gamble question on short-term health outcomes. Results. More risk-seeking patients were less likely to choose treatment compared with more risk-averse patients (P < 0.01). For patients who discontinued treatment, the explanatory variable of significance was severity of side effects (P < 0.05). Conclusions. Risk attitude is a patient characteristic related to treatment initiation in patients with MS. This could be an important factor to consider when identifying optimal treatment decisions for individual patients.
Cate of OECD: Health sciences
Year of Publication: 2002
Business Area: other
Detail Business: medicine & science
Country: USA
Study Area:
Name of Journal: MEDICAL DECISION MAKING
Language: English
Country of Authors: Harvard Univ, Sch Med, Dept Ambulatory Care & Prevent, Boston, MA 02215 USA; Harvard Univ, Pilgrim Hlth Care, Boston, MA 02215 USA; Harvard Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Ctr Risk Anal, Boston, MA 02115 USA; McGill Univ, Montreal Neurol Inst, Dept Neurol & Neurosurg, Montreal, PQ, Canada
Press Adress: Prosser, LA (reprint author), Harvard Univ, Sch Med, Dept Ambulatory Care & Prevent, 133 Brookline Ave,6th Floor, Boston, MA 02215 USA.
Email Address:
Citaion:
Funding:
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Number of Citaion: 34
Publication: SAGE PUBLICATIONS INC
City of Publication: THOUSAND OAKS
Address of Publication: 2455 TELLER RD, THOUSAND OAKS, CA 91320 USA
ISSN: 0272-989X
29-Character Source Abbreviation: MED DECIS MAKING
ISO Source Abbreviation: Med. Decis. Mak.
Volume: 22
Version: 6
Start of File: 506
End of File: 513
DOI: 10.1177/0272989X02238299
Number of Pages: 8
Web of Science Category: Health Care Sciences & Services; Medical Informatics
Subject Category: Health Care Sciences & Services; Medical Informatics
Document Delivery Number: 615RQ
Unique Article Identifier: WOS:000179260800006
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