1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month Backlog URL Address <a href="http://doi.org/10.1177/0272989x9001000109" target="_blank" rel="noreferrer">http://doi.org/10.1177/0272989x9001000109</a> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Whose utilities for decision analysis? Publisher An entity responsible for making the resource available Medical Decision Making Date A point or period of time associated with an event in the lifecycle of the resource 1990 Subject The topic of the resource Humans; Attitude to Health; Attitude of Health Personnel; Prognosis; Choice Behavior; Decision Support Techniques; Multivariate Analysis; Non-U.S. Gov't; Research Support; Life Expectancy; Physicians/psychology; Patients/psychology; Patient Participation/psychology; Colostomy/psychology; Game Theory Creator An entity primarily responsible for making the resource Boyd NF; Sutherland HJ; Heasman KZ; Tritchler DL; Cummings BJ Description An account of the resource The goal of this study was to examine sources of variation in the utilities assigned to health states. The authors selected a common clinical problem, carcinoma of the rectum, and examined the utilities assigned to colostomy, a common outcome of treatment for that disease. After preparing and validating a description of colostomy and its effects on patients' lives, utilities for the state were obtained from five groups of individuals. These comprised two groups of patients who received treatment for rectal cancer, a group of physicians and surgeons specializing in the treatment of this disease, and two groups of healthy subjects, none of whom were health professionals. Of the patients who had been treated for rectal cancer, one group had been treated surgically with the formation of colostomies and the other had been treated with radiotherapy and none had a colostomy. Utilities for colostomy were elicited using the standard gamble, category rating, and a treatment choice questionnaire. The groups differed substantially in the utilities assigned to colostomy. In general, patients with colostomies and physicians assigned significantly higher utilities than did patients who did not themselves have a colostomy. The clinical significance of these differences was examined in a simplified clinical decision problem that compared surgery (with colostomy) and radiotherapy (without colostomy) as primary treatment. The expected clinical value of these treatment alternatives was substantially influenced by the differences observed in utilities for colostomy. These results emphasize the importance of patient utilities in clinical decision making and the need to gain greater understanding of the factors that influence the utilities that patients assign to health states. 1990 Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1177/0272989x9001000109" target="_blank" rel="noreferrer">10.1177/0272989x9001000109</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s). Type The nature or genre of the resource Journal Article 1990 Attitude Of Health Personnel Attitude To Health Backlog Boyd NF Choice Behavior Colostomy/psychology Cummings BJ Decision Support Techniques Game Theory Heasman KZ Humans Journal Article Life Expectancy Medical Decision Making Multivariate Analysis Non-U.S. Gov't Patient Participation/psychology Patients/psychology Physicians/psychology Prognosis Research Support Sutherland HJ Tritchler DL