IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v16y1996i2p184-192.html
   My bibliography  Save this article

Tradeoffs between Quality and Quantity of Life

Author

Listed:
  • Anne M. Stiggelbout
  • J.C.J.M. De Haes
  • Gwendoline M. Kiebert
  • Job Kievit
  • Jan-Willem H. Leer

Abstract

The patient's perspective is of prime concern in weighing the benefits and side effects of oncologic treatment. Little is known about patients' preferences and attitudes. The authors developed a short questionnaire to assess patient attitudes concerning trade offs between quality of life and length, or quantity, of life (the QQ Questionnaire). The questionnaire turned out to be feasible for use in various groups of cancer patients. In a factor analysis, the questionnaire was shown to consist of two factors, a Q(uality) and a L(ength) factor. Values of Cronbach's α for the Q and L scales (consisting of four items each) were 0.68 and 0.79, respectively. Younger patients and patients who have children assigned relatively more importance to striving for prolonged survival. Contrary to our expectation, no association was found between scores on the two scales and time tradeoff utility scores. The QQ Questionnaire can be used in research settings to study patient attitudes and the stability and determinants of patients' pref erences. Key words: oncology; quality of life; side effects; patient preferences; health state utilities. (Med Decis Making 1996;16:184-192)

Suggested Citation

  • Anne M. Stiggelbout & J.C.J.M. De Haes & Gwendoline M. Kiebert & Job Kievit & Jan-Willem H. Leer, 1996. "Tradeoffs between Quality and Quantity of Life," Medical Decision Making, , vol. 16(2), pages 184-192, June.
    • Handle: RePEc:sae:medema:v:16:y:1996:i:2:p:184-192
    DOI: 10.1177/0272989X9601600211
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X9601600211
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X9601600211?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Gwendoline M. Kiebert & Anne M. Stiggelbout & Jan-Willem H. Leer & Job Kievit & Hanneke J.C.J.M. De Haes, 1993. "Test-Retest Reliabilities of Two Treatment-preference Instruments in Measuring Utilities," Medical Decision Making, , vol. 13(2), pages 133-140, June.
    2. A.M. Stiggelbout & G.M. Kiebert & J. Kievit & J.W.H. Leer & G. Stoter & J.C.J.M. De Haes, 1994. "Utility Assessment in Cancer Patients," Medical Decision Making, , vol. 14(1), pages 82-90, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Trude Arnesen & Mari Trommald, 2005. "Are QALYs based on time trade‐off comparable? – A systematic review of TTO methodologies," Health Economics, John Wiley & Sons, Ltd., vol. 14(1), pages 39-53, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ryan Edwards, 2013. "The cost of uncertain life span," Journal of Population Economics, Springer;European Society for Population Economics, vol. 26(4), pages 1485-1522, October.
    2. Kvamme, Maria Knoph & Gyrd-Hansen, Dorte & Olsen, Jan Abel & Kristiansen, Ivar Sønbø, 2010. "Increasing marginal utility of small increases in life-expectancy?: Results from a population survey," Journal of Health Economics, Elsevier, vol. 29(4), pages 541-548, July.
    3. Han Bleichrodt, 2002. "A new explanation for the difference between time trade‐off utilities and standard gamble utilities," Health Economics, John Wiley & Sons, Ltd., vol. 11(5), pages 447-456, July.
    4. Han Bleichrodt & Jose Maria Abellan-Perpiñan & Jose Luis Pinto-Prades & Ildefonso Mendez-Martinez, 2007. "Resolving Inconsistencies in Utility Measurement Under Risk: Tests of Generalizations of Expected Utility," Management Science, INFORMS, vol. 53(3), pages 469-482, March.
    5. José-Luis Pinto-Prades & Han Bleichrodt, 2015. "The Validity of QALYs Under Non-Expected Utility," Working Papers 113, Barcelona School of Economics.
    6. Noriaki Aoki & Takao Kitahara & Tsuguya Fukui & J. Robert Beck & Kazui Soma & Wari Yamamoto & Isao Kamae & Takashi Ohwada, 1998. "Management of Unruptured Intracranial Aneurysm in Japan," Medical Decision Making, , vol. 18(4), pages 357-364, October.
    7. Valerie Seror, 2008. "Fitting observed and theoretical choices – women's choices about prenatal diagnosis of Down syndrome," Health Economics, John Wiley & Sons, Ltd., vol. 17(5), pages 557-577, May.
    8. Mary Riddel & Sonja Kolstoe, 2013. "Heterogeneity in life-duration preferences: Are risky recreationists really more risk loving?," Journal of Risk and Uncertainty, Springer, vol. 46(2), pages 191-213, April.
    9. Attema, Arthur E. & Brouwer, Werner B.F., 2009. "The correction of TTO-scores for utility curvature using a risk-free utility elicitation method," Journal of Health Economics, Elsevier, vol. 28(1), pages 234-243, January.
    10. Arthur E. Attema & Han Bleichrodt & Yu Gao & Zhenxing Huang & Peter P. Wakker, 2016. "Measuring Discounting without Measuring Utility," American Economic Review, American Economic Association, vol. 106(6), pages 1476-1494, June.
    11. Peter P. Wakker, 2008. "Explaining the characteristics of the power (CRRA) utility family," Health Economics, John Wiley & Sons, Ltd., vol. 17(12), pages 1329-1344.
    12. Joshua Graff Zivin, 2001. "Cost‐effectiveness analysis with risk aversion," Health Economics, John Wiley & Sons, Ltd., vol. 10(6), pages 499-508, September.
    13. van der Pol, Marjon & Ruggeri, Matteo, 2008. "Is risk attitude outcome specific within the health domain?," Journal of Health Economics, Elsevier, vol. 27(3), pages 706-717, May.
    14. Attema, Arthur E. & Brouwer, Werner B.F. & l’Haridon, Olivier, 2013. "Prospect theory in the health domain: A quantitative assessment," Journal of Health Economics, Elsevier, vol. 32(6), pages 1057-1065.
    15. Arthur E. Attema & Matthijs M. Versteegh, 2013. "Would You Rather Be Ill Now, Or Later?," Health Economics, John Wiley & Sons, Ltd., vol. 22(12), pages 1496-1506, December.
    16. Bleichrodt, Han & Pinto, Jose Luis & Maria Abellan-Perpinan, Jose, 2003. "A consistency test of the time trade-off," Journal of Health Economics, Elsevier, vol. 22(6), pages 1037-1052, November.
    17. Han Bleichrodt & David Crainich & Louis Eeckhoudt & Nicolas Treich, 2020. "Risk aversion and the value of diagnostic tests," Theory and Decision, Springer, vol. 89(2), pages 137-149, September.
    18. James K. Hammitt, 2002. "QALYs Versus WTP," Risk Analysis, John Wiley & Sons, vol. 22(5), pages 985-1001, October.
    19. Arthur Attema & Yvette Edelaar-Peeters & Matthijs Versteegh & Elly Stolk, 2013. "Time trade-off: one methodology, different methods," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(1), pages 53-64, July.
    20. Frits H.J. Roest & Marinus J.C. Eijkemans & Jos Van Der Donk & Peter C. Levendag & Cees A. Meeuwis & Paul I.M. Schmitz & J. Dik F. Habbema, 1997. "The Use of Confidence Intervals for Individual Utilities:," Medical Decision Making, , vol. 17(3), pages 285-291, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:16:y:1996:i:2:p:184-192. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.