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The Use of Confidence Intervals for Individual Utilities:

Author

Listed:
  • 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

Abstract

This paper discusses the use of confidence intervals for utility measurements. Classic test theory is applied to estimate confidence intervals for utilities. The theory is enhanced to calculate confidence areas for combined utilities and confidence bands for the threshold line. As an example it is shown that, if confidence intervals are taken into account, the implied preferred treatment of T3-larynx carcinoma patients is uncertain for a wide range of utilities, considering the mediocre reliability of most methods of utility assessment. This implies that although utility measurement and formal decision analysis can be a useful way to look at the decision problem, ambiguity, which must be resolved by other means, will often remain. Key words : utility theory; utility measurement; confidence intervals. (Med Decis Making 1997;17:285-291)

Suggested Citation

  • 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.
    • Handle: RePEc:sae:medema:v:17:y:1997:i:3:p:285-291
    DOI: 10.1177/0272989X9701700304
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    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. Gregory C. Critchfield & Keith E. Willard, 1986. "Probabilistic Analysis of Decision Trees Using Monte Carlo Simulation," Medical Decision Making, , vol. 6(2), pages 85-92, June.
    3. Nord, Erik, 1992. "Methods for quality adjustment of life years," Social Science & Medicine, Elsevier, vol. 34(5), pages 559-569, March.
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