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An Exploration of Relative Health Stock in Advanced Cancer Patients

Author

Listed:
  • Darrell J. Gaskin

    (Johns Hopkins University, Baltimore, Maryland)

  • Kevin P. Weinfurt

    (Duke University, Durham, North Carolina)

  • Liana D. Castel

    (Duke University, Durham, North Carolina)

  • Venita DePuy

    (Duke University, Durham, North Carolina)

  • Yun Li

    (Duke University, Durham, North Carolina)

  • Andrew Balshem

    (Fox Chase Cancer Center, Philadelphia, Pennsylvania)

  • Al Benson

    (Northwestern University, Chicago, Illinois)

  • Caroline B. Burnett

    (Georgetown University, Washington, DC)

  • Sandra Corbett

    (Fox Chase Cancer Center, Philadelphia, Pennsylvania)

  • John Marshall

    (Georgetown University, Washington, DC)

  • Elyse Slater

    (Fox Chase Cancer Center, Philadelphia, Pennsylvania)

  • Daniel P. Sulmasy

    (St. Vincent’s Manhattan and New York Medical College, New York, New York)

  • David Van Echo

    (University of Maryland, Baltimore)

  • Neal J. Meropol

    (Fox Chase Cancer Center, Philadelphia, Pennsylvania)

  • Kevin A. Schulman

    (Duke University, Durham, North Carolina)

Abstract

Objective. The authors sought to empirically test whether relative health stock, a measure of patients’ sense of loss in their health due to illness, influences the treatment decisions of patients facing life-threatening conditions. Specifically, they estimated the effect of relative health stock on advanced cancer patients’ decisions to participate in phase I clinical trials. Method. A multicenter study was conducted to survey 328 advanced cancer patients who were offered the opportunity to participate in phase I trials. The authors asked patients to estimate the probabilities of therapeutic benefits and toxicity, their relative health stock, risk preference, and the importance of quality of life. Results. Controlling for health-related quality of life, an increase in relative health stock by 10 percentage points reduced the odds of choosing to participate in a phase I trial by 16% (odds ratio = 0.84, 95% confidence interval = 0.72, 0.97). Conclusion. Relative health stock affects advanced cancer patients’ treatment decisions.

Suggested Citation

  • Darrell J. Gaskin & Kevin P. Weinfurt & Liana D. Castel & Venita DePuy & Yun Li & Andrew Balshem & Al Benson & Caroline B. Burnett & Sandra Corbett & John Marshall & Elyse Slater & Daniel P. Sulmasy &, 2004. "An Exploration of Relative Health Stock in Advanced Cancer Patients," Medical Decision Making, , vol. 24(6), pages 614-624, November.
    • Handle: RePEc:sae:medema:v:24:y:2004:i:6:p:614-624
    DOI: 10.1177/0272989X04271041
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