Abstract | OBJECTIVES: METHODS: To identify all potential patient-relevant treatment characteristics, a systematic literature review and ten interviews with patients were conducted. Seven key characteristics were identified from the patient perspective. Patients' priorities were elicited using an analytic hierarchy process (AHP). RESULTS: In total, N = 61 patients diagnosed with severe hypercholesterolemia and undergoing apheresis participated in the study. The analysis showed predominance for the attribute "reduction of LDL-C level in blood" (Wglobal:0.362). The "risk of myopathy" (Wglobal:0.164), "risk of neurocognitive impairment" (Wglobal:0.161) and "frequency of apheresis" (Wglobal:0.119) were ranked second, third and fourth. Subgroup analyses revealed that "frequency of apheresis" is of greater importance to younger patients, men and/or patients who indicated a reduction in quality of life due to apheresis. CONCLUSIONS: The essential decision criteria for optimal therapy from the patients' perspective were obtained. "Reduction of lipoprotein in blood" was ranked highest compared with the "mode of administration" and "side effects" characteristics. The study offers a transparent approach for the identification of patient priorities for adjunctive PCSK9-inhibitor therapy in apheresis-treated hypercholesterolemia. The project can be used by healthcare decision makers to understand the importance of each patient-relevant endpoint.
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Authors | Axel C Mühlbacher, Anika Kaczynski, Franz-Werner Dippel, Susanne Bethge |
Journal | International journal of technology assessment in health care
(Int J Technol Assess Health Care)
Vol. 34
Issue 3
Pg. 267-275
(Jan 2018)
ISSN: 1471-6348 [Electronic] England |
PMID | 29987994
(Publication Type: Journal Article)
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Chemical References |
- Anticholesteremic Agents
- Cholesterol, LDL
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Topics |
- Aged
- Anticholesteremic Agents
(administration & dosage, adverse effects, therapeutic use)
- Blood Component Removal
(methods)
- Cholesterol, LDL
(blood)
- Combined Modality Therapy
- Decision Making
- Female
- Germany
- Humans
- Hypercholesterolemia
(therapy)
- Male
- Middle Aged
- Muscular Diseases
(chemically induced)
- Neurocognitive Disorders
(chemically induced)
- Patient Preference
- Risk Factors
- Severity of Illness Index
- Socioeconomic Factors
- Time Factors
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