A comparison of physician and patient time trade-offs for postoperative hip outcomes.

摘要

OBJECTIVE: To elicit infected hip arthroplasty preferences from outpatients and surgeons using time trade-off method based on a paper-based survey. METHODS: Outpatients were included if they were 20 to 80 years of age, did not have a history of hip pain or surgery, and did not have a diagnosis of dementia. Orthopedic surgeons were high-volume joint replacement specialists or who performed >or=50 joint replacements per year. Preference measures were elicited using trade-offs between impaired health versus full health with shortened life, and between two temporary health states. RESULTS: Patient preference scores were in some cases higher than surgeon preference scores. The difference was most pronounced for the health state constant severe pain. Outpatients revealed much higher preferences for staying in short-term major medical complication as compared with surgeons. CONCLUSIONS: Preference measures derived in this study can be used in decision-making for complications related to hip surgeries.