Assuming that
each of the following was available, which would you choose?
You
answered:
 | Mean
SF-36 scores from a study of community-dwelling geriatric
patients with urinary incontinence |
INCORRECT
Many, if not most, cost-effectiveness analyses are done apart
from the original clinical trial that established the effectiveness
of the intervention and must rely on utilities that were not collected
from clinical trial participants. The task of the researcher is
to obtain utilities that will map closely to the clinical trial
participants. The investigator can identify the previously elicited
utilities that will most closely match the population under study.
The SF-36 scores for community-dwelling patients are unlikely
to be generalizable to frail elders in geriatric management (and
do not provide the utilities being sought). Patients with angina
or dementia are specialized groups whose utilities would not particularly
map to a frail population unless ADL data were also available
for the study patients.
|