Premal H. Thaker , Hui Lu , Yitong J. Zhang , Myrto Trapali , Paul Swinburn , Nicolas Krucien , Doris White , Joslyn Chaiprasert-Paguio , Bhavana Pothuri , Jie Ting
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Treatment preferences of patients with recurrent or metastatic cervical cancer: a discrete choice experiment in the US
Objective
This study assessed treatment preferences of patients with recurrent/metastatic cervical cancer, a disease with poor prognosis.
Methods
A survey with two discrete choice experiments was completed by 150 patients with recurrent/metastatic cervical cancer in the US. Discrete choice experiment 1 included treatment attributes, and discrete choice experiment 2 included risk mitigation plan attributes.
Results
Participants valued 12-month overall survival rate as the most important attribute, followed by disease control rate; both efficacy attributes were rated as more important than the risk of side effects such as peripheral neuropathy and corneal side effects. Participants’ willingness to accept a treatment profile requiring a risk mitigation plan was influenced by the number of clinic visits and out-of-pocket costs.
Conclusions
Patients with recurrent/metastatic cervical cancer prioritize overall survival and disease control rate as the most important attributes. These findings can be used to inform shared decision-making and treatment discussions among patients, clinicians, and the care team.
期刊介绍:
Gynecologic Oncology Reports is an online-only, open access journal devoted to the rapid publication of narrative review articles, survey articles, case reports, case series, letters to the editor regarding previously published manuscripts and other short communications in the field of gynecologic oncology. The journal will consider papers that concern tumors of the female reproductive tract, with originality, quality, and clarity the chief criteria of acceptance.