A systematic review of how patients value COPD outcomes

Yuan Zhang, Rebecca L. Morgan, Pablo Alonso-Coello, Wojtek Wiercioch, Małgorzata M. Bała, Rafał R. Jaeschke, Krzysztof Styczeń, Hector Pardo-Hernandez, Anna Selva, Housne Ara Begum, Gian Paolo Morgano, Marcin Waligóra, Arnav Agarwal, Matthew Ventresca, Karolina Strzebońska, Mateusz T. Wasylewski, Lídia Blanco-Silvente, Janna Lina Kerth, Mengxiao Wang, Yuqing ZhangSaiprasad Narsingam, Yutong Fei, Gordon Guyatt, Holger J. Schünemann

Research output: Journal PublicationArticlepeer-review

66 Citations (Scopus)

Abstract

Our objective was to summarise systematically all research evidence related to how patients value outcomes in chronic obstructive pulmonary disease (COPD). We conducted a systematic review (systematic review registration number CRD42015015206) by searching PubMed, Embase, PsycInfo and CINAHL, and included reports that assessed the relative importance of outcomes from COPD patients’ perspective. Two authors independently determined the eligibility of studies, abstracted the eligible studies and assessed risk of bias. We narratively summarised eligible studies, meta-analysed utilities for individual outcomes and assessed the certainty of evidence using the Grading of Recommendations, Assessment, Development and Evaluations approach. We included 217 quantitative studies. Investigators most commonly used utility measurements of outcomes (n=136), discrete choice exercises (n=13), probability trade-off (n=4) and forced choice techniques (n=46). Patients rated adverse events as important but on average, less so than symptom relief. Exacerbation and hospitalisation due to exacerbation are the outcomes that COPD patients rate as most important. This systematic review provides a comprehensive registry of related studies.

Original languageEnglish
Article number1800222
JournalEuropean Respiratory Journal
Volume52
Issue number1
DOIs
Publication statusPublished - 2018
Externally publishedYes

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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