Scientific article
Open access

A discrete-choice experiment to assess patients' preferences for osteoarthritis treatment: An ESCEO working group

Published inSeminars in Arthritis and Rheumatism, vol. 50, no. 5, p. 859-866
Publication date2020

Objective: To evaluate the preferences of patients with osteoarthritis for treatment. Methods: A discrete-choice experiment was conducted among adult OA patients who were presented with 12 choice sets of two treatment options and asked in each to select the treatment they would prefer. Based on literature reviews, expert consultation, patient survey and expert meeting, treatment options were characterized by seven attributes: improvement in pain, improvement in walking, ability to manage domestic activities, ability to manage social activities, improvement in overall energy and well-being, risk of moderate/severe side effects and impact on disease progression. Random parameters logit model was used to estimate patients' preferences and a latent class model was conducted to explore preferences classes. Results: 253 OA patients from seven European countries were included (74% women; mean age 71.3 years). For all seven treatment attributes, significant differences were observed between levels. Given the range of levels of each attribute, the most important treatment attribute in this group was impact on disease progression (29.5%) followed by walking improvement (17.1%) and pain improvement (16.3%). The latent class model identified two preference classes. In the first class (probability of 56%), patients valued impact of disease progression the most (39%). In the second class, walking improvement and improvement in overall energy and well-being were the most important (23%).

  • Discrete-choice experiment
  • Osteoarthritis
  • Outcomes
  • Patient preferences
Citation (ISO format)
HILIGSMANN, Mickael et al. A discrete-choice experiment to assess patients” preferences for osteoarthritis treatment: An ESCEO working group. In: Seminars in Arthritis and Rheumatism, 2020, vol. 50, n° 5, p. 859–866. doi: 10.1016/j.semarthrit.2020.08.005
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Article (Published version)
ISSN of the journal0049-0172

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