Preference of individuals in the treatment strategies of acute myocardial infarction in China: a discrete choice experiment

Dai, Weiqian; Liu, Chang; Liu, Jiahe; Lin, Yaduan; Yu, Chunhao; Ming, Wai‐Kit

doi:10.1186/s12955-020-01466-1

Cited by 5 publications

(4 citation statements)

References 20 publications

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“…Latent class analyses found 3 distinct groups with varying preferences based on treatment cost, treatment duration, and mortality risk. 21 Muhlbacher et al conducted a DCE to evaluate patient preferences for medication options following ACS. 22 These authors also found reduction in mortality to be the most important attribute, followed by prevention of new MI.…”

Section: Discussionmentioning

confidence: 99%

Preferences of Patients With Chronic Kidney Disease for Invasive Versus Conservative Treatment of Acute Coronary Syndrome: A Discrete Choice Experiment

Wilson

Hazlewood

Sajobi

et al. 2023

JAHA

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Background Patients with chronic kidney disease (CKD) can experience acute coronary syndromes (ACS) with high morbidity and mortality. Early invasive management of ACS is recommended for most high‐risk patients; however, choosing between an early invasive versus conservative management approach may be influenced by the unique risk of kidney failure for patients with CKD. Methods and Results This discrete choice experiment measured the preferences of patients with CKD for future cardiovascular events versus acute kidney injury and kidney failure following invasive heart procedures for ACS. The discrete choice experiment, consisting of 8 choice tasks, was administered to adult patients attending 2 CKD clinics in Calgary, Alberta. The part‐worth utilities of each attribute were determined using multinomial logit models, and preference heterogeneity was explored using latent class analysis. A total of 140 patients completed the discrete choice experiment. The mean age of patients was 64 years, 52% were male, and mean estimated glomerular filtration rate was 37 mL/min per 1.73 m 2 . Across the range of levels, risk of mortality was the most important attribute, followed by risk of end‐stage kidney disease and risk of recurrent myocardial infarction. Latent class analysis identified 2 distinct preference groups. The largest group included 115 (83%) patients, who placed the greatest value on treatment benefits and expressed the strongest preference for reducing mortality. A second group of 25 (17%) patients was identified who were procedure averse and had a strong preference toward conservative management of ACS and avoiding acute kidney injury requiring dialysis. Conclusions The preferences of most patients with CKD for management of ACS were most influenced by lowering mortality. However, a distinct subgroup of patients was strongly averse to invasive management. This highlights the importance of clarifying patient preferences to ensure treatment decisions are aligned with patient values.

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Section: Discussionmentioning

confidence: 99%

Preferences of Patients With Chronic Kidney Disease for Invasive Versus Conservative Treatment of Acute Coronary Syndrome: A Discrete Choice Experiment

Wilson

Hazlewood

Sajobi

et al. 2023

JAHA

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“…The theory is not only applicable to economics but is also widely used in other disciplines, such as in industries, education, software, and medical care [ 33 , 34 ]. Medical applications include prenatal diagnostic testing and myocardial infarction diagnostic testing [ 35 ]. We conducted the questionnaire survey and VR game experience and then collected the corresponding statistical data based on the results that were collected [ 36 , 37 ].…”

Section: Methodsmentioning

confidence: 99%

“…Based on completing the questionnaire prior to VR application and pretesting the VR, participants were allowed 20 minutes to complete the research. An interactive design was devised; when the cursor or fingers touch the nouns (perceived remission rate, probability of adverse events), volunteers will see the introduction around the concepts and gain some useful information about them [ 35 , 36 ].…”

Section: Methodsmentioning

confidence: 99%

Preference of Virtual Reality Games in Psychological Pressure and Depression Treatment: Discrete Choice Experiment

Jin¹,

Tan²,

Liu³

et al. 2023

JMIR Serious Games

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Background Virtual reality (VR) can be used to build many different scenes aimed at reducing study-related stress. However, only few academic experiments on university students for preference testing have been performed. Objective This study aims to assess the preference of VR games for stress and depression treatment using a discrete choice experiment (DCE). Methods A total of 5 different attributes were selected based on the depression therapy parameters and attributes related to VR: (1) treatment modality; (2) therapy duration; (3) perceived remission rate; (4) probability of adverse events; and the (5) monthly cost of adding treatment to a discrete choice experiment. By comparing different attributes and levels, we could draw some conclusions about the depression therapy testing preference for university students; 1 university student was responsible for VR scene development and 1 for participant recruitment. Results The utility value of different attributes for “0% Probability of adverse events” was higher than others (99.22), and the utility value of VR treatment as the most popular treatment method compared with counseling and medicine treatment was 80.95. Three parameter aspects (different treatments for depression) were statistically significant (P<.001), including “0%” and “50%” of “Probability of adverse events” and “¥500” (a currency exchange rate of ¥1 [Chinese yuan]=US $0.15 is applicable) of “The monthly cost of treatment.” Most individuals preferred 12 months as the therapy duration, and the odds ratio of “12 months” was 1.095 (95% CI 0.945-1.270) when compared with the reference level (6 months). Meanwhile, the cheapest price (¥500) of depression therapy was the optimum choice for most students. Conclusions People placed great preference on VR technology psychological intervention methods, which indicates that VR may have a potential market in the treatment of psychological problems. However, adverse events and treatment costs need to be considered. This study can be used to guide policies that are relevant to the development of the application of VR technology in the field of psychological pressure and depression treatment.

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“…Cardiovascular disease is the greatest threat to human health worldwide, and myocardial infarction is the leading cause of death ( 1 , 2 ). The burden of myocardial infarction is growing because of the increasing prevalence of myocardial infarction risk factors, as well as high morbidity and mortality rates associated with myocardial infarction ( 3 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

The value of cardiac magnetic resonance post-contrast T1 mapping in improving the evaluation of myocardial infarction

Xiang,

Zhang,

et al. 2023

Front. Cardiovasc. Med.

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ObjectiveTo explore the additional value of cardiac magnetic resonance (CMR) post-contrast T1 mapping in the detection of myocardial infarction, compared with late gadolinium enhancement (LGE).Materials and methodsA CMR database of consecutive patients with myocardial infarction was retrospectively analyzed. All patients were scanned at 3 T magnetic resonance; they underwent conventional CMR (including LGE) and post-contrast T1 mapping imaging. Two radiologists interpreted the CMR images using a 16-segment model. The first interpretation included only LGE images. After 30 days, the same radiologists performed a second analysis of random LGE images, with the addition of post-contrast T1 mapping images. Images were analyzed to diagnose myocardial scars, and the transmural extent of each scar was visually evaluated. Diagnoses retained after LGE were compared with diagnoses retained after the addition of post-contrast T1 mapping.ResultsIn total, 80 patients (1,280 myocardial segments) were included in the final analysis. After the addition of post-contrast T1 mapping, eight previously unidentified subendocardial scars were detected. Compared with LGE images, the percentage of infarcted segments was higher after the addition of post-contrast T1 mapping images (21.7% vs. 22.3%, P = 0.008), the percentage of uncertain segments was lower after the addition of post-contrast T1 mapping (0.8% vs. 0.1%, P = 0.004), and the percentage of uncertain transmural extent of scarring was lower after the addition of post-contrast T1 mapping (0.9% vs. 0.1%, P = 0.001).ConclusionThe addition of post-contrast T1 mapping after LGE helps to improve the detection of myocardial infarction, as well as the assessment of the transmural extent of scarring.

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Preference of individuals in the treatment strategies of acute myocardial infarction in China: a discrete choice experiment

Cited by 5 publications

References 20 publications

Preferences of Patients With Chronic Kidney Disease for Invasive Versus Conservative Treatment of Acute Coronary Syndrome: A Discrete Choice Experiment

Preferences of Patients With Chronic Kidney Disease for Invasive Versus Conservative Treatment of Acute Coronary Syndrome: A Discrete Choice Experiment

Preference of Virtual Reality Games in Psychological Pressure and Depression Treatment: Discrete Choice Experiment

The value of cardiac magnetic resonance post-contrast T1 mapping in improving the evaluation of myocardial infarction

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