Journal article
Numeracy and the shortcomings of utility assessment in head and neck cancer patients
Head & neck, Vol.26(5), pp.401-407
05/2004
DOI: 10.1002/hed.10383
PMID: 15122656
Abstract
Background.
Because survival differences between surgical and nonsurgical treatment for head and neck cancer (HNC) are hard to detect, increasing focus has been placed on quality of life (QOL) differences after treatment. Utility assessment provides insight into QOL. Evidence suggests that a patient's comfort with numerical concepts (“numeracy”) may influence utility measures. We hypothesize that patients who are nonnumerate provide inconsistent utility data in QOL studies.
Methods.
New HNC (n = 18) patients were recruited to participate. Patients completed a numeracy questionnaire, a utility assessment, and a global QOL questionnaire. Higher scores reflect better function. Interviewers rated the functional level of each patient. For both numerate and nonnumerate patients, utility scores were compared with global QOL (good vs poor) and observer-rated function.
Results.
Half of the patients were numerate. Numerate patients who rated their QOL as good had significantly higher utility scores than did patients with poor global QOL (0.95 vs 0.43, p = .03). In contrast, nonnumerate patients with good QOL had lower utility scores than did patients with poor QOL (0.45 vs 0.77, NS). Utility scores for numerate patients correlated well with observer-rated function (r = 0.41 to r = 0.57), whereas those of nonnumerate patients did not (r = −0.16 to r = 0.06).
Conclusions.
QOL evaluation through utility assessment may provide inaccurate and contradictory data about patient functioning for nonnumerate patients. This may confound QOL assessment when interpreting utility data.
Details
- Title: Subtitle
- Numeracy and the shortcomings of utility assessment in head and neck cancer patients
- Creators
- Seth R. Schwartz - University of Washington Medical CenterJennifer McDowell - VA Puget Sound Health Care SystemBevan Yueh - University of Washington Medical Center
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.26(5), pp.401-407
- DOI
- 10.1002/hed.10383
- PMID
- 15122656
- NLM abbreviation
- Head Neck
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Publisher
- Wiley Subscription Services, Inc., A Wiley Company
- Number of pages
- 7
- Language
- English
- Date published
- 05/2004
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984966857202771
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