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British Journal of Ophthalmology 2005;89:1233; doi:10.1136/bjo.2005.074294
Copyright © 2005 by the BMJ Publishing Group Ltd.

EDITORIAL

Utility analysis

Utility analysis tells all

M Brown

Correspondence to:
Correspondence to:
Melissa Brown
Center for Value-Based Medicine, PO Box 335 Flourtown, PA 19031-1404, USA; mbrown@valuebasedmedicine.com


We must embrace it and foster its use

Keywords: glaucoma; quality of life; India

The first 150 words of the full text of this article appear below.

It is most gratifying to see the excellent article by Gupta et al in this issue of BJO (p 1241), as advocates of preference based quality of life instruments such as utility analysis (those that ask patients to make a choice about the desirability of their quality of life) versus function based instruments (those that measure primarily function: physical, psychological, vocational, avocational, cognitive, social, and so forth).1

Why are we such fans of utility analysis? The answer lies in the definition of what is the most desirable quality of life instrument.1 A good instrument should be:

  1. all encompassing with regard to the variables that comprise quality of life
  2. sensitive to small changes in health
  3. reliable (reproducible)
  4. applicable across all medical specialties
  5. able to be completed within a reasonable time period
  6. able to be understood by patients, and
  7. able to demonstrate construct validity (the ability to measure what . . . [Full text of this article]


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Relevant Article

Utility values among glaucoma patients: an impact on the quality of life
V Gupta, G Srinivasan, S S Mei, G Gazzard, R Sihota, and K S Kapoor
Br. J. Ophthalmol. 2005 89: 1241-1244. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

  • Sun, X, Zhang, S, Wang, N, Liang, Y, Wang, L, Fan, S, Sun, L (2009). Utility assessment among patients of primary angle closure/glaucoma in China: a preliminary study. Br. J. Ophthalmol. 93: 871-874 [Abstract] [Full Text]  

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