Aanesthetic Agents for Day Surgery - NIHR Health Technology ...

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194 Appendix 13 hypothetical CV responses with actual market rates, so the debate must remain unresolved. In conclusion, this study developed a CV instrument to address an increasingly common issue in healthcare: Are seemingly minor improvements in the process of healthcare important to patients? Conceptual and measurement issues in the measurement of patient preferences in general, and in CV in particular, remain to be addressed. In its favour is the large body of empirical evidence and high levels of scrutiny shown in developing and testing the method. The patient, or consumer of healthcare, is having increasing influence on health policy, and rightly so. Therefore, it is essential that valid methods for eliciting their preferences are developed and applied. The CV instrument developed in this study was used in the empirical study. Reproduced from Elliott and co-workers, 33 by permission of Swedish Pharmacuetical Press.
© Queen’s Printer and Controller of HMSO 2002. All rights reserved. Health Technology Assessment 2002; Vol. 6: No. 30 The medicines used to put you to sleep ‘Imagine that you have an operation under a general anaesthetic [medicine which makes you go to sleep]. You will receive the general anaesthetic immediately before undergoing the operation, either by an injection into your hand or arm, or a facemask. You will wake up quickly after the operation. The whole procedure will take between 30 and 60 minutes. You will be discharged from hospital on the same day after about 5 hours. Examples of operations might be cataract removal, having wisdom teeth out or a varicose vein removal.’ ‘Medicine A’ Will be given to you by an injection in a vein in your hand or arm. This may cause pain at the site of injection for 1 out of 4 patients. This pain may be severe, which means a lot more than normal pain you would expect at the injection site, for 1 out of 40 patients. ‘Medicine B’ Will be given to you by means of breathing it in using a facemask and it is tasteless with a sweet smell. Scale Appendix 14 Contingent valuation scenario for induction of anaesthesia £25 £50 £75 £100 £125 £150 £175 £200 £225 0 £250 ..................................................................................................................................... Or more than £250 Reproduced from Elliott and co-workers, 33 by permission of Swedish Pharmacuetical Press. 195
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Which anaesthetic agents are costef
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Which anaesthetic agents are costef
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NHS R&D HTA Programme The NHS R&D H
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Contents Appendix 6 Adult patient-b
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Background The aim of the project w
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• The incidence of PONV was low d
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2 Introduction dizziness or disorie
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4 Introduction a reduced incidence
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6 Introduction willingness to pay f
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8 Literature review included in the
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10 Literature review TABLE 1 Compar
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12 Literature review intermediate a
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18 Literature review Patient-based
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20 Literature review TABLE 5 contd
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22 Literature review No studies fol
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24 Literature review (30%) and meth
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26 Literature review • There are
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28 National survey of anaesthetic p
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36 Economic evaluation methods (inc
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38 Economic evaluation methods The
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40 Economic evaluation methods Tabl
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42 Economic evaluation methods simi
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44 Economic evaluation methods Prob
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Recruitment to the CESA RCT The stu
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Clinical outcome data PONV by anaes
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The findings from the logistic regr
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TABLE 29 The length of stay and pri
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140 120 100 80 60 40 20 0 No. of pa
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250 200 150 100 50 0 No. of patient
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TABLE 37 Deterministic sensitivity
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20 15 10 5 0 -5 Difference in varia
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Patient admitted for day surgery an
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500 400 300 200 100 0 -100 -200 -30
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Recruitment to the CESA RCT The stu
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TABLE 49 The occurrence of any PONV
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60 50 40 30 20 10 0 No. of patients
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a scale effect for scenario A, but
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The mean CVs for avoidance of PONV
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1.80 The new variable cost and tota
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100 90 80 70 60 50 40 30 20 10 0 Su
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The structure and content of this d
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nurses to have an in-depth knowledg
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agent used (see appendix 18). It wa
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Furthermore, anaesthetists operate
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The CESA project was designed to as
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practice, such as the use of midazo
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1. Royal College of Surgeons of Eng
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60. Cheng KI, Chu KS, Fang YR, Su K
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112. Raeder J, Gupta A, Pedersen FM
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162. Viitanen H, Baer G, Annila P.
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220. Rosenberg KM, Bridge P, Brown
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The range of databases interrogated
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24. preferen$.mp. [mp=title, abstra
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110 Appendix 2 TABLE 65 contd Summa
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112 Appendix 3 Quality assessment o
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Page 179 and 180: TABLE 71 Quality of cost or economi
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Page 189 and 190: Abbott J, Abbott P. Psychological a
Page 191 and 192: Hall JE, Stewart JIM, Harmer M. Sin
Page 193: Struys M, Versichelen L, Thas O, He
Page 196 and 197: 182 Appendix 11
Page 205 and 206: The aim of this study was to develo
Page 207: anaesthetics in day surgery, using
Page 213 and 214: Background The empirical study quan
Page 215 and 216: Satisfaction with care Nearly all (
Page 217 and 218: TABLE 76 Reason given for preferenc
Page 219 and 220: TABLE 79 Comparisons with previous
Page 221 and 222: TABLE 80 Reason given for preferenc
Page 223 and 224: TABLE 81 Reason given for willingne
Page 225 and 226: Background Variable costs account f
Page 227 and 228: TABLE 85 Unit costs for the purchas
Page 229 and 230: Background The empirical study requ
Page 231 and 232: Ethical approval This was covered b
Page 233 and 234: 20 15 10 5 0 -5 -10 -15 True weight
Page 235: 15 10 5 0 -5 -10 True weight - Dion
Page 238 and 239: 224 Appendix 19 • patients aged o
Page 241 and 242: All staff unit costs were for the y
Page 243: Background Fixed costs account for
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Page 248 and 249: 234 Appendix 23 TABLE 96 Reasons fo
Page 251 and 252: Patients were coded using the OPCS
Page 253 and 254: Q03.4 punch biopsy of cervix Q03.5
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TABLE 107 Occurrence of PONV by dur
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248 Appendix 27 TABLE 113 Frequency
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This section displays the associati
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The adverse events observed in the
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262 Health Technology Assessment Pr
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264 Health Technology Assessment Pr
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