Framing the benefits of cancer treatment: How survival is described influences preferences for care. Academic Article uri icon

abstract

  • 6099 Background: To examine how the framing of survival benefit affects individuals’ preferences for cancer therapies. Methods: Through an internet-based survey of 2,050 U.S. adults (50% with a prior episode of cancer), respondents were randomized to one of two sets of scenarios, each of which described survival benefit of a new treatment as either increased median survival time (median survival), or increased probability of survival for a given length of time (landmark survival). Each respondent answered questions about their inclination for new treatment and their willingness to pay (WTP) out-of pocket in hypothetical scenarios. In this study, WTP was used as a methodological approach for determining patient preferences for framing of clinical benefits. Each respondent was presented with two randomly selected scenarios with different baseline and improvement in survival. We used a double-bounded, dichotomous-choice bidding game to elicit their preferences for care. We estimated mean WTP values across sc...

publication date

  • January 1, 2011