Zachary R Dionise1, Juan Marcos Gonzalez2, Michael L Garcia-Roig3, Andrew J Kirsch3, Charles D Scales4, John S Wiener1, J Todd Purves1, Jonathan C Routh5. 1. Division of Urology, Duke University Medical Center, Durham, NC. 2. Duke Clinical Research Institute, Durham, NC. 3. Department of Pediatric Urology, Emory University and Children's Healthcare of Atlanta, Atlanta, GA. 4. Division of Urology, Duke University Medical Center, Durham, NC; Duke Clinical Research Institute, Durham, NC. 5. Division of Urology, Duke University Medical Center, Durham, NC. Electronic address: jonathan.routh@duke.edu.
Abstract
OBJECTIVE: To quantitatively evaluate parental preferences for the various treatments for vesicoureteral reflux using crowd-sourced best-worst scaling, a novel technique in urologic preference estimation. METHODS: Preference data were collected from a community sample of parents via 2 best-worst scaling survey instruments published to Amazon's Mechanical Turk online community. Attributes and attribute levels were selected following extensive review of the reflux literature. Respondents completed an object case best-worst scaling exercise to prioritize general aspects of reflux treatments and multiprofile case best-worst scaling to elicit their preferences for the specific differences in reflux treatments. Data were analyzed using multinomial logistic regression. Results from the object-case provided probability scaled values (PSV) that reflected the order of importance of attributes. RESULTS: We analyzed data for 248 and 228 respondents for object and multiprofile case BWS, respectively. When prioritizing general aspects of reflux treatment, effectiveness (PSV = 20.37), risk of future urinary tract infection (PSV = 14.85), and complication rate (PSV = 14.55) were most important to parents. Societal cost (PSV = 1.41), length of hospitalization (PSV = 1.09), and cosmesis (PSV = 0.91) were least important. Parents perceived no difference in preference for the cosmetic outcome of open vs minimally invasive surgery (P = .791). Bundling attribute preference weights, parents in our study would choose open surgery 74.9% of the time. CONCLUSION: High treatment effectiveness was the most important and preferred attribute to parents. Alternatively, cost and cosmesis were among the least important. Our findings serve to inform shared parent-physician decision-making for vesicoureteral reflux.
OBJECTIVE: To quantitatively evaluate parental preferences for the various treatments for vesicoureteral reflux using crowd-sourced best-worst scaling, a novel technique in urologic preference estimation. METHODS: Preference data were collected from a community sample of parents via 2 best-worst scaling survey instruments published to Amazon's Mechanical Turk online community. Attributes and attribute levels were selected following extensive review of the reflux literature. Respondents completed an object case best-worst scaling exercise to prioritize general aspects of reflux treatments and multiprofile case best-worst scaling to elicit their preferences for the specific differences in reflux treatments. Data were analyzed using multinomial logistic regression. Results from the object-case provided probability scaled values (PSV) that reflected the order of importance of attributes. RESULTS: We analyzed data for 248 and 228 respondents for object and multiprofile case BWS, respectively. When prioritizing general aspects of reflux treatment, effectiveness (PSV = 20.37), risk of future urinary tract infection (PSV = 14.85), and complication rate (PSV = 14.55) were most important to parents. Societal cost (PSV = 1.41), length of hospitalization (PSV = 1.09), and cosmesis (PSV = 0.91) were least important. Parents perceived no difference in preference for the cosmetic outcome of open vs minimally invasive surgery (P = .791). Bundling attribute preference weights, parents in our study would choose open surgery 74.9% of the time. CONCLUSION: High treatment effectiveness was the most important and preferred attribute to parents. Alternatively, cost and cosmesis were among the least important. Our findings serve to inform shared parent-physician decision-making for vesicoureteral reflux.
Authors: Aaron J Krill; Hans G Pohl; A Barry Belman; Steven J Skoog; Warren T Snodgrass; H Gil Rushton Journal: J Urol Date: 2011-09-23 Impact factor: 7.450
Authors: Michael P Kurtz; Jeffrey J Leow; Briony K Varda; Tanya Logvinenko; Richard N Yu; Caleb P Nelson; Benjamin I Chung; Steven L Chang Journal: J Pediatr Urol Date: 2016-08-23 Impact factor: 1.830
Authors: Joao A B A Barbosa; Ghassan Barayan; Chad M Gridley; Daniela C J Sanchez; Carlo C Passerotti; Constance S Houck; Hiep T Nguyen Journal: J Urol Date: 2012-12-28 Impact factor: 7.450
Authors: Alejandro Hoberman; Saul P Greenfield; Tej K Mattoo; Ron Keren; Ranjiv Mathews; Hans G Pohl; Bradley P Kropp; Steven J Skoog; Caleb P Nelson; Marva Moxey-Mims; Russell W Chesney; Myra A Carpenter Journal: N Engl J Med Date: 2014-05-04 Impact factor: 91.245
Authors: Hsin-Hsiao S Wang; Rasheed A Gbadegesin; John W Foreman; Shashi K Nagaraj; Delbert R Wigfall; John S Wiener; Jonathan C Routh Journal: J Urol Date: 2014-09-06 Impact factor: 7.450
Authors: Justin M Dubin; W Austin Wyant; Navin C Balaji; Iakov V Efimenko; Quinn C Rainer; Belen Mora; Lisa Paz; Ashley G Winter; Ranjith Ramasamy Journal: Sex Med Date: 2021-05-29 Impact factor: 2.491