The University of Southampton
University of Southampton Institutional Repository

Patient preferences for treatment for angina: an overview of findings from three studies

Patient preferences for treatment for angina: an overview of findings from three studies
Patient preferences for treatment for angina: an overview of findings from three studies
Background: Access to cardiac treatments has been documented to vary with patients' age. It is unknown whether these variations reflect patients' treatment preferences. We aimed to investigate patients' preferences for cardiology treatments and develop a Patients' Preferences Questionnaire.

Methods: Semi-structured interviews with primary care patients with diagnosed angina with postal follow-up. The resulting Patients' Preferences Questionnaire was tested with newly admitted inpatients with acute coronary syndrome and with patients in primary care.

Results: The Patients' Preferences Questionnaire was psychometrically sound. Analyses of preference subscale scores showed that the most positive preference scores were for medication. Angioplasty scored highest at the negative end of the scale. Detailed analyses showed that older people and women were less likely to prefer coronary artery bypass surgery (CABG), reflecting its greater level of invasiveness. Older people (aged over 75 years, compared to people aged under 75 years), but not women, were also more cautious in their strength of preference for angioplasty. More positive attitudes towards CABG surgery, and more negative attitudes towards medication, were associated with greater impact of the condition on life.

Conclusions: The research resulted in a psychometrically sound Patients' Preferences Questionnaire. There was some evidence to support the view that older people's weaker preferences for CABG may contribute slightly to variations in the provision of re-vascularization. There was also variation in preferences within age groups, cautioning against the assumption that all or most older people are more reluctant than younger people to undergo invasive procedures.
chest pain, gender, angiography, diagnosis, trials
104 - 108
Bowling, Ann
796ca209-687f-4079-8a40-572076251936
Reeves, Barnaby
2a1bbe3f-5458-4152-8937-5f326987e091
Rowe, Gene
59f8beaf-c7bb-4929-84f5-2129cc646712
Bowling, Ann
796ca209-687f-4079-8a40-572076251936
Reeves, Barnaby
2a1bbe3f-5458-4152-8937-5f326987e091
Rowe, Gene
59f8beaf-c7bb-4929-84f5-2129cc646712

Bowling, Ann, Reeves, Barnaby and Rowe, Gene (2008) Patient preferences for treatment for angina: an overview of findings from three studies. Journal of Health Services Research & Policy, 13, supplement 3, 104 - 108. (doi:10.1258/jhsrp.2008.008012). (PMID:18806200)

Record type: Article

Abstract

Background: Access to cardiac treatments has been documented to vary with patients' age. It is unknown whether these variations reflect patients' treatment preferences. We aimed to investigate patients' preferences for cardiology treatments and develop a Patients' Preferences Questionnaire.

Methods: Semi-structured interviews with primary care patients with diagnosed angina with postal follow-up. The resulting Patients' Preferences Questionnaire was tested with newly admitted inpatients with acute coronary syndrome and with patients in primary care.

Results: The Patients' Preferences Questionnaire was psychometrically sound. Analyses of preference subscale scores showed that the most positive preference scores were for medication. Angioplasty scored highest at the negative end of the scale. Detailed analyses showed that older people and women were less likely to prefer coronary artery bypass surgery (CABG), reflecting its greater level of invasiveness. Older people (aged over 75 years, compared to people aged under 75 years), but not women, were also more cautious in their strength of preference for angioplasty. More positive attitudes towards CABG surgery, and more negative attitudes towards medication, were associated with greater impact of the condition on life.

Conclusions: The research resulted in a psychometrically sound Patients' Preferences Questionnaire. There was some evidence to support the view that older people's weaker preferences for CABG may contribute slightly to variations in the provision of re-vascularization. There was also variation in preferences within age groups, cautioning against the assumption that all or most older people are more reluctant than younger people to undergo invasive procedures.

This record has no associated files available for download.

More information

Published date: October 2008
Keywords: chest pain, gender, angiography, diagnosis, trials
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 334548
URI: http://eprints.soton.ac.uk/id/eprint/334548
PURE UUID: 4ead40bd-4913-4490-aa74-4dccfe2fe8e5

Catalogue record

Date deposited: 28 Mar 2012 13:24
Last modified: 14 Mar 2024 10:35

Export record

Altmetrics

Contributors

Author: Ann Bowling
Author: Barnaby Reeves
Author: Gene Rowe

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×