The University of Southampton
University of Southampton Institutional Repository

What do patients really want? Patients' preferences for treatment for angina

Bowling, Ann, Culliford, Lucy, Smith, David, Rowe, Gene and Reeves, Barnaby C. (2008) What do patients really want? Patients' preferences for treatment for angina Health Expectations, 11, (2), 137 - 147. (doi:10.1111/j.1369-7625.2007.00482.x). (PMID:18494958).

Record type: Article


Objective To measure preferences for angina treatments among patients admitted from accident and emergency with acute coronary syndrome.

Background Evidence suggests variability in treatment allocations amongst certain socio-demographic groups (e.g. related to age and sex), although it is unclear whether this reflects patient choice, as research on patients' treatment preferences is sparse. Given current policy emphasis on 'patient choice', providers need to anticipate patients' preferences to plan appropriate and acceptable health services.

Design Self-administered questionnaire survey.

Setting In-patients in a UK hospital.

Participants A convenience sample of 53 newly admitted patients with acute coronary syndrome. Exclusion criteria were: a previous cardiologist consultation (including previous revascularization); a clinical judgement of too ill to participate; post-admission death; non-cardiac reasons for chest pain.

Main outcome measures Patients' preferences for coronary artery bypass graft (CABG); angioplasty; and two medication alternatives.

Results Angioplasty was the preferred treatment (for 80% of respondents), and CABG was second (most preferred by 19%, but second most preferred for 60%). The two least preferred (and least acceptable) treatments were medications. The majority of patients (83%) would 'choose treatment based on the extent of benefits' and 'accept any treatment, no matter how extreme, to return to health'. There were some differences in preference related to age (> 70 years preferred medication to a greater degree than < 70 years) and sex (males preferred CABG surgery more than females).

Conclusions There was general preference for procedural interventions over medication, but most patients would accept any treatment, however extreme, to return to former health. There was some evidence of differences in preferences related to age and sex. Furthermore, most patients preferred to have some input into treatment choice (e.g. nearly half wanted to share decision responsibility with their doctor), with only 4% preferring to leave the decision entirely to their doctor. Given these findings, and past findings that suggest there may be variability in treatment allocation according to certain socio-demographic factors, this study suggests a need to develop and use preference measures, and makes a step towards this.

Full text not available from this repository.

More information

Published date: June 2008
Keywords: angina, cardiology, patients' preferences, perceptions, coronary artery bypass, randomized intervention treatment, medical therapy, angioplasty, surgery, gender, trial, age, revascularization, angiography
Organisations: Faculty of Health Sciences


Local EPrints ID: 334550
ISSN: 1369-6513
PURE UUID: 5de52d10-e837-4793-9a34-ca4608d2eec6

Catalogue record

Date deposited: 28 Mar 2012 12:41
Last modified: 18 Jul 2017 06:11

Export record



Author: Ann Bowling
Author: Lucy Culliford
Author: David Smith
Author: Gene Rowe
Author: Barnaby C. Reeves

University divisions

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 supports OAI 2.0 with a base URL of

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.