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Preference Studies (preference + studies)
Selected AbstractsWhat Do Patients With Migraine Want From Acute Migraine Treatment?HEADACHE, Issue 2002Richard B. Lipton MD Migraine is a common chronic condition with an ever-expanding therapeutic armamentarium. As therapeutic options multiply, it is increasingly important to understand patients' attitudes and preferences regarding various treatment characteristics. Several strategies have evolved to establish treatment priorities in migraine and rationalize and prioritize end points and outcomes to meet the needs of patients. A survey of a population-based sample of migraineurs indicated that an overwhelming majority of patients consider complete relief of head pain, no recurrence, and rapid onset of action as important or very important attributes of acute migraine therapy. An analysis of the relationship between clinical end points and satisfaction found that more than 90% of patients who were pain-free at 2 hours were at least somewhat satisfied with treatment, but satisfaction was dependent on relatively rapid relief. Using a "willingness-to-pay" approach, results indicated that while patients will pay more for migraine treatment that produces rapid, consistent relief without adverse effects or recurrence, speed of complete relief is the most valued attribute. By assessing physician preferences and practices, degree of pain relief and rapid onset were identified as the most important attributes of acute therapy. Based on results from preference studies of triptans, 50% of patients cited more rapid pain relief as the most important determinant of treatment preference. Based on these various approaches, the consensus view is that both clinicians and patients desire a broad range of positive migraine treatment attributes, but rapid onset of complete pain relief is a particularly important priority. [source] Symptomatic treatment of osteoarthritis: paracetamol or NSAIDs?INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, Issue 2004Karel PAVELKA MD SUMMARY The clinical management of osteoarthritis (OA) is today symptomatic, its main goals being relief of pain and improvement of function. Therapy should be multimodal and composed of non-pharmacological, pharmacological and, if necessary, surgical procedures. Paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs) are evidence-based drugs for the symptomatic relief of OA. Newly published comparative studies have shown that NSAIDs are more effective than paracetamol , in contrast to studies from the early 1990s. Some studies have documented that more severe pain and the presence of inflammation can predict better response from NSAIDs than from paracetamol; on the other hand other studies have not confirmed this. Patient preference studies have shown that patients favour NSAIDs, but up to 40% consider paracetamol at least as effective as NSAIDs. With regard to efficacy, safety and cost, the majority of new guidelines recommend paracetamol as a first-choice analgesic for patients with OA of the knee or hip, and the use of NSAIDs only in cases of inadequate effect of paracetamol and especially in the presence of inflammation. There is much evidence that OA is a phasic disease and it may be that NSAIDs are useful during identifiable periods of inflammatory activity and can be avoided at other times. The concept of the short-term use of NSAIDs during flares and the use of a simple analgesic in the long term seems to be the best variant for the majority of patients with optimal benefit/risk and cost-effectiveness. [source] The format for the National Food Guide: performance and preference studiesJOURNAL OF HUMAN NUTRITION & DIETETICS, Issue 3 2007Article first published online: 29 MAY 200 [source] Commentary on Hunt, P., Gatenby, S. and Rayner, M. (1995) The format for the National Food Guide: performance and preference studies.JOURNAL OF HUMAN NUTRITION & DIETETICS, Issue 3 2007Dietetics; , Journal of Human Nutrition [source] Using private demand studies to calculate socially optimal vaccine subsidies in developing countriesJOURNAL OF POLICY ANALYSIS AND MANAGEMENT, Issue 1 2009Joseph Cook Although it is well known that vaccines against many infectious diseases confer positive economic externalities via indirect protection, analysts have typically ignored possible herd protection effects in policy analyses of vaccination programs. Despite a growing literature on the economic theory of vaccine externalities and several innovative mathematical modeling approaches, there have been almost no empirical applications. The first objective of the paper is to develop a transparent, accessible economic framework for assessing the private and social economic benefits of vaccination. We also describe how stated preference studies (for example, contingent valuation and choice modeling) can be useful sources of economic data for this analytic framework. We demonstrate socially optimal policies using a graphical approach, starting with a standard textbook depiction of Pigouvian subsidies applied to herd protection from vaccination programs. We also describe nonstandard depictions that highlight some counterintuitive implications of herd protection that we feel are not commonly understood in the applied policy literature. We illustrate the approach using economic and epidemiological data from two neighborhoods in Kolkata, India. We use recently published epidemiological data on the indirect effects of cholera vaccination in Matlab, Bangladesh (Ali et al., 2005) for fitting a simple mathematical model of how protection changes with vaccine coverage. We use new data on costs and private demand for cholera vaccines in Kolkata, India, and approximate the optimal Pigouvian subsidy. We find that if the optimal subsidy is unknown, selling vaccines at full marginal cost may, under some circumstances, be a preferable second-best option to providing them for free. © 2009 by the Association for Public Policy Analysis and Management. [source] ORIGINAL RESEARCH,ED PHARMACOTHERAPY: Psychosocial Outcomes and Drug Attributes Affecting Treatment Choice in Men Receiving Sildenafil Citrate and Tadalafil for the Treatment of Erectile Dysfunction: Results of a Multicenter, Randomized, Open-Label, Crossover StudyTHE JOURNAL OF SEXUAL MEDICINE, Issue 4 2006FRCGP, John Dean MBBS ABSTRACT Introduction., Although sildenafil citrate (sildenafil) and tadalafil are efficacious and well-tolerated treatments for erectile dysfunction (ED), preference studies have shown that patients may favor one medication over the other. Aim., To determine whether psychosocial outcomes differed when men with ED received tadalafil compared with sildenafil. Main Outcome Measures., Measures included a treatment preference question, Psychological and Interpersonal Relationship Scales (PAIRS), and Drug Attribute Questionnaire. Methods., Randomized, open-label, crossover study. After a 4-week baseline, men with ED (N = 367; mean age = 54 years; naïve to type 5 phosphodiesterase inhibitor therapy) were randomized: tadalafil for 12 weeks then sildenafil for 12 weeks or vice versa (8-week dose optimization/4-week assessment phases). During dose optimization, patients started with 10 mg tadalafil, or 25 or 50 mg sildenafil and could titrate to their optimal dose (10 or 20 mg tadalafil; 25, 50, or 100 mg sildenafil). Medications were taken as needed. Patients completing both 12-week periods chose which medication to continue during an 8-week extension. Results., Of 291 men completing both treatment periods, 71% (N = 206) chose tadalafil and 29% (N = 85) chose sildenafil (P < 0.001) for the 8-week extension. When taking tadalafil compared with sildenafil men had higher mean endpoint scores on PAIRS Sexual Self-Confidence (tadalafil = 2.91 vs. sildenafil = 2.75; P < 0.001) and Spontaneity (tadalafil = 3.32 vs. sildenafil = 3.17; P < 0.001) Domains and a lower mean endpoint score on Time Concerns Domain (tadalafil = 2.2 vs. sildenafil = 2.59; P < 0.001). The two most frequently chosen drug attributes to explain treatment preference were ability to get an erection long after taking the medication and firmness of erections. Tadalafil and sildenafil were well tolerated with 12 (3.3%) patients discontinuing for an adverse event. Conclusions., As measured with PAIRS, men with ED had higher sexual self-confidence and spontaneity and less time concerns related to sexual encounters when treated with tadalafil compared with sildenafil. These psychosocial outcomes may help explain why more men (71%) preferred tadalafil for the treatment of ED in this clinical trial. Dean J, Hackett GI, Gentile V, Pirozzi-Farina F, Rosen RC, Zhao Y, Warner MR, and Beardsworth A. Psychosocial outcomes and drug attributes affecting treatment choice in men receiving sildenafil citrate and tadalafil for the treatment of erectile dysfunction: Results of a multicenter, randomized, open-label, crossover study. J Sex Med 2006;3:650,661. [source] Divergent host plant adaptation drives the evolution of sexual isolation in the grasshopper Hesperotettix viridis (Orthoptera: Acrididae) in the absence of reinforcementBIOLOGICAL JOURNAL OF THE LINNEAN SOCIETY, Issue 4 2010TONY GRACE Early stages of lineage divergence in insect herbivores are often related to shifts in host plant use and divergence in mating capabilities, which may lead to sexual isolation of populations of herbivorous insects. We examined host preferences, degree of differentiation in mate choice, and divergence in cuticular morphology using near-infrared spectroscopy in the grasshopper Hesperotettix viridis aiming to understand lineage divergence. In Kansas (USA), H. viridis is an oligophagous species feeding on Gutierrezia and Solidago host species. To identify incipient mechanisms of lineage divergence and isolation, we compared host choice, mate choice, and phenotypic divergence among natural grasshopper populations in zones of contact with populations encountering only one of the host species. A significant host-based preference from the two host groups was detected in host-paired feeding preference studies. No-choice mate selection experiments revealed a preference for individuals collected from the same host species independent of geographic location, and little mating was observed between individuals collected from different host species. Female mate choice tests between males from the two host species resulted in 100% fidelity with respect to host use. Significant differentiation in colour and cuticular composition of individuals from different host plants was observed, which correlated positively with host choice and mate choice. No evidence for reinforcement in the zone of contact was detected, suggesting that divergent selection for host plant use promotes sexual isolation in this species. © 2010 The Linnean Society of London, Biological Journal of the Linnean Society, 2010, 100, 866,878. [source] Sugar Preferences in Nectar- and Fruit-Eating Birds: Behavioral Patterns and Physiological Causes,BIOTROPICA, Issue 1 2006Chris N. Lotz ABSTRACT Sucrose, glucose, and fructose are the three sugars that commonly occur in floral nectar and fruit pulp. The relative proportions of these three sugars in nectar and fruit in relation to the sugar preferences of pollinators and seed dispersers have received considerable attention. Based on the research of Herbert and Irene Baker and their collaborators, a dichotomy between sucrose-dominant hummingbird-pollinated flowers and hexose-dominant passerine flowers and fruits was proposed. Data on sugar preferences of several hummingbird species (which prefer sucrose) vs. a smaller sample of passerines (which prefer hexoses) neatly fitted this apparent dichotomy. This hummingbird,passerine dichotomy was strongly emphasized until the discovery of South African plants with sucrose-dominant nectars, which are pollinated by passerines that are able to digest, and prefer sucrose. Now we know that, with the exception of two clades, most passerines are able to assimilate sucrose. Most sugar preference studies have been conducted using a single, relatively high, sugar concentration in the nectar (ca 20%). Thus, we lack information about the role that sugar concentration might play in sugar selection. Because many digestive traits are strongly affected not only by sugar composition, but also by sugar concentration, we suggest that preferences for different sugar compositions are concentration-dependent. Indeed, recent studies on several unrelated nectar-feeding birds have found a distinct switch from hexose preference at low concentrations to sucrose preference at higher concentrations. Finally, we present some hypotheses about the role that birds could have played in molding the sugar composition of plant rewards. RESUMEN Sacarosa, glucosa y fructosa son los azúcares mas comunes en néctar floral y pulpa de fruta. La proporción relativa de estos azúcares en néctar floral y la pulpa de fruta han sido estudiadas en relación a las preferencias de azúcar de polinizadores y dispersores de semillas. Basandose en estudios de Herbert e Irene Baker y colaboradores se propuso la existencia de una dicotomía entre plantas con néctares ricos en sacarosa que son polinizadas por colibríes, y plantas con néctares y frutos ricos en hexosas que son polinizadas por paserinos. Datos sobre la preferencia de azúcares en varias especies de colibríes (que prefieren sacarosas) comparados con una pequeña muestra de paserinos (que prefieren hexosas) apoyan la existencia de la dicotomía propuesta. La dicotomía colibrí-paserino fue enfatizada por más de una década, hasta el descubrimiento de plantas sudafricanas con néctares ricos en sacarosa que son polinizadas por paserinos que prefieren sacarosa. Hoy sabemos que la mayoría de los paserinos, salvo los miembros de dos clados, pueden asimilar la sacarosa. La mayoría de los estudios sobre preferencias de azúcares han sido conducidos usando una sola concentración de azúcares en el néctar (ca 20%). Por lo tanto, carecemos de información sobre el papel que juega la concentración de azúcares en las preferencias de estos por las aves. Debido a que muchos procesos digestivos son afectados, no solo por la composición de azúcares, sino también por su concentración, sugerimos que las preferencias por diferentes azúcares dependerán de su concentración. Efectivamente, estudios recientes indican que diferentes aves prefieren alimentarse de hexosas a bajas concentraciones, y de sacarosa a altas concentraciones. Finalmente, presentamos algunas hipótesis sobre el papel que las aves pudieron haber tenido en la evolución de la composición de azúcares del néctar y la fruta que consumen. [source] | |||||||||||||