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Parental Preferences for Vesicoureteral Reflux Treatment: A Crowd-sourced, Best-worst Scaling Study.


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.

SUBMITTER: Dionise ZR 

PROVIDER: S-EPMC6525647 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

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Parental Preferences for Vesicoureteral Reflux Treatment: A Crowd-sourced, Best-worst Scaling Study.

Dionise Zachary R ZR   Gonzalez Juan Marcos JM   Garcia-Roig Michael L ML   Kirsch Andrew J AJ   Scales Charles D CD   Wiener John S JS   Purves J Todd JT   Routh Jonathan C JC  

Urology 20190314


<h4>Objective</h4>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.<h4>Methods</h4>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. Responde  ...[more]

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