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Re: !! ?EBM & Progesterone From: Robert J. Woolley (wooll005@tc.umn.edu) Tue May 2 07:41:38 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: John Robertson MD: "Re: external cephalic version" Previous message: Steve & Eryl Raymond: "Re: OB: Recurrent Pregnancy Loss" Next in thread: Joanne Bulley, MD: "Re: Quality of Life Issues (was !!)" Reply: Joanne Bulley, MD: "Re: Quality of Life Issues (was !!)" In message <200005020302.WAA06804@forum.obgyn.net> writes: > OK, Bob - how do we MEASURE the enhanced *quality* of life issues? You interview people and ask them to compare life with perfect health to life with some impairment. E.g., would you trade 5 years of perfect health for 10 years as a paraplegic? Obviously people will give varying answers, but you can develop a mean or median or mode answer. If it turns out that most people value the use of their legs to the point that they would rather have one year of life with it than two without, then we say that the quality-adjusted value of life as a paraplegic is one-half that of life in perfect health. In terms of allocating health-care dollars, then, the outcome of 1 year of perfect health would be equivalent to 2 years of paraplegia. This is, BTW, the approach used by Oregon in drawing up its list of what interventions give the most bang for the buck--"quality-adjusted life-years" per dollar spent. -- --------------------------------------------------------------------------- --------------------------------------------------------------------------- Bob Woolley --------------------------------------------------------------------------- St. Paul, Minnesota "Our [gun control] cause has been aided by the deaths of all these children in all these schools, and in other settings. And I think we should pay tribute to them." -- Bill Clinton April 13, 2000 Next message: John Robertson MD: "Re: external cephalic version" Previous message: Steve & Eryl Raymond: "Re: OB: Recurrent Pregnancy Loss" Next in thread: Joanne Bulley, MD: "Re: Quality of Life Issues (was !!)" Reply: Joanne Bulley, MD: "Re: Quality of Life Issues (was !!)"

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