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Patient Preferences in Hidradenitis Suppurativa (APProach‐HS): a discrete choice experiment
Author(s) -
Faverio Kristin,
Peitsch Wiebke K.,
Görig Tatiana,
SchneiderBurrus Sylke,
Benzel Friderike,
Goebeler Matthias,
Schummer Patrick,
Badran Alaa,
Schaarschmidt MartheLisa,
Harth Wolfgang,
Mössner Rotraut,
Kromer Christian
Publication year - 2022
Publication title -
jddg: journal der deutschen dermatologischen gesellschaft
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 60
eISSN - 1610-0387
pISSN - 1610-0379
DOI - 10.1111/ddg.14886
Subject(s) - hidradenitis suppurativa , medicine , adverse effect , cohort , surgery , disease
Summary Background and Objectives Treatment options for moderate‐to‐severe hidradenitis suppurativa (HS) comprise antibiotics, biologics, and different surgical methods. These approaches differ substantially regarding the treatment process, success rates, and adverse events. However, information on patient preferences for HS therapies is hitherto scarce. Our aim was to assess patient preferences for medicamentous and surgical treatment of HS with conjoint analysis. Patients and Methods In this cross‐section study, computerized discrete choice experiments were used to quantify patient preferences for HS therapies decomposed into treatment modality (tablets, subcutaneous injections, surgery with secondary‐intention healing or primary closure), probability of sustained therapeutic success, probability of mild or severe adverse events, and duration of treatment or wound healing. Results Averaged over the cohort (n = 216 patients with HS), sustained therapeutic success was considered as most important (Relative Importance Score [RIS]: 36.2), followed by the treatment modality (RIS: 24.0), and duration of treatment/wound healing (RIS: 19.9), whereas mild or severe adverse events (RIS: 10.7 or 9.3) were regarded as less relevant. Patients preferred tablets, followed by subcutaneous injections, and disliked surgery with primary closure. Preferences differed significantly dependent on age and affected body regions. Conclusions Awareness of patient preferences is essential for patient‐centered care in HS.