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1 results

  • 20 - Measuring Health-State Utility via Cured Patients

  • from Part VI - Quantifying Disability
  • Edited by I. Glenn Cohen, Harvard Law School, Massachusetts, Carmel Shachar, Harvard Law School, Massachusetts, Anita Silvers, San Francisco State University, Michael Ashley Stein, Harvard Law School, Massachusetts
  • Book:
    Disability, Health, Law, and Bioethics
    Published online:
    08 April 2020
    Print publication:
    23 April 2020, pp 266-280

  • Summary

    Many patients’ assessments of quality of life with disability, disease, and reliance on certain treatments become more positive several years into life with these health states. For example, when patients who have been living with colostomies for up to five years are compared to healthy controls and to former colostomy patients whose colostomies were reversed, current patients assign significantly higher utility to living with colostomy. “Adaptation,” as this phenomenon is sometimes called, is prevalent for such diverse health states as paraplegia, deafness, rheumatoid arthritis, various cancer types, reliance on hormone replacement therapy, and reliance on dialysis.