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. 2021 Apr 19;8(2):98-106.
eCollection 2021 Spring.

Assessing the Patient-Perceived Monetary Value of Patient-Reported Outcome Improvement for Patients With Chronic Knee Conditions

Sarah B Floyd  1   2 , Alicia Oostdyk  2   3 , Melanie Cozad  2   3 , John M Brooks  2   3 , Paul Siffri  4 , Brian Burnikel  4
Affiliations

Assessing the Patient-Perceived Monetary Value of Patient-Reported Outcome Improvement for Patients With Chronic Knee Conditions

Sarah B Floyd et al. J Patient Cent Res Rev. .

Abstract

Purpose: The high cost of orthopaedic care has attracted criticism in the current value-based health care environment. The objective of this work was to assess the properties of a willingness to pay (WTP)-based approach to estimate the monetary value that patients place on health improvements in chronic knee conditions following orthopaedic treatment.

Methods: A sample of patients with a chronic knee condition were surveyed between January and May of 2018 at a large orthopaedic practice. Each patient provided their WTP for restoration to ideal knee health and completed the Single Assessment Numerical Evaluation (SANE) to describe their baseline knee state. Average WTP was calculated for the total sample and stratified by income, age, and baseline SANE (for which 0 is the worst and 100 is the best) levels. The patient-perceived monetary value of each unit of SANE improvement was assessed.

Results: The study sample included 86 patients seeking orthopaedic care for a chronic knee condition. Mean baseline SANE score was 45.5 (standard deviation: 25.0). Mean WTP to obtain ideal knee function from baseline was $18,704 (standard deviation: $18,040). For the full sample, patients valued a 1-unit improvement in SANE score at $291.1 (β: 291.1; P<0.05). The amount of money patients were willing to pay to achieve ideal knee function varied with age, income, and baseline knee state.

Conclusions: Patients appear to highly value improvement in chronic knee conditions. Willingness-to-pay survey results appear to track expected variation in patient outcome valuation by income and baseline knee condition and could be a valuable approach to assess value-based care in orthopaedics.

Keywords: knee conditions; orthopaedics; outcome measures; questionnaire; value of care; willingness to pay.

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Conflict of interest statement

Conflicts of Interest None.

Figures

Figure 1
Figure 1
Distribution of maximum willingness to pay amounts.
Figure 2
Figure 2
Willingness to pay stratified by income levels. Asterisks (*) indicate statistically significant beta of P<0.05.
Figure 3
Figure 3
Willingness to pay stratified by age groups. Asterisks (*) indicate statistically significant beta of P<0.05.
Figure 4
Figure 4
Willingness to pay stratified by baseline Single Assessment Numeric Evaluation (SANE) level.
See this image and copyright information in PMC

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