Document Detail

How much are patients willing to pay to avoid postoperative muscle pain associated with succinylcholine?
MedLine Citation:
PMID:  18083474     Owner:  NLM     Status:  MEDLINE    
STUDY OBJECTIVE: To determine how much money patients are willing to pay to avoid postoperative muscle pains associated with succinylcholine. DESIGN: Observational study with survey instrument. SETTING: University-affiliated metropolitan hospital. PATIENTS: Eighty-eight adult patients, 43 men and 45 women, who were scheduled to undergo surgery with general anesthesia and who completed a preoperative questionnaire (median age range, 41-50 y; median income, US$45,000-60,000). INTERVENTIONS AND MEASUREMENTS: Patients completed a computerized, interactive questionnaire preoperatively. They were asked about demographics and previous experiences with muscle pain and postoperative myalgia. With the use of the willingness-to-pay model, the value that they would be willing to pay for a hypothetical muscle relaxant that avoided postoperative myalgia was determined. MAIN RESULTS: Eighty-nine percent of patients considered avoiding postoperative myalgia as important. Patients were willing to pay a median (interquartile range) of $33 ($19-$50) out of pocket for a muscle relaxant that was not associated with postoperative myalgia, a figure that increased to $40 if the insurance company paid for the drug (P < 0.0001). Willingness to pay was influenced by patients' income but not by prior experience with postoperative myalgia. CONCLUSION: Patients consider avoidance of postoperative myalgia important and are willing to pay $33 out of pocket for a muscle relaxant that is not associated with this side effect.
Terrence K Allen; Ashraf S Habib; Guy L Dear; William White; David A Lubarsky; Tong J Gan
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  19     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-17     Completed Date:  2008-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  601-8     Citation Subset:  IM    
Department of Anesthesiology, Duke University Medical Center, Box 3094, Durham, NC 27710, USA.
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MeSH Terms
Anesthesia, General / adverse effects
Attitude to Health*
Financing, Personal*
Health Expenditures
Insurance, Health, Reimbursement
Middle Aged
Muscle, Skeletal / drug effects*,  physiopathology
Neuromuscular Agents / economics*
Neuromuscular Depolarizing Agents / adverse effects*,  economics
North Carolina
Pain, Postoperative / economics,  prevention & control*
Succinylcholine / adverse effects*,  economics
Value of Life / economics
Reg. No./Substance:
0/Neuromuscular Agents; 0/Neuromuscular Depolarizing Agents; 306-40-1/Succinylcholine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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