Study of the Day: Cancer Patients Opt for 'Hopeful Gambles' Over 'Safe Bets'

More

New research in Health Affairs suggests that people in health care should consider more than just the costs and benefits of different courses of treatment.

Study of the Day
Cleo/Shutterstock

PROBLEM: Health-care providers, insurers, and policymakers typically focus on the average gains in patients' survival when assessing the medical and economic value of various treatments. Do terminally ill cancer patients consider the costs, risks, and benefits of different therapies in the same way?

METHODOLOGY: Researchers led by USC professor Darius Lakdawalla surveyed 150 cancer patients who were undergoing treatment. They asked them to choose between a "safe bet" therapy that guarantees 13 months of survival and a "hopeful gamble" that offers a 50/50 chance of either adding 35 months or subtracting 10 months to the same 13-month survival average.

RESULTS: Nearly 80 percent of patients preferred the riskier treatments over the safer therapies. It seems most respondents valued being given a chance at a substantial survival gain, even if typical outcomes did not improve.

CONCLUSION: When deciding on their course of treatment, terminally ill patients appear to choose hope over security.

IMPLICATION: Lakdawalla says insurers should go beyond average outcomes when deciding on what therapies to cover while physicians should connect with patients more to understand what they truly value. "Some patients are willing to take significant risks with their own lives in pursuit of a major gain in survival; others want to play it safe," he says. "The health-care system should respect those differences."

SOURCE: The full study, "How Cancer Patients Value Hope and the Implications for Cost-Effectiveness Assessments of High-Cost Cancer Therapies," is published in the journal Health Affairs.

Jump to comments
Presented by

Hans Villarica writes for and produces The Atlantic's Health channel. His work has appeared in TIME, People Asia, and Fast Company.

Get Today's Top Stories in Your Inbox (preview)

Social Security: The Greatest Government Policy of All Time?

It's the most effective anti-poverty program in U.S. history. So why do some people hate it?


Elsewhere on the web

Join the Discussion

After you comment, click Post. If you’re not already logged in you will be asked to log in or register. blog comments powered by Disqus

Video

Adventures in Legal Weed

Colorado is now well into its first year as the first state to legalize recreational marijuana. How's it going? James Hamblin visits Aspen.

Video

What Makes a Story Great?

The storytellers behind House of CardsandThis American Life reflect on the creative process.

Video

Tracing Sriracha's Origin to Thailand

Ever wonder how the wildly popular hot sauce got its name? It all started in Si Racha.

Video

Where Confiscated Wildlife Ends Up

A government facility outside of Denver houses more than a million products of the illegal wildlife trade, from tigers and bears to bald eagles.

Video

Is Wine Healthy?

James Hamblin prepares to impress his date with knowledge about the health benefits of wine.

Video

The World's Largest Balloon Festival

Nine days, more than 700 balloons, and a whole lot of hot air

Writers

Up
Down

More in Health

Just In