Abstract
BackgroundUnderstanding health state utilities of skin diseases is is essential for health economic evaluations in an era of rising healthcare costs. ObjectiveTo create a catalogue of utilities values of chronic skin diseases among Asians. MethodsThis is a cross-sectional study of adults attending a dermatology outpatient clinic from February 2019 to March 2023 with one of these skin diseases: 1) Eczema, 2) Psoriasis, 3) Acne vulgaris, 4) Chronic Urticaria, 5) Pigmentary disorders, 6) Hair Loss, 7) Viral warts, 8) Fungal infections and 9) Keloids. Demographic and socio-economic information were collected. . Health status and utilities (Dermatology Life Quality Index, Skindex-16, EQ-5D, Visual analogue scale, time-trade-off (TTO) and willingness-to-pay) were measured.. Results183 patients with a median age of 35.5 (21 to 77) years old were included. Majority (76.9%) were Chinese, followed by Malays (11.5%). TTO utilities were lower than EQ-5D utilities across all disease severity and most skin diseases. Patients were willing to pay USD$740 or more for a hypothetical drug to cure conditions such as psoriasis, acne, hairloss and keloids. LimitationsLimited sample size and ethnic representation. ConclusionsThis study provides a catalogue of utilities in skin diseases and highlights the strengths and challenges of different measures.
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