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Willingness to pay and quality of life in
alopecia areata
Jean-Phillip Okhovat, Tristan Grogan, Lewei Duan, Carolyn Goh
2018 Alopecia Areata Research Summit
National Alopecia Areata Foundation
Conflicts of interest
• I have no conflicts of interest to disclose
Willingness to pay (WTP) as a concept to assess burden of disease
in dermatology
Seidler et al (2012)
J Invest Dermatol
Willingness‐to‐pay and quality of life in patients
with vitiligo
Radtke et al (2009)
Br J Dermatol
Willingness‐to‐pay and quality of life in patients
with atopic dermatitis
Beikert et al (2014)
Arch Dermatol Res
Patient characteristics Value, N (%)
Age, y (range) 40.5 (18-68)
Disease duration
<1 year
1-5 years
> 5 years
8 (20)
12 (30)
19 (48)
Male
Female
12 (30)
28 (70)
Race
Black
Asian
White
Multiple/other
3 (8)
14 (35)
15 (38)
8 (20)
Education
High school
2-year college
4- year college
Graduate school
Professional school
4 (10)
8 (20)
15 (38)
8 (20)
5 (13)
Annual income, US$
< 10,000
10,000-49,999
50,000-100,000
>100,000
9 (23)
4 (10)
14 (35)
13 (33)
0
10
20
30
40
50
60
70
AASISScore(mean)
WTP (US Dollars)
Willingness to pay for control of disease
< $1000 > $1000 < $5000 > $5000
30.4*
53.7*
30.9*
66.3*
* p < 0.05
0
10
20
30
40
50
60
AASISScore(mean)
26.0*
Willingness to pay for cure of disease
WTP (US dollars)< $1000 > $1000 < $5000 > $5000
47.8*
25.8*
53.2*
* p < 0.05
Other findings and take home points
• Higher SALT scores correlated with higher AASIS scores
• WTP for AA was similar to that for vitiligo, atopic dermatitis, and
rosacea
• Median WTP as a percentage of monthly income was 10%-20%,
comparable to that of atopic dermatitis and psoriasis patients
• As expected, severity of disease was associated with quality of life,
and quality of life was associated with WTP
Other considerations
• What are other predictors of willingness to pay
• Role of health insurance in determining WTP
• Further ongoing research toward a cure for AA is warranted
Augustin et al (2018)
PLoS One
Thank You
• Dr. Carolyn Goh, UCLA
• Dr. Melvin Chiu, UCLA
• University of California, Los Angeles, Clinical and Translational Science Institute
• Hair Academic Innovative Research Unit, Massachusetts General Hospital
• Dr. Maryanne Senna
• Dustin Marks
• Dina Hagigeorges
• Athena Manatis Lornell

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Willingness to Pay and Quality of Life in Alopecia Areata

  • 1. Willingness to pay and quality of life in alopecia areata Jean-Phillip Okhovat, Tristan Grogan, Lewei Duan, Carolyn Goh 2018 Alopecia Areata Research Summit National Alopecia Areata Foundation
  • 2. Conflicts of interest • I have no conflicts of interest to disclose
  • 3. Willingness to pay (WTP) as a concept to assess burden of disease in dermatology Seidler et al (2012) J Invest Dermatol
  • 4. Willingness‐to‐pay and quality of life in patients with vitiligo Radtke et al (2009) Br J Dermatol
  • 5. Willingness‐to‐pay and quality of life in patients with atopic dermatitis Beikert et al (2014) Arch Dermatol Res
  • 6.
  • 7. Patient characteristics Value, N (%) Age, y (range) 40.5 (18-68) Disease duration <1 year 1-5 years > 5 years 8 (20) 12 (30) 19 (48) Male Female 12 (30) 28 (70) Race Black Asian White Multiple/other 3 (8) 14 (35) 15 (38) 8 (20) Education High school 2-year college 4- year college Graduate school Professional school 4 (10) 8 (20) 15 (38) 8 (20) 5 (13) Annual income, US$ < 10,000 10,000-49,999 50,000-100,000 >100,000 9 (23) 4 (10) 14 (35) 13 (33)
  • 8. 0 10 20 30 40 50 60 70 AASISScore(mean) WTP (US Dollars) Willingness to pay for control of disease < $1000 > $1000 < $5000 > $5000 30.4* 53.7* 30.9* 66.3* * p < 0.05
  • 9. 0 10 20 30 40 50 60 AASISScore(mean) 26.0* Willingness to pay for cure of disease WTP (US dollars)< $1000 > $1000 < $5000 > $5000 47.8* 25.8* 53.2* * p < 0.05
  • 10. Other findings and take home points • Higher SALT scores correlated with higher AASIS scores • WTP for AA was similar to that for vitiligo, atopic dermatitis, and rosacea • Median WTP as a percentage of monthly income was 10%-20%, comparable to that of atopic dermatitis and psoriasis patients • As expected, severity of disease was associated with quality of life, and quality of life was associated with WTP
  • 11. Other considerations • What are other predictors of willingness to pay • Role of health insurance in determining WTP • Further ongoing research toward a cure for AA is warranted Augustin et al (2018) PLoS One
  • 12. Thank You • Dr. Carolyn Goh, UCLA • Dr. Melvin Chiu, UCLA • University of California, Los Angeles, Clinical and Translational Science Institute • Hair Academic Innovative Research Unit, Massachusetts General Hospital • Dr. Maryanne Senna • Dustin Marks • Dina Hagigeorges • Athena Manatis Lornell