Cost-effectiveness of a combined physical exercise and psychosocial training intervention for children with cancer: Results from the quality of life in motion study.

Autor:	Braam KI; Department of Paediatric Oncology/Haematology, VU University Medical Center, Amsterdam, The Netherlands., van Dijk-Lokkart EM; Department of Medical Psychology, VU University Medical Center, Amsterdam, The Netherlands., van Dongen JM; Department of Health Sciences and the EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, The Netherlands., van Litsenburg RRL; Department of Paediatric Oncology/Haematology, VU University Medical Center, Amsterdam, The Netherlands., Takken T; Child Development & Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands., Huisman J; Department of Medical Psychology and Social Work, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands., Merks JHM; Department of Paediatric Oncology, Emma Children's Hospital/Academic Medical Centre, Amsterdam, The Netherlands., Bosmans JE; Department of Health Sciences and the EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, The Netherlands., Hakkenbrak NAG; Department of Paediatric Oncology/Haematology, VU University Medical Center, Amsterdam, The Netherlands., Bierings MB; Department of Haematology and Stem Cell Transplantation, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands., van den Heuvel-Eibrink MM; Department of Paediatric Oncology/Haematology, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands.; Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands., Veening MA; Department of Paediatric Oncology/Haematology, VU University Medical Center, Amsterdam, The Netherlands., van Dulmen-den Broeder E; Department of Paediatric Oncology/Haematology, VU University Medical Center, Amsterdam, The Netherlands., Kaspers GJL; Department of Paediatric Oncology/Haematology, VU University Medical Center, Amsterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	European journal of cancer care [Eur J Cancer Care (Engl)] 2017 Nov; Vol. 26 (6). Date of Electronic Publication: 2016 Oct 10.
DOI:	10.1111/ecc.12586
Abstrakt:	This study was performed to estimate the cost-effectiveness of a combined physical exercise and psychosocial intervention for children with cancer compared with usual care. Sixty-eight children, aged 8-18 years old, during or within the first year post-cancer treatment were randomised to the intervention (n = 30) and control group (n = 38). Health outcomes included fitness, muscle strength and quality adjusted life years; all administered at baseline, 4- and 12-month follow-up. Costs were gathered by 1 monthly cost questionnaires over 12 months, supplemented by medication data obtained from pharmacies. Results showed no significant differences in costs and effects between the intervention and control group at 12-month follow-up. On average, societal costs were €299 higher in the intervention group than in the control group, but this difference was not significant. Cost-effectiveness acceptability curves indicated that the intervention needs large societal investments to reach reasonable probabilities of cost-effectiveness for quality of life and lower body muscle strength. Based on the results of this study, the intervention is not cost-effective in comparison with usual care. (© 2016 John Wiley & Sons Ltd.)
Databáze:	MEDLINE
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