Chatterton, Mary Lou and Chambers, Suzanne and Occhipinti, Stefano and Girgis, Afaf and Dunn, Jeffrey and Carter, Rob and Shih, Sophy and Mihalopoulos, Cathrine (2016) Economic evaluation of a psychological intervention for high distress cancer patients and carers: costs and quality-adjusted life years. Psycho-Oncology, 25 (7). pp. 857-864. ISSN 1057-9249
Abstract
Objective: This study compared the cost-effectiveness of a psychologist-led, individualised cognitive behavioural intervention (PI) to a nurse-led, minimal contact self-management condition for highly distressed cancer patients and carers. Methods: This was an economic evaluation conducted alongside a randomised trial of highly distressed adult cancer patients and carers calling cancer helplines. Services used by participants were measured using a resource use questionnaire, and quality-adjusted life years were measured using the assessment of quality of life – eight-dimension – instrument collected through a computer-assisted telephone interview. The base case analysis stratified participants based on the baseline score on the Brief Symptom Inventory. Incremental cost-effectiveness ratio confidence intervals were calculated with a nonparametric bootstrap to reflect sampling uncertainty. The results were subjected to sensitivity analysis by varying unit costs for resource use and the method for handling missing data. Results: No significant differences were found in overall total costs or quality-adjusted life years (QALYs) between intervention groups. Bootstrapped data suggest the PI had a higher probability of lower cost and greater QALYs for both carers and patients with high distress at baseline. For patients with low levels of distress at baseline, the PI had a higher probability of greater QALYs but at additional cost. Sensitivity analysis showed the results were robust. Conclusions: The PI may be cost-effective compared with the nurse-led, minimal contact self-management condition for highly distressed cancer patients and carers. More intensive psychological intervention for patients with greater levels of distress appears warranted.
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| Item Type: | Article (Commonwealth Reporting Category C) |
|---|---|
| Refereed: | Yes |
| Item Status: | Live Archive |
| Additional Information: | Files associated with this item cannot be displayed due to copyright restrictions. |
| Faculty / Department / School: | No Faculty |
| Date Deposited: | 07 Jun 2017 02:15 |
| Last Modified: | 08 Jun 2017 01:38 |
| Uncontrolled Keywords: | Cancer; Public Health, Social Medicine and Epidemiology; Psychiatry; Health Policy, Economics and Management; |
| Fields of Research : | 11 Medical and Health Sciences > 1112 Oncology and Carcinogenesis > 111299 Oncology and Carcinogenesis not elsewhere classified |
| Socio-Economic Objective: | E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences |
| Identification Number or DOI: | 10.1002/pon.4020 |
| URI: | http://eprints.usq.edu.au/id/eprint/32019 |
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