Economic evaluation of a person-centred care intervention in head and neck oncology: results from a randomized controlled trial

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Hanna GyllenstenElisabeth Hansson Olofsson

Abstract

Head and neck cancer and its treatment deteriorate quality of life, but symptoms improve with person-centred care. We examined the cost-effectiveness of a person-centred care intervention versus standard medical care. In this randomized clinical trial of a person-centred intervention, patients were planned for outpatient oncology treatment in a Swedish university hospital between 2012 and 2014 and were followed during 1 year. Annual healthcare costs were identified from medical records and administrative register data. Productivity costs were calculated from reported sick leave. Health-related quality of life was collected using the EuroQol Group's five-dimension health state questionnaire. Characteristics were similar between 53 patients in the intervention group and 39 control patients. The average total cost was Euro (EUR) 55,544 (95% confidence interval: EUR 48,474-62,614) in the intervention group and EUR 57,443 (EUR 48,607-66,279) among controls, with similar health-related quality of life. This person-centred intervention did not result in increased costs and dominated the standard medical care. ClinicalTrials.gov (registration number: NCT02982746).

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Citations

Aug 20, 2019·Journal of Evaluation in Clinical Practice·Brianne WoodJulian Little
Sep 9, 2020·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Laura PirhonenKristian Bolin
Sep 16, 2021·Journal of Health Organization and Management·Kristina RosengrenEric Carlstrom
Sep 26, 2021·International Journal of Clinical Pharmacy·Hanna GyllenstenMalin Johansson Östbring

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