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

Journal article
Authors Hanna Gyllensten
Ingalill Koinberg
Eric Carlström
Lars-Erik Olsson
Elisabeth Hansson-Olofsson
Published in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
Volume 27
Issue 5
Pages 1825–1834
ISSN 1433-7339
Publication year 2019
Published at University of Gothenburg Centre for person-centred care (GPCC)
Institute of Health and Care Sciences
Pages 1825–1834
Language en
Links dx.doi.org/10.1007/s00520-018-4436-...
www.ncbi.nlm.nih.gov/entrez/query.f...
Keywords Person-centred care Head and Neck Neoplasms Health Care Costs Randomized Controlled Trial Patient Care Management
Subject categories Nursing, Health Care Service and Management, Health Policy and Services and Health Economy

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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