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Title: Cost effectiveness of a survivorship care plan for breast cancer survivors
Authors: Coyle, D
Grunfeld, E
Coyle, K
Pond, G
Julian, JA
Levine, MN
Keywords: Survivorship care plans;Breast cancer survivors;Cost effectiveness;Assessment;Primary care physician
Issue Date: 2014
Publisher: The American Society of Clinical Oncology
Citation: Journal of Oncology Practice, 10(2): pp. e86 - e92, (2014)
Abstract: Purpose: Survivorship care plans (SCPs) are recommended for patients who have completed primary treatment and are transitioning to routine follow-up care. However, SCPs may be costly, and their effectiveness is unproven. The study objective was to assess the cost effectiveness of an SCP for breast cancer survivors transitioning to routine follow-up care with their own primary care physician (PCP) using data from a recent randomized controlled trial (RCT). Methods: Resource use and utility data for 408 patients with breast cancer enrolled in the RCT comparing an SCP with standard care (no SCP) were used. The intervention group received a 30-minute educational session with a nurse and their SCP, and their PCPs received the SCP plus a full guideline on follow-up. Analysis assessed the societal costs and quality-adjusted life years (QALYs) for the intervention group and the control group over the 2-year follow-up of the RCT. Uncertainty concerning cost effectiveness was assessed through nonparametric bootstrapping and deterministic sensitivity analysis. Results: The no-SCP group had better outcomes than the SCP group: total costs per patient were lower for standard care (Canadian $698 v $765), and total QALYs were almost equivalent (1.42 for standard care v 1.41 for the SCP). The probability that the SCP was cost effective was 0.26 at a threshold value of a QALY of $50,000. A variety of sensitivity analyses did not change the conclusions of the analysis. Conclusion: This SCP would be costly to introduce and would not be a cost effective use of scarce health care resources.
Description: This article is available to view on PubMed:
ISSN: 1554-7477
Appears in Collections:Health Economics Research Group (HERG)

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