Increasing Cardiomyopathy Screening in Childhood Cancer Survivors: A Cost Analysis of Advanced Practice Nurse Phone Counseling.
Oncol Nurs Forum
; 43(6): E242-E250, 2016 11 01.
Article
em En
| MEDLINE
| ID: mdl-27768131
ABSTRACT
PURPOSE/OBJECTIVES:
To document the per survivor and per additional survivor screening costs of a mailed survivorship care plan (SCP) with advanced practice nurse (APN) telephone counseling (SCP+C) or without APN telephone counseling (SCP).â©.DESIGN:
Randomized, longitudinal clinical trial.â©.SETTING:
St. Jude Children's Research Hospital in Memphis, Tennessee.â©. SAMPLE 411 at-risk pediatric cancer survivors (aged 26-59 years), stratified by age (younger than 30 years versus 30 years or older), recommended screening frequency (every one, two, or five years), gender, and cancer diagnosis (hematologic versus solid tumor).â©.METHODS:
Clinical and resource data costs were derived from trial data and external estimates.â©. MAIN RESEARCH VARIABLES The cost-effectiveness of left ventricular systolic function screening per survivor and per each additional survivor screened.â©.FINDINGS:
The per-survivor costs of SCP (n = 206) and SCP+C (n = 205) were $74.91 and $224.69, respectively. The estimated costs of SCP and SCP+C per additional survivor screened for two years disseminated in a medium-sized clinic (n = 101 survivors annually) were $345.41 and $293.85, respectively.â©.CONCLUSIONS:
Adding APN counseling to a printed SCP may help preserve cardiac health at little or no cost per additional survivor screened.â©. IMPLICATIONS FOR NURSING APN counseling is cost-effective and superior to the standard of care in supporting at-risk survivors' cardiac screening participation.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Programas de Rastreamento
/
Análise Custo-Benefício
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Telemedicina
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Sobreviventes
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Prática Avançada de Enfermagem
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Cardiomiopatias
Tipo de estudo:
Clinical_trials
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Diagnostic_studies
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Guideline
/
Health_economic_evaluation
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Oncol Nurs Forum
Ano de publicação:
2016
Tipo de documento:
Article