2017
DOI: 10.1200/jco.2016.68.8739
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Cost-Utility of Stepped Care Targeting Psychological Distress in Patients With Head and Neck or Lung Cancer

Abstract: Purpose A stepped care (SC) program in which an effective yet least resource-intensive treatment is delivered to patients first and followed, when necessary, by more resource-intensive treatments was found to be effective in improving distress levels of patients with head and neck cancer or lung cancer. Information on the value of this program for its cost is now called for. Therefore, this study aimed to assess the cost-utility of the SC program compared with care-as-usual (CAU) in patients with head and neck… Show more

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Cited by 34 publications
(40 citation statements)
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“…Economic evaluations of psychosocial interventions for cancer patients up until now are scarce; most of these studies find promising results showing that psychosocial interventions for cancer patients can be good value for money . As this is the first study to assess the cost‐utility of a meaning‐focused group intervention for cancer survivors from a societal perspective, we are not able to directly compare our findings with previous studies.…”
Section: Discussioncontrasting
confidence: 99%
See 1 more Smart Citation
“…Economic evaluations of psychosocial interventions for cancer patients up until now are scarce; most of these studies find promising results showing that psychosocial interventions for cancer patients can be good value for money . As this is the first study to assess the cost‐utility of a meaning‐focused group intervention for cancer survivors from a societal perspective, we are not able to directly compare our findings with previous studies.…”
Section: Discussioncontrasting
confidence: 99%
“…21 can be good value for money. 5,[23][24][25] As this is the first study to assess the cost-utility of a meaning-focused group intervention for cancer survivors from a societal perspective, we are not able to directly compare our findings with previous studies. One economic evaluation has been conducted on supportive-expressive group therapy (SEGT), which focuses on emotional expression, social support, coping, and also on existential issues, including meaning.…”
Section: Discussionmentioning
confidence: 87%
“…Collectively these trials demonstrate that targeting the acute-treatment phase is feasible independently or as part of a stepped-care program and has the potential to improve quality of life and reduce distress [20,21]. However, whether this is true without therapist-guidance, or in those not screened for distress, is yet to be established in a large/sufficiently powered RCT.…”
Section: Word Count: 248mentioning
confidence: 99%
“…A recent study comparing psychologist-led care with a nurse-led self-management intervention in distressed cancer patients showed no evidence for cost-effectiveness of the self-management intervention [ 12 ]. However, a stepped care program targeting psychological distress in cancer patients consisting of four steps, including a self-help intervention, was found to be more effective and highly likely to be less costly compared to usual care [ 13 , 16 ].…”
Section: Introductionmentioning
confidence: 99%