A Review on Cost-Effectiveness and Cost-Utility of Psychosocial Care in Cancer Patients.
A Review on Cost-Effectiveness and Cost-Utility of Psychosocial Care in Cancer Patients.
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DOI：
10.4103/2347-5625.182930
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发表时间：
2016-04
影响因子：
1.8
通讯作者：
Verdonck-de Leeuw IM
中科院分区：
文献类型：
--
作者：
Jansen F;van Zwieten V;Coupé VM;Leemans CR;Verdonck-de Leeuw IM
一些心理社会护理干预措施已被发现有效地改善癌症患者的心理社会结果。目前，越来越多的人要求提供关于这类干预的资金价值的信息。因此，本综述评估了目前的证据，调查成本效益或成本效用的癌症患者的心理社会护理的研究。在PubMed和Web of Science中进行了系统检索，获得了539条唯一记录，其中11项研究纳入本研究。研究主要在乳腺癌人群或混合癌症人群中进行。研究的干预措施包括协作护理（4项研究），团体干预（4项研究），个人心理支持（2项研究）和个人心理教育（1项研究）。7项研究评估了心理社会护理的成本效用（基于质量调整生命年），而3项研究调查了其成本效益（基于情绪状态[情绪]，修订的事件影响量表[痛苦]，12项健康调查[心理健康]或害怕进展问卷[害怕癌症进展]）。一项研究两者都做了。包括的成本是干预成本（3项研究），干预和直接医疗成本（5项研究），或干预，直接医疗和直接非医疗成本（3项研究）。一般而言，结果表明，心理社会护理可能是具有成本效益的不同，潜在的可接受的，愿意支付阈值。应开展进一步研究，以提供更明确的信息，说明哪些心理社会护理干预措施最具成本效益，对谁最有效。此外，应进行更多的研究，从社会角度分析潜在的重要成本驱动因素，如生产力损失或非正式护理成本。
Several psychosocial care interventions have been found effective in improving psychosocial outcomes in cancer patients. At present, there is increasingly being asked for information on the value for money of this type of intervention. This review therefore evaluates current evidence from studies investigating cost-effectiveness or cost-utility of psychosocial care in cancer patients. A systematic search was conducted in PubMed and Web of Science yielding 539 unique records, of which 11 studies were included in the study. Studies were mainly performed in breast cancer populations or mixed cancer populations. Studied interventions included collaborative care (four studies), group interventions (four studies), individual psychological support (two studies), and individual psycho-education (one study). Seven studies assessed the cost-utility of psychosocial care (based on quality-adjusted-life-years) while three studies investigated its cost-effectiveness (based on profile of mood states [mood], Revised Impact of Events Scale [distress], 12-Item Health Survey [mental health], or Fear of Progression Questionnaire [fear of cancer progression]). One study did both. Costs included were intervention costs (three studies), intervention and direct medical costs (five studies), or intervention, direct medical, and direct nonmedical costs (three studies). In general, results indicated that psychosocial care is likely to be cost-effective at different, potentially acceptable, willingness-to-pay thresholds. Further research should be performed to provide more clear information as to which psychosocial care interventions are most cost-effective and for whom. In addition, more research should be performed encompassing potential important cost drivers from a societal perspective, such as productivity losses or informal care costs, in the analyses.