Cost effectiveness of telecare management for pain and depression in patients with cancer: results from a randomized trial
Cost effectiveness of telecare management for pain and depression in patients with cancer: results from a randomized trial
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DOI：
10.1016/j.genhosppsych.2014.07.004
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发表时间：
2014-11-01
影响因子：
7
通讯作者：
Kroenke, Kurt
中科院分区：
文献类型：
--
作者：
Choi, Sung J.;Nyman, John A.;Kroenke, Kurt
目的：疼痛和抑郁是癌症患者普遍存在的可治疗症状，但往往未被发现和治疗不足。印第安纳州癌症疼痛和抑郁症（INCPAD）试验表明，远程护理管理可以改善疼痛和抑郁症的结果。本文探讨了增量成本效益的INCPAD intervention.Methods：INCPAD试验进行了16个社区为基础的城市和农村肿瘤学的做法在印第安纳州。在405名参与者中，202名被随机分配到干预组，203名被随机分配到常规护理组。干预成本被确定，有效性结果是无抑郁天数和质量调整生命年。15.4; P
Objective: Pain and depression are prevalent and treatable symptoms among patients with cancer, yet they are often undetected and undertreated. The Indiana Cancer Pain and Depression (INCPAD) trial demonstrated that telecare management can improve pain and depression outcomes. This article investigates the incremental cost effectiveness of the INCPAD intervention.Methods: The INCPAD trial was conducted in 16 community-based urban and rural oncology practices in Indiana. Of the 405 participants, 202 were randomized to the intervention group and 203 to the usual-care group. Intervention costs were determined, and effectiveness outcomes were depression-free days and quality-adjusted life years.Results: The intervention group was associated with a yearly increase of 60.3 depression-free days (S.E.=15.4; P