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dc.contributor.authorGordon, Louisa G
dc.contributor.authorDiSipio, Tracey
dc.contributor.authorBattistutta, Diana
dc.contributor.authorYates, Patsy
dc.contributor.authorBashford, John
dc.contributor.authorPyke, Chris
dc.contributor.authorEakin, Elizabeth
dc.contributor.authorHayes, Sandra C
dc.date.accessioned2018-10-10T05:52:05Z
dc.date.available2018-10-10T05:52:05Z
dc.date.issued2017
dc.identifier.issn1057-9249
dc.identifier.doi10.1002/pon.4201
dc.identifier.urihttp://hdl.handle.net/10072/100639
dc.description.abstractObjective: To report on the cost‐effectiveness of the Exercise for Health trial, comparing an exercise intervention with usual care during and following treatment for women with breast cancer. Methods: Women with breast cancer were randomized to an 8‐month exercise intervention (involving regular contact with an exercise physiologist over the phone, n = 67, or home delivered face to face, n = 67) or usual care (n = 60) group and were assessed pre‐intervention (5 weeks post‐surgery), mid‐intervention (6 months post‐surgery), and 10 weeks post‐intervention (12 months post‐surgery). The benefit measures were “number of improvers” in quality of life (FACT‐B+4) and quality‐adjusted life years (QALYs). Data on provider, patient, and government costs were used to consider 2 cost scenarios: (1) a service provider model and (2) a private model. Results: There were 69 improvers in the intervention group compared with 21 in the usual care group (odds ratio 2.09, 95% confidence interval 1.08, 4.01; P = .033). The incremental cost per improver was A$2282 to A$2644. Quality‐adjusted life years gain for the intervention group versus the usual care group was 0.009, with incremental cost per QALY gain for models 1 and 2 being A$105 231 and A$90 842, respectively. However, sensitivity analyses indicate that incremental cost per QALY gained was volatile to EuroQol‐5D‐3L weights. Conclusions: Findings suggest that a pragmatic exercise intervention yields more women with markedly improved quality of life after breast cancer than usual care and may be cost‐effective. The results are less certain in terms of incremental cost per quality‐adjusted life years; however, this may be an inappropriate measure for reflecting exercise benefit for women with breast cancer.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherJohn Wiley & Sons
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto7
dc.relation.ispartofjournalPsycho-Oncology
dc.subject.fieldofresearchOncology and carcinogenesis not elsewhere classified
dc.subject.fieldofresearchHealth services and systems not elsewhere classified
dc.subject.fieldofresearchAllied health and rehabilitation science not elsewhere classified
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode321199
dc.subject.fieldofresearchcode420399
dc.subject.fieldofresearchcode420199
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode52
dc.titleCost-effectiveness of a pragmatic exercise intervention for women with breast cancer: results from a randomized controlled trial
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.facultyGriffith Health, School of Medicine
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.rights.copyright© 2016 John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: Cost‐effectiveness of a pragmatic exercise intervention for women with breast cancer: results from a randomized controlled trial, Psycho-Oncology, Volume 26, Issue 5, Pages 649-655, 2017, which has been published in final form at https://doi.org/10.1002/pon.4201. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorHayes, Sandi C.


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