dc.contributor.author | Edbrooke, Lara | |
dc.contributor.author | Denehy, Linda | |
dc.contributor.author | Patrick, Cameron | |
dc.contributor.author | Tuffaha, Haitham | |
dc.date.accessioned | 2021-09-27T04:05:15Z | |
dc.date.available | 2021-09-27T04:05:15Z | |
dc.date.issued | 2021 | |
dc.identifier.issn | 0961-5423 | |
dc.identifier.doi | 10.1111/ecc.13501 | |
dc.identifier.uri | http://hdl.handle.net/10072/408412 | |
dc.description.abstract | Objective: Few economic evaluations of lung cancer rehabilitation exist. The aim of this study was to assess the cost-effectiveness of providing home-based rehabilitation for inoperable lung cancer. Methods: A cost-utility analysis alongside a randomised controlled trial (RCT) of rehabilitation compared with usual care. The primary outcome was quality-adjusted life years (QALYs) gained. The incremental cost-effectiveness ratio [ICER (95% CI)] and the net monetary benefit are reported. Value of information (VOI) analysis assessed the need/value of more research. Results: Seventy participants (34 intervention and 36 usual care), average (SD) age 63.0 (12.0) years, 32 (45.7%) stage IV. The average intervention cost was AU$3421 (AU$5352 usual care), and effect (QALY) was 0.30 (0.31 usual care). The ICER was AU$228,197 (−1,173,194 to 1,101,450) per QALY gained. The net monetary benefit was AU$1508, favouring the intervention. The probability that the intervention was more cost-effective than usual care, at a willingness to pay threshold of AU$50,000, was 75%. VOI analysis showed that additional research to resolve decision uncertainty is potentially worthwhile. Conclusion: A high degree of uncertainty exists regarding the cost-effectiveness of lung cancer rehabilitation. Further RCTs, powered for economic evaluations and utilising rehabilitation sensitive outcomes, are required to support translation of evidence into clinical practice. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.publisher | Wiley | |
dc.relation.ispartofjournal | European Journal of Cancer Care | |
dc.subject.fieldofresearch | Oncology and carcinogenesis | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Public health | |
dc.subject.fieldofresearch | Health economics | |
dc.subject.fieldofresearchcode | 3211 | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 4206 | |
dc.subject.fieldofresearchcode | 380108 | |
dc.subject.keywords | Science & Technology | |
dc.subject.keywords | Life Sciences & Biomedicine | |
dc.subject.keywords | Health Care Sciences & Services | |
dc.title | Cost-effectiveness analysis of home-based rehabilitation compared to usual care for people with inoperable lung cancer | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Edbrooke, L; Denehy, L; Patrick, C; Tuffaha, H, Cost-effectiveness analysis of home-based rehabilitation compared to usual care for people with inoperable lung cancer, European Journal of Cancer Care, 2021 | |
dcterms.dateAccepted | 2021-07-23 | |
dc.date.updated | 2021-09-17T00:47:24Z | |
gro.description.notepublic | This publication has been entered in Griffith Research Online as an advanced online version. | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Tuffaha, Haitham W. | |