Cost-effectiveness of a combined physical exercise and psychosocial training intervention for children with cancer: Results from the quality of life in motion study

K. I. Braam*, E. M. van Dijk-Lokkart, J. M. van Dongen, R. R.L. van Litsenburg, T. Takken, J. Huisman, J. H.M. Merks, J. E. Bosmans, N. A.G. Hakkenbrak, M. B. Bierings, M. M. van den Heuvel-Eibrink, M. A. Veening, E. van Dulmen-den Broeder, G. J.L. Kaspers

*Corresponding author for this work

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This study was performed to estimate the cost-effectiveness of a combined physical exercise and psychosocial intervention for children with cancer compared with usual care. Sixty-eight children, aged 8–18 years old, during or within the first year post-cancer treatment were randomised to the intervention (n = 30) and control group (n = 38). Health outcomes included fitness, muscle strength and quality adjusted life years; all administered at baseline, 4- and 12-month follow-up. Costs were gathered by 1 monthly cost questionnaires over 12 months, supplemented by medication data obtained from pharmacies. Results showed no significant differences in costs and effects between the intervention and control group at 12-month follow-up. On average, societal costs were €299 higher in the intervention group than in the control group, but this difference was not significant. Cost-effectiveness acceptability curves indicated that the intervention needs large societal investments to reach reasonable probabilities of cost-effectiveness for quality of life and lower body muscle strength. Based on the results of this study, the intervention is not cost-effective in comparison with usual care.

Original languageEnglish
Article numbere12586
JournalEuropean Journal of Cancer Care
Issue number6
Publication statusPublished - 1 Nov 2017

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