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, EM van Dijk-Lokkart, J.M. van Dongen, R.R.L. van Litsenburg, T. Takken, J. Huisman, J.H. Merks, J.E. Bosmans, NA Hakkenbrak, M.B. Bierings, MM van den Heuvel-Eibrink, M.A. Veening, E. van Dulmen-den Broeder, G.J.L. Kaspers

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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
JournalEuropean Journal of Cancer Care
Publication statusPublished - 2016


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