ArticleJournal of oncology practice2014
Cost effectiveness of a survivorship care plan for breast cancer survivors.
Article in Journal of oncology practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 6 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- The effectiveness of personalised surveillance and aftercare in breast cancer follow-up: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Pooled it
- Economic Evaluation of Long-Term Survivorship Care for Cancer Patients in OECD Countries: A Systematic Review for Decision-Makers.International journal of environmental research and public health · 2021Pooled it
- Use and impact of breast cancer survivorship care plans: a systematic review.Breast cancer (Tokyo, Japan) · 2021Pooled it
- Survivorship Care Plans in Cancer: A Meta-Analysis and Systematic Review of Care Plan Outcomes.The oncologist · 2020Pooled it
- Follow-up strategies following completion of primary cancer treatment in adult cancer survivors.The Cochrane database of systematic reviews · 2019Pooled it
- Systematic Review of the Impact of Cancer Survivorship Care Plans on Health Outcomes and Health Care Delivery.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018Pooled it
- Feasibility of delivering survivorship care via lay health educators: A pilot randomized controlled trial among rural cancer survivors.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Trial
- Simplifying Survivorship Care Planning: A Randomized Controlled Trial Comparing 3 Care Plan Delivery Approaches.Journal of the National Cancer Institute · 2022Trial
- A survivorship care plan for breast cancer survivors: extended results of a randomized clinical trial.Journal of cancer survivorship : research and practice · 2015Trial
- Late effects in a high-risk population of breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Survivorship Care Plan Implementation in US Cancer Programs: a National Survey of Cancer Care Providers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019Article
- Adopting patient-centred tools in cancer care: role of evidence and other factors.Current oncology (Toronto, Ont.) · 2019Article
- Strategies for Successful Survivorship Care Plan Implementation: Results From a Qualitative Study.Journal of oncology practice · 2018Article
- Survivorship care plans: are randomized controlled trials assessing outcomes that are relevant to stakeholders?Journal of cancer survivorship : research and practice · 2018Article
- Survivorship care plan outcomes for primary care physicians, cancer survivors, and systems: a scoping review.Journal of cancer survivorship : research and practice · 2018Article
- Integrated Care Planning for Cancer Patients: A Scoping Review.International journal of integrated care · 2017Article
- Cost implications of unwarranted imaging for distant metastasis in women with early-stage breast cancer in Ontario.Current oncology (Toronto, Ont.) · 2016Article
- Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901.Journal of cancer survivorship : research and practice · 2014Article
- The need for focus on outcomes and the role of informatics.Journal of oncology practice · 2014Article
- Views of breast and colorectal cancer survivors on their routine follow-up care.Current oncology (Toronto, Ont.) · 2012Article
Corrections and comments
- Commented on by
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSurvivorship care plans (SCPs) are recommended for patients who have completed primary treatment and are transitioning to routine follow-up care. However, SCPs may be costly, and their effectiveness is unproven. The study objective was to assess the cost effectiveness of an SCP for breast cancer survivors transitioning to routine follow-up care with their own primary care physician (PCP) using data from a recent randomized controlled trial (RCT).
methodsResource use and utility data for 408 patients with breast cancer enrolled in the RCT comparing an SCP with standard care (no SCP) were used. The intervention group received a 30-minute educational session with a nurse and their SCP, and their PCPs received the SCP plus a full guideline on follow-up. Analysis assessed the societal costs and quality-adjusted life years (QALYs) for the intervention group and the control group over the 2-year follow-up of the RCT. Uncertainty concerning cost effectiveness was assessed through nonparametric bootstrapping and deterministic sensitivity analysis.
resultsThe no-SCP group had better outcomes than the SCP group: total costs per patient were lower for standard care (Canadian $698 v $765), and total QALYs were almost equivalent (1.42 for standard care v 1.41 for the SCP). The probability that the SCP was cost effective was 0.26 at a threshold value of a QALY of $50,000. A variety of sensitivity analyses did not change the conclusions of the analysis.
conclusionThis SCP would be costly to introduce and would not be a cost effective use of scarce health care resources.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.