Trial reportGeneral hospital psychiatry
Cost effectiveness of telecare management for pain and depression in patients with cancer: results from a randomized trial.
Trial report in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 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
25 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Models of survivorship care in patients with head and neck cancer in regional, rural, and remote areas: a systematic review.Journal of cancer survivorship : research and practice · 2026Pooled it
- The role of digital health technology in rural cancer care delivery: A systematic review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Pooled it
- The Cost-Effectiveness of Mobile Health (mHealth) Interventions for Older Adults: Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Systematic review of healthcare costs related to mental health conditions among cancer survivors.Expert review of pharmacoeconomics & outcomes research · 2018Pooled it
- Cost-effectiveness of the Collaborative Care to Preserve Performance in Cancer (COPE) trial tele-rehabilitation interventions for patients with advanced cancers.Cancer medicine · 2020Trial
- Effect of Collaborative Telerehabilitation on Functional Impairment and Pain Among Patients With Advanced-Stage Cancer: A Randomized Clinical Trial.JAMA oncology · 2019Trial
- Technology-enabled collaborative care management of depression in urban and rural cancer centers: Protocol and baseline results from the SCOPE pragmatic hybrid effectiveness-implementation trial.Contemporary clinical trials · 2026Article
- "Everything cannot be handled virtually": Understanding intention and use of digital health technologies among rural adults and rural cancer survivors.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Integrating Fitness Training in Oncologic Care: Lessons Learned from a Large Telemedicine Trial.Archives of rehabilitation research and clinical translation · 2024Article
- Health economic evaluation of blended collaborative care for older multimorbid heart failure patients: study protocol.Cost effectiveness and resource allocation : C/E · 2024Article
- Impact of mental health on burden of illness, septicemia and mortality among patients hospitalized for cancer.PLOS mental health · 2024Article
- Economic evaluation of remote patient monitoring and organizational analysis according to patient involvement: a scoping review.International journal of technology assessment in health care · 2023Article
- Digital Health Interventions for Adult Patients With Cancer Evaluated in Randomized Controlled Trials: Scoping Review.Journal of medical Internet research · 2023Article
- A View of the Development of Patient-Reported Outcomes Measures, Their Clinical Integration, Electronification, and Potential Impact on Rehabilitation Service Delivery.Archives of physical medicine and rehabilitation · 2022Article
- Experiences of cancer rehabilitation among patients in rural areas in northern Iceland: physical and psychosocial well-being, coping, quality of life, and satisfaction with care. A qualitative study.International journal of circumpolar health · 2021Article
- Use of Telemedicine in Depression Care by Physicians: Scoping Review.JMIR formative research · 2021Article
- Determining if Telehealth Can Reduce Health System Costs: Scoping Review.Journal of medical Internet research · 2020Article
- Telepsychiatry and Outpatient Department Services.Indian journal of psychological medicine · 2020Article
- The Landscape of Connected Cancer Symptom Management in Rural America: A Narrative Review of Opportunities for Launching Connected Health Interventions.Journal of Appalachian health · 2020Review
- A health services research agenda to fully integrate cancer rehabilitation into oncology care.Cancer · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectivePain and depression are prevalent and treatable symptoms among patients with cancer, yet they are often undetected and undertreated. The Indiana Cancer Pain and Depression (INCPAD) trial demonstrated that telecare management can improve pain and depression outcomes. This article investigates the incremental cost effectiveness of the INCPAD intervention.
methodsThe INCPAD trial was conducted in 16 community-based urban and rural oncology practices in Indiana. Of the 405 participants, 202 were randomized to the intervention group and 203 to the usual-care group. Intervention costs were determined, and effectiveness outcomes were depression-free days and quality-adjusted life years.
resultsThe intervention group was associated with a yearly increase of 60.3 depression-free days (S.E. = 15.4; P < 0.01) and an increase of between 0.033 and 0.066 quality-adjusted life years compared to the usual care group. Total cost of the intervention per patient was US$1189, which included physician, nurse care manager and automated monitoring set-up and maintenance costs. Incremental cost per depression-free day was US$19.72, which yields a range of US$18,018 to US$36,035 per quality-adjusted life year when converted to that metric. When measured directly, the incremental cost per quality-adjusted life year ranged from US$10,826 based on the modified EQ-5D to US$73,286.92 based on the SF-12.
conclusionCentralized telecare management, coupled with automated symptom monitoring, appears to be a cost effective intervention for managing pain and depression in cancer patients.
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.