Evidence map›Paper›PMID 29139176›Full record

ArticlePsycho-oncology2018

Costs of an ostomy self-management training program for cancer survivors.

Mark C Hornbrook, Martha D Cobb, Nancy J Tallman, Janice Colwell, Ruth McCorkle, Elizabeth Ercolano, Marcia Grant, Virginia Sun, Christopher S Wendel, Judith H Hibbard and 1 more

Open access · greenAbstract read
In one paragraph

Article in Psycho-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 37% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Self-management goals of cancer survivors with an ostomy.Journal of cancer survivorship : research and practice · 2023
    Trial
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 2 countries.

Mark C HornbrookKaiser Permanente Center for Health Research, Portland, OR, USA.ORCID 0000-0001-6087-0698
Martha D CobbCollege of Nursing, University of Arizona, Tucson, AZ, USA.
Nancy J TallmanWound Ostomy Continence Nurse, Private Practice, Tucson, AZ, USA.
Janice ColwellSchool of Medicine, University of Chicago, Chicago, IL, USA.
Ruth McCorkleSchool of Nursing, Yale University, New Haven, CT, USA.
Elizabeth ErcolanoSchool of Nursing, Yale University, New Haven, CT, USA.
Marcia GrantCity of Hope National Medical Center/Beckman Research Institute, Duarte, CA, USA.
Virginia SunCity of Hope National Medical Center/Beckman Research Institute, Duarte, CA, USA.
Christopher S WendelCollege of Medicine, University of Arizona, Tucson, AZ, USA.
Judith H HibbardHealth Policy Research Group, University of Oregon, Eugene, OR, USA.
Robert S KrouseSchool of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
City Of Hope National Medical Center · USUniversity of Arizona · USYale University · USContinental (United Kingdom) · GBKaiser Permanente Center for Health Research · USOregon Research Institute · USUniversity of Chicago · USVeterans Health Administration · US

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Dan Theodorescu · 1985 to 2026
$110.2M
HRQOL-enhancing ostomy self-management intervention for CRC survivorsR21CA133337 · NCI · UNIVERSITY OF ARIZONA · PI KROUSE, ROBERT SCOTT · 2009 to 2010
$294k
NCI NIH HHS P30 CA023074NCI NIH HHS R21 CA133337
6 · The paper itself

Abstract

objectiveTo measure incremental expenses to an oncologic surgical practice for delivering a community-based, ostomy nurse-led, small-group, behavior skills-training intervention to help bladder and colorectal cancer survivors understand and adjust to their ostomies and improve their health-related quality of life, as well as assist family caregivers to understand survivors' needs and provide appropriate supportive care.

methodsThe intervention was a 5-session group behavior skills training in ostomy self-management following the principles of the Chronic Care Model. Faculty included Wound, Ostomy, and Continence Nurses (WOCNs) using an ostomy care curriculum. A gender-matched peer-in-time buddy was assigned to each ostomy survivor. The 4-session survivor curriculum included the following: self-management practice and solving immediate ostomy concerns; social well-being; healthy lifestyle; and a booster session. The single family caregiver session was coled by a WOCN and an ostomy peer staff member and covered relevant caregiver and ostomate support issues. Each cohort required 8 weeks to complete the intervention. Nonlabor inputs included ostomy supplies, teaching materials, automobile mileage for WOCNs, mailing, and meeting space rental. Intervention personnel were employed by the University of Arizona. Labor expenses included salaries and fringe benefits.

resultsThe total incremental expense per intervention cohort of 4 survivors was $7246 or $1812 per patient.

conclusionsA WOCN-led group self-help ostomy survivorship intervention provided affordable, effective, care to cancer survivors with ostomies.

Indexed as

Cancer SurvivorsOstomyColorectal NeoplasmsFemaleHumansMaleMiddle AgedPatient Education as TopicSelf CareSelf-ManagementUrinary Bladder Neoplasmsbladder cancercancer survivorshipChronic Care Modelcolorectal cancercostsoncologyostomyself-caresocial supportwound and ostomy care nursing

Identifiers

PMID29139176
PMCPMC6054124
OpenAlexW2770275961

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.