Evidence map›Paper›PMID 32656739›Full record

Trial reportJournal of cancer survivorship : research and practice2021

Cost-utility of an eHealth application 'Oncokompas' that supports cancer survivors in self-management: results of a randomised controlled trial.

A van der Hout, F Jansen, C F van Uden-Kraan, V M Coupé, K Holtmaat, G A Nieuwenhuijzen, J A Hardillo, R J Baatenburg de Jong, N L Tiren-Verbeet, D W Sommeijer and 19 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cancer survivorship : research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  3. Effectiveness of e-health interventions for chemotherapy-induced nausea and vomiting: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  4. Patient-reported outcome measurement implementation in cancer survivors: a systematic review.Journal of cancer survivorship : research and practice · 2024
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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

29 authors.

A van der HoutDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
F JansenDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
C F van Uden-KraanDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
V M CoupéDepartment of Epidemiology and Biostatistics, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
K HoltmaatDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
G A NieuwenhuijzenDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
J A HardilloDepartment of Otolaryngology and Head and Neck Surgery, ErasmusMC Cancer Centre, Erasmus Medical Center, Rotterdam, The Netherlands.
R J Baatenburg de JongDepartment of Otolaryngology and Head and Neck Surgery, ErasmusMC Cancer Centre, Erasmus Medical Center, Rotterdam, The Netherlands.
N L Tiren-VerbeetDepartment of Hematology, Erasmus Medical Center, Rotterdam, The Netherlands.
D W SommeijerDepartment of Internal Medicine, Flevoziekenhuis, Almere, The Netherlands.
K de HeerDepartment of Internal Medicine, Flevoziekenhuis, Almere, The Netherlands.
C G SchaarDepartment of Internal Medicine, Gelre ziekenhuis, Apeldoorn, The Netherlands.
R J E SedeeDepartment of Otolaryngology, Head and Neck Surgery, Haaglanden MC, The Hague, The Netherlands.
K BosschaDepartment of Surgery, Jeroen Bosch Ziekenhuis, Den Bosch, The Netherlands.
M W M van den BrekelDepartment of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam, The Netherlands.
J F PetersenDepartment of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam, The Netherlands.
M WestermanDepartment of Hematology, Northwest Clinics, Alkmaar, The Netherlands.
J HoningsDepartment of Otorhinolaryngology - Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
R P TakesDepartment of Otorhinolaryngology - Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
I HoutenbosDepartment of Hematology, Spaarne Gasthuis, Hoofddorp, The Netherlands.
W T van den BroekDepartment of Surgery, St. Anna Hospital, Geldrop, The Netherlands.
R de BreeDepartment of Head and Neck Surgical Oncology, Utrecht University Medical Center, Utrecht, The Netherlands.
P JansenDepartment of Surgery, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands.
S E J EerensteinCancer Center Amsterdam (CCA), Amsterdam UMC, Amsterdam, The Netherlands.
C R LeemansDepartment of Otolaryngology - Head and Neck Surgery, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
J M ZijlstraCancer Center Amsterdam (CCA), Amsterdam UMC, Amsterdam, The Netherlands.
P CuijpersDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
L V van de Poll-FranseDepartment of Research, Netherlands Comprehensive Cancer Organisation, Eindhoven, The Netherlands.
I M Verdonck-de LeeuwDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands. im.verdonck@amsterdamumc.nl.ORCID 0000-0002-4507-4607

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe eHealth self-management application 'Oncokompas' was developed to support cancer survivors in monitoring health-related quality of life (HRQOL) and symptoms, and obtaining personalized feedback and options for supportive care. The aim of this study was to assess the cost-utility of Oncokompas compared with care as usual (CAU) among cancer survivors.

methodsSurvivors were randomly allocated to the intervention or control group. Direct (non-)medical, indirect non-medical costs, and HRQOL were measured at 3- and 6-month follow-up, using iMTA Medical Consumption and Productivity Costs and the EuroQol-5D questionnaires. Mean cumulative costs and quality-adjusted life-years (QALYs) were compared between both groups.

resultsIn total, 625 survivors were randomized into intervention (n = 320) or control group (n = 305). Base case analysis showed that incremental costs from a societal perspective were - €163 (95% CI, - 665 to 326), and incremental QALYs were 0.0017 (95% CI, - 0.0121 to 0.0155) in the intervention group compared with those in the control group. The probability that, compared with CAU, Oncokompas is more effective was 60%, less costly 73%, and both more effective and less costly 47%. Sensitivity analyses showed that incremental costs vary between - €40 and €69, and incremental QALYs vary between - 0.0023 and - 0.0057.

conclusionOncokompas is likely to be equally effective on utilities, and not more expensive than CAU, and will therefore contribute to sustainable cancer survivorship care in a (cost-)effective manner. IMPLICATIONS FOR CANCER SURVIVORS: Oncokompas seems to improve HRQOL and reduces the burden of several tumour-specific symptoms, while costs from a societal perspective are similar to CAU.

Indexed as

Cancer SurvivorsNeoplasmsSelf-ManagementTelemedicineAgedCost-Benefit AnalysisFemaleHumansMaleMiddle AgedQuality of LifeSurvivorsCancer survivorshipCost-utilityeHealthQuality of lifeSelf-managementSupportive care

Identifiers

PMID32656739
PMCPMC7822793

What OpenQuestion holds

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Registered trials

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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.