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.

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Keywords childhood cancer, cost-effectiveness, exercise, psychosocial intervention
Persistent URL dx.doi.org/10.1111/ecc.12586, hdl.handle.net/1765/107986
Journal European Journal of Cancer Care
Citation
Braam, K.I, Van Dijk-Lokkart, E.M, van Dongen, J.M. (J. M.), van Litsenburg, R.R, Takken, T, Huisman, J. (J.), … Kaspers, G.J. (2017). Cost-effectiveness of a combined physical exercise and psychosocial training intervention for children with cancer: Results from the quality of life in motion study. European Journal of Cancer Care, 26(6). doi:10.1111/ecc.12586