Effectiveness of Multidimensional Cancer Survivor Rehabilitation and Cost-Effectiveness of Cancer Rehabilitation in General: A Systematic Review
Identifieur interne : 003125 ( Pmc/Curation ); précédent : 003124; suivant : 003126Effectiveness of Multidimensional Cancer Survivor Rehabilitation and Cost-Effectiveness of Cancer Rehabilitation in General: A Systematic Review
Auteurs : Janne C. Mewes [Pays-Bas] ; Lotte M. G. Steuten [Pays-Bas] ; Maarten J. Ijzerman [Pays-Bas] ; Wim H. Van Harten [Pays-Bas]Source :
- The Oncologist [ 1083-7159 ] ; 2012.
Abstract
Evidence regarding the effectiveness of multidimensional rehabilitation programs for cancer survivors and the cost-effectiveness of cancer rehabilitation in general were systematically reviewed.
Url:
DOI: 10.1634/theoncologist.2012-0151
PubMed: 22982580
PubMed Central: 3528391
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Mewes</name><affiliation wicri:level="1"><nlm:aff id="aff1">University of Twente, Department of Health Technology and Services Research, Enschede, The Netherlands;</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>University of Twente, Department of Health Technology and Services Research, Enschede</wicri:regionArea></affiliation></author><author><name sortKey="Steuten, Lotte M G" sort="Steuten, Lotte M G" uniqKey="Steuten L" first="Lotte M. G." last="Steuten">Lotte M. G. Steuten</name><affiliation wicri:level="1"><nlm:aff id="aff1">University of Twente, Department of Health Technology and Services Research, Enschede, The Netherlands;</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>University of Twente, Department of Health Technology and Services Research, Enschede</wicri:regionArea></affiliation></author><author><name sortKey="Ijzerman, Maarten J" sort="Ijzerman, Maarten J" uniqKey="Ijzerman M" first="Maarten J." last="Ijzerman">Maarten J. Ijzerman</name><affiliation wicri:level="1"><nlm:aff id="aff1">University of Twente, Department of Health Technology and Services Research, Enschede, The Netherlands;</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>University of Twente, Department of Health Technology and Services Research, Enschede</wicri:regionArea></affiliation></author><author><name sortKey="Van Harten, Wim H" sort="Van Harten, Wim H" uniqKey="Van Harten W" first="Wim H." last="Van Harten">Wim H. Van Harten</name><affiliation wicri:level="1"><nlm:aff id="aff1">University of Twente, Department of Health Technology and Services Research, Enschede, The Netherlands;</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>University of Twente, Department of Health Technology and Services Research, Enschede</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2">Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital (NKI-AVL), Department of Psychosocial Research and Epidemiology, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital (NKI-AVL), Department of Psychosocial Research and Epidemiology, Amsterdam</wicri:regionArea></affiliation></author></analytic><series><title level="j">The Oncologist</title><idno type="ISSN">1083-7159</idno><idno type="eISSN">1549-490X</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Evidence regarding the effectiveness of multidimensional rehabilitation programs for cancer survivors and the cost-effectiveness of cancer rehabilitation in general were systematically reviewed.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Oncologist</journal-id><journal-id journal-id-type="iso-abbrev">Oncologist</journal-id><journal-id journal-id-type="pmc">oncologist</journal-id><journal-id journal-id-type="hwp">theoncologist</journal-id><journal-id journal-id-type="publisher-id">The Oncologist</journal-id><journal-title-group><journal-title>The Oncologist</journal-title></journal-title-group><issn pub-type="ppub">1083-7159</issn><issn pub-type="epub">1549-490X</issn><publisher><publisher-name>AlphaMed Press</publisher-name><publisher-loc>Durham, NC, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22982580</article-id><article-id pub-id-type="pmc">3528391</article-id><article-id pub-id-type="publisher-id">3803259</article-id><article-id pub-id-type="doi">10.1634/theoncologist.2012-0151</article-id><article-categories><subj-group subj-group-type="heading"><subject>Symptom Management and Supportive Care</subject></subj-group></article-categories><title-group><article-title>Effectiveness of Multidimensional Cancer Survivor Rehabilitation and Cost-Effectiveness of Cancer Rehabilitation in General: A Systematic Review</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mewes</surname><given-names>Janne C.</given-names></name><xref ref-type="aff" rid="aff1"><sup>a</sup></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Steuten</surname><given-names>Lotte M.G.</given-names></name><xref ref-type="aff" rid="aff1"><sup>a</sup></xref></contrib><contrib contrib-type="author"><name><surname>IJzerman</surname><given-names>Maarten J.</given-names></name><xref ref-type="aff" rid="aff1"><sup>a</sup></xref></contrib><contrib contrib-type="author"><name><surname>van Harten</surname><given-names>Wim H.</given-names></name><xref ref-type="aff" rid="aff1"><sup>a</sup></xref><xref ref-type="aff" rid="aff2"><sup>b</sup></xref></contrib><aff id="aff1"><sup>a</sup>University of Twente, Department of Health Technology and Services Research, Enschede, The Netherlands;</aff><aff id="aff2"><sup>b</sup>Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital (NKI-AVL), Department of Psychosocial Research and Epidemiology, Amsterdam, The Netherlands</aff></contrib-group><author-notes><corresp>Correspondence: Lotte M.G. Steuten, Ph.D., University of Twente, Department of Health Technology and Services Research, P.O. Box 217, 7500 AE Enschede, The Netherlands. Telephone:
<phone>31-53489-5374</phone>; Fax:
<fax>31-534892159</fax>; e-mail: <email>l.m.g.steuten@utwente.nl</email></corresp><fn fn-type="conflict"><p><bold>Disclosures: Lotte M.G. Steuten:</bold> PANAXEA b.v.: Biomedical product innovation (C/A); <bold>Maarten J. IJzerman:</bold> PANAXEA b.v.: Biomedical product innovation (C/A); <bold>Wim H. van Harten:</bold> Netherlands Cancer Institute (E). The other authors indicated no financial relationships.</p></fn></author-notes><pub-date pub-type="ppub"><month>12</month><year>2012</year></pub-date><pub-date pub-type="epub"><day>26</day><month>9</month><year>2012</year></pub-date><volume>17</volume><issue>12</issue><fpage>1581</fpage><lpage>1593</lpage><history><date date-type="received"><day>2</day><month>4</month><year>2012</year></date><date date-type="accepted"><day>20</day><month>8</month><year>2012</year></date></history><permissions><copyright-statement>©AlphaMed Press</copyright-statement><copyright-year>2012</copyright-year></permissions><self-uri xlink:title="pdf" xlink:type="simple" xlink:href="onc01212001581.pdf"></self-uri><abstract abstract-type="precis"><p>Evidence regarding the effectiveness of multidimensional rehabilitation programs for cancer survivors and the cost-effectiveness of cancer rehabilitation in general were systematically reviewed.</p></abstract><abstract><sec><title>Introduction.</title><p>Many cancer survivors suffer from a combination of disease- and treatment-related morbidities and complaints after primary treatment. There is a growing evidence base for the effectiveness of monodimensional rehabilitation interventions; in practice, however, patients often participate in multidimensional programs. This study systematically reviews evidence regarding effectiveness of multidimensional rehabilitation programs for cancer survivors and cost-effectiveness of cancer rehabilitation in general.</p></sec><sec><title>Methods.</title><p>The published literature was systematically reviewed. Data were extracted using standardized forms and were summarized narratively.</p></sec><sec><title>Results.</title><p>Sixteen effectiveness and six cost-effectiveness studies were included. Multidimensional rehabilitation programs were found to be effective, but not more effective than monodimensional interventions, and not on all outcome measures. Effect sizes for quality of life were in the range of −0.12 (95% confidence interval [CI], −0.45–0.20) to 0.98 (95% CI, 0.69–1.29). Incremental cost-effectiveness ratios ranged from −€16,976, indicating cost savings, to €11,057 per quality-adjusted life year.</p></sec><sec><title>Conclusions.</title><p>The evidence for multidimensional interventions and the economic impact of rehabilitation studies is scarce and dominated by breast cancer studies. Studies published so far report statistically significant benefits for multidimensional interventions over usual care, most notably for the outcomes fatigue and physical functioning. An additional benefit of multidimensional over monodimensional rehabilitation was not found, but this was also sparsely reported on. Available economic evaluations assessed very different rehabilitation interventions. Yet, despite low comparability, all showed favorable cost-effectiveness ratios. Future studies should focus their designs on the comparative effectiveness and cost-effectiveness of multidimensional programs.</p></sec></abstract><kwd-group><kwd>Neoplasms</kwd><kwd>Multidimensional</kwd><kwd>Rehabilitation</kwd><kwd>Cost-effectiveness</kwd><kwd>Systematic review</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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