Increasing Cardiomyopathy Screening in Childhood Cancer Survivors: A Cost Analysis of Advanced Practice Nurse Phone Counseling

被引:5
|
作者
Cox, Cheryl L. [1 ]
Andersen, M. Robyn [2 ]
Santucci, Aimee K. [1 ]
Robison, Les L. [1 ]
Hudson, Melissa M. [3 ]
机构
[1] St Jude Childrens Res Hosp, Dept Epidemiol & Canc Control, 332 N Lauderdale St, Memphis, TN 38105 USA
[2] Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, 1124 Columbia St, Seattle, WA 98104 USA
[3] St Jude Childrens Res Hosp, Dept Oncol, Canc Survivorship, 332 N Lauderdale St, Memphis, TN 38105 USA
关键词
cardiomyopathy; pediatric cancer; survivors; screening; echocardiogram; nursing intervention; TERM-FOLLOW-UP; HEART-FAILURE; RISK; ASSOCIATION; GUIDELINES; MANAGEMENT; CHILDREN; THERAPY; ADULTS; CARE;
D O I
10.1188/16.ONF.E242-E250
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose/Objectives: To document the per survivor and per additional survivor screening costs of a mailed survivorship care plan (SCP) with advanced practice nurse (APN) telephone counseling (SCP+C) or without APN telephone counseling (SCP). Design: Randomized, longitudinal clinical trial. Setting: St. Jude Children's Research Hospital in Memphis, Tennessee. Sample: 411 at-risk pediatric cancer survivors (aged 26-59 years), stratified by age (younger than 30 years versus 30 years or older), recommended screening frequency (every one, two, or five years), gender, and cancer diagnosis (hematologic versus solid tumor). Methods: Clinical and resource data costs were derived from trial data and external estimates. Main Research Variables: The cost-effectiveness of left ventricular systolic function screening per survivor and per each additional survivor screened. Findings: The per-survivor costs of SCP (n = 206) and SCP+C (n = 205) were $74.91 and $224.69, respectively. The estimated costs of SCP and SCP+C per additional survivor screened for two years disseminated in a medium-sized clinic (n = 101 survivors annually) were $345.41 and $293.85, respectively. Conclusions: Adding APN counseling to a printed SCP may help preserve cardiac health at little or no cost per additional survivor screened. Implications for Nursing: APN counseling is cost-effective and superior to the standard of care in supporting at-risk survivors' cardiac screening participation.
引用
收藏
页码:E242 / E250
页数:9
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