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Cost Analysis of a Digital Multimodal Cancer Prehabilitation

Introduction: There is growing evidence that prehabilitation programmes effectively improve the physical and psychological conditions of cancer patients awaiting treatment. During the pandemic, people with cancer were classed as vulnerable. To reduce risk to this population Kent and Medway Prehabili...

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Autores principales: Gkaintatzi, Evdoxia, Nikolaou, Charoula Konstantia, Rampal, Tarannum, Laza-Cagigas, Roberto, Zand, Nazanin, McCrone, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777147/
https://www.ncbi.nlm.nih.gov/pubmed/36547143
http://dx.doi.org/10.3390/curroncol29120729
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author Gkaintatzi, Evdoxia
Nikolaou, Charoula Konstantia
Rampal, Tarannum
Laza-Cagigas, Roberto
Zand, Nazanin
McCrone, Paul
author_facet Gkaintatzi, Evdoxia
Nikolaou, Charoula Konstantia
Rampal, Tarannum
Laza-Cagigas, Roberto
Zand, Nazanin
McCrone, Paul
author_sort Gkaintatzi, Evdoxia
collection PubMed
description Introduction: There is growing evidence that prehabilitation programmes effectively improve the physical and psychological conditions of cancer patients awaiting treatment. During the pandemic, people with cancer were classed as vulnerable. To reduce risk to this population Kent and Medway Prehabilitation service transformed into a TeleHealth format. The aim of this study is to assess the impact on health-related quality of life (HRQoL) and the costs of a digital multimodal prehabilitation programme. Methods: HRQoL was measured with the EQ-5D and quality-adjusted life years (QALYs) were calculated. Costs of the prehabilitation service and inpatient care were calculated. Comparisons were made between different levels of prehabilitation received. Results: A sample of 192 individuals was included in the study Mean HRQoL improved from 69.53 at baseline to 85.71 post-rehabilitation, a 23% increase. For each additional week of prehabilitation care in cancer patients, the model predicts that the total QALYS increase by 0.02, when baseline utility is held constant. Conclusions: Prehabilitation is associated with improved HRQoL and QALYs. Our model of a multimodal digital prehabilitation program can be beneficial for patients and reduce costs for healthcare facilities even when the patients attend only a few sessions.
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spelling pubmed-97771472022-12-23 Cost Analysis of a Digital Multimodal Cancer Prehabilitation Gkaintatzi, Evdoxia Nikolaou, Charoula Konstantia Rampal, Tarannum Laza-Cagigas, Roberto Zand, Nazanin McCrone, Paul Curr Oncol Article Introduction: There is growing evidence that prehabilitation programmes effectively improve the physical and psychological conditions of cancer patients awaiting treatment. During the pandemic, people with cancer were classed as vulnerable. To reduce risk to this population Kent and Medway Prehabilitation service transformed into a TeleHealth format. The aim of this study is to assess the impact on health-related quality of life (HRQoL) and the costs of a digital multimodal prehabilitation programme. Methods: HRQoL was measured with the EQ-5D and quality-adjusted life years (QALYs) were calculated. Costs of the prehabilitation service and inpatient care were calculated. Comparisons were made between different levels of prehabilitation received. Results: A sample of 192 individuals was included in the study Mean HRQoL improved from 69.53 at baseline to 85.71 post-rehabilitation, a 23% increase. For each additional week of prehabilitation care in cancer patients, the model predicts that the total QALYS increase by 0.02, when baseline utility is held constant. Conclusions: Prehabilitation is associated with improved HRQoL and QALYs. Our model of a multimodal digital prehabilitation program can be beneficial for patients and reduce costs for healthcare facilities even when the patients attend only a few sessions. MDPI 2022-11-29 /pmc/articles/PMC9777147/ /pubmed/36547143 http://dx.doi.org/10.3390/curroncol29120729 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gkaintatzi, Evdoxia
Nikolaou, Charoula Konstantia
Rampal, Tarannum
Laza-Cagigas, Roberto
Zand, Nazanin
McCrone, Paul
Cost Analysis of a Digital Multimodal Cancer Prehabilitation
title Cost Analysis of a Digital Multimodal Cancer Prehabilitation
title_full Cost Analysis of a Digital Multimodal Cancer Prehabilitation
title_fullStr Cost Analysis of a Digital Multimodal Cancer Prehabilitation
title_full_unstemmed Cost Analysis of a Digital Multimodal Cancer Prehabilitation
title_short Cost Analysis of a Digital Multimodal Cancer Prehabilitation
title_sort cost analysis of a digital multimodal cancer prehabilitation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777147/
https://www.ncbi.nlm.nih.gov/pubmed/36547143
http://dx.doi.org/10.3390/curroncol29120729
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