Skip to main content

Table 5 Description of Studies: Cancer

From: A systematic review of economic analyses of psychological interventions and therapies in health-related settings

Authors, Year

Condition

CEA

CUA

Setting

N (participants)

Baseline Characteristics

Intervention/ comparator(s)

Effectiveness measure(s); cost measures (price year)

Perspective

Time horizon

Arving et al. 2014 [34*]

Cancer (breast cancer)

 

✓

Sweden;

N Participants:

168

Individual (face to face or telephone) CBT based psychosocial support to breast cancer patients provided by:

(1) oncology nurses or

(2)psychologist.

Participants received 0-23 sessions depending on needs / Usual care including visits with medical staff and referrals to psychiatrist or social worker for discussion

QALY EORTC-QLC-C30 mapped to utility scores;

Health care system

2 yrs.

Hospital

Age in years (mean):

56

Euros (2012)

Sex (% female):

100

Ethnicity (% white):

Not given

Chatterton et al. 2016 [41*]

Cancer

 

✓

Australia

N Participants:

109 (plus 89 carers)

(1) psychologist led 5 session CBT (2) Nurse led single session self-management intervention

(resource kit sent to both groups)

AQOL-8D;

Health care costs

12mths

Callers who called cancer helpline (included caregivers and patients)

Age in years (mean):

Not given

AUD 2011/12

Sex (% female):

82.5 (87.8 for carers)

Ethnicity (% white):

Not given

Jansen et al. 2016 [58*]

Cancer (head and neck and lung cancer)

 

✓

Netherlands

N Participants:

156

Stepped care consisting of: watchful waiting; guided self-help via internet or booklet; face to face problem solving therapy; specialised psychological intervention and/ or psychotropic meds.

Where HADS score remined > 7, progressed to next step. Comparator was care as usual. 75 allocated to intervention (75 watchful waiting; 50 guided self-help; 11 problem solving; 6 psychotherapy / medication). 81 allocated to control group (of these 20 received psychosocial care)

HADS, EQ-5D;

healthcare, indirect costs and productivity losses

12mths

Hospital (patients with HNC or LC and scored > 4 on distress thermometer)

Age in years (mean):

62.0

Euros (2011)

Sex (% female):

39.1

Ethnicity (% white):

Not given

Johannsen et al. 2017 [60*]

Cancer (breast cancer)

✓

 

Denmark

N Participants:

129

Manualised 8wk MBCT; 2 hr. weekly sessions of mindfulness practice, group discussion and cognitive exercises vs. Wait list control who only had contact to complete questionnaires

Pain intensity (0-10 point scale with MCID of 2 points);

Healthcare

6mths

Hospital

Age in years (mean, SD):

Intervention: 56.8 (9.9); Control: 56.7 (8.1)

Euros (2015)

Sex (% female):

100

Ethnicity (% white):

Not given

Lengacher et al. 2015 [67*]

Cancer (breast cancer)

 

✓

USA;

N Participants:

104

MBSR (for Breast Cancer) (6wks) conducted by trained psychologist vs. Usual care, standard post treatment visits

MBSR = 47;

UC = 49

QALYs (SF-12);

Healthcare and patient

12 weeks

Hospital

Age in years (mean):

55

USD (Price year not stated)

Sex (% female):

100

Ethnicity (% white):

78.80%

Mewes et al. 2015 [77*]

Cancer (breast cancer)

✓

✓

Netherlands;

N Participants:

422

Physical Exercise (12wk home based programme) delivered by physiotherapist;

CBT (6 weekly sessions of 90 mins);

Comparator: Usual care waiting list control.

QALYs (SF-36 converted to utilities);

Healthcare

5 yrs. (extrapolated from follow up)

Hospital

Age in years (mean):

48.2

Euros (price year not stated)

Sex (% female):

100

Ethnicity (% white):

Not given

Prioli et al. 2017 [87*]

Cancer (breast cancer)

 

✓

USA;

N Participants:

191

Mindfulness based Art Therapy (8 × 2.5 hr. sessions) or Breast Cancer support group (8 2.5 hr. sessions) with didactic lectures on breast cancer support topics with lectures and discussion, peer support;

MBAT = 98

BCSG = 93

QALYs (SF-36 converted to utilities);

Healthcare

9wks

Hospital

Age in years (mean):

56

USD (2011)

Sex (% female):

100

Ethnicity (% white):

58

van der Spek et al. 2018 [97*]

Cancer

 

✓

Netherlands

N Participants:

170

1. Meaning centred group psychotherapy, 8 × 2 hr. weekly sessions manualised programme led by psychotherapist

2. Supportive group psychotherapy week social support group supervised by psychotherapist, 8 × 2 2 hr. sessions weekly

3. Care as usual, referred to GP if psychological help needed

MCPG-CS = 57;

SGP = 56;

CAU = 57

QALYs (EQ-5D);

Healthcare

6mths

Patients being treated for cancer with curative intent, expressing need for psychological support, University Medical Centre.

Age in years (mean):

57

Euros (2014)

Sex (% female):

70%

Ethnicity (% white):

Not given

Zhang & Fu 2016 [106*]

Cancer (prostate cancer)

 

✓

USA;

N Participants:

267 (and 69 non-participating patients)

(1) biofeedback plus support (problem solving to teach symptom management skills)

(2) biofeedback plus telephone support

(3) usual care; also included feedback from eligible non-participating patients

BF + group = 88;

BF + phone = 86;

UC = 93;

INP = 69

QALYs (EQ-5D);

Societal: both healthcare costs and costs to patient

6mths

Stage 2 prostate cancer patients with incontinence symptoms, Hospital

Age in years (mean):

65

USD (price year not stated)

Sex (% female):

0

Ethnicity (% white):

65.8