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Long-term resource ...
Long-term resource utilisation and associated costs of exercise during (neo)adjuvant oncological treatment : the Phys-Can project
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- Ax, Anna-Karin, 1980- (author)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Onkologiska kliniken US
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- Husberg, Magnus, 1968- (author)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Johansson, Birgitta, 1959- (author)
- Kristianstad University,Uppsala universitet,Experimentell och klinisk onkologi,Livsstil och rehabilitering vid långvarig sjukdom,Uppsala University,Uppsala Univ, Sweden; Uppsala Univ, Sweden
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- Demmelmaier, Ingrid, 1960- (author)
- Uppsala universitet,Livsstil och rehabilitering vid långvarig sjukdom,Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway,Uppsala University,University of Agder,Uppsala Univ, Sweden; Univ Agder, Norway
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- Berntsen, Sveinung (author)
- Uppsala universitet,Livsstil och rehabilitering vid långvarig sjukdom,Uppsala University,University of Agder,Uppsala Univ, Sweden; Univ Agder, Norway
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- Sjövall, Katarina (author)
- Department of Oncology, Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden,Faculty of Health Science,Man - Health - Society (MHS),Department of Nursing and Integrated Health Sciences,Fakulteten för hälsovetenskap,Människa - Hälsa - Samhälle (MHS),Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap,Kristianstad Univ, Sweden
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- Börjeson, Sussanne, 1962- (author)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten
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- Nordin, Karin (author)
- Uppsala universitet,Livsstil och rehabilitering vid långvarig sjukdom,Uppsala University,Uppsala Univ, Sweden
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- Davidson, Thomas, 1977- (author)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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(creator_code:org_t)
- Taylor & Francis, 2022
- 2022
- English.
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In: Acta Oncologica. - : Taylor & Francis. - 0284-186X .- 1651-226X. ; 61:7, s. 888-896
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Abstract
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- BACKGROUND: Exercise during oncological treatment is beneficial to patient health and can counteract the side effects of treatment. Knowledge of the societal costs associated with an exercise intervention, however, is limited. The aims of the present study were to evaluate the long-term resource utilisation and societal costs of an exercise intervention conducted during (neo)adjuvant oncological treatment in a randomised control trial (RCT) versus usual care (UC), and to compare high-intensity (HI) versus low-to-moderate intensity (LMI) exercise in the RCT.METHODS: We used data from the Physical Training and Cancer (Phys-Can) project. In the RCT, 577 participants were randomised to HI or to LMI of combined endurance and resistance training for 6 months, during oncological treatment. The project also included 89 participants with UC in a longitudinal observational study. We measured at baseline and after 18 months. Resource utilisation and costs of the exercise intervention, health care, and productivity loss were compared using analyses of covariance (RCT vs. UC) and t test (HI vs. LMI).RESULTS: Complete data were available for 619 participants (RCT HI: n = 269, LMI: n = 265, and UC: n = 85). We found no difference in total societal costs between the exercise intervention groups in the RCT and UC. However, participants in the RCT had lower rates of disability pension days (p < .001), corresponding costs (p = .001), and pharmacy costs (p = .018) than the UC group. Nor did we find differences in resource utilisation or costs between HI and LMI exercise int the RCT.CONCLUSION: Our study showed no difference in total societal costs between the comprehensive exercise intervention and UC or between the exercise intensities. This suggests that exercise, with its well-documented health benefits during oncological treatment, produces neither additional costs nor savings.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Cancer
- cost analysis
- costs
- exercise
- health care costs
- sick leave
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Ax, Anna-Karin, ...
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Husberg, Magnus, ...
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Johansson, Birgi ...
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Demmelmaier, Ing ...
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Berntsen, Sveinu ...
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Sjövall, Katarin ...
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Börjeson, Sussan ...
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Nordin, Karin
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Davidson, Thomas ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Physiotherapy
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
- Articles in the publication
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Acta Oncologica
- By the university
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Uppsala University
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Kristianstad University College
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Linköping University