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Cost-effectiveness ...
Cost-effectiveness of different exercise intensities during oncological treatment in the Phys-Can RCT
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- Ax, Anna-Karin, 1980- (författare)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Onkologiska kliniken US,Linköping University
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- Husberg, Magnus, 1968- (författare)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Linköping University
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- Johansson, Birgitta (författare)
- Uppsala universitet,Kristianstad University,Uppsala University,Hälsovetenskap och e-hälsa,Cancerprecisionsmedicin,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden
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- Demmelmaier, Ingrid, 1960- (författare)
- Uppsala universitet,Livsstil och rehabilitering vid långvarig sjukdom,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
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- Berntsen, Sveinung (författare)
- Uppsala universitet,Livsstil och rehabilitering vid långvarig sjukdom,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
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- Sjövall, Katarina (författare)
- 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
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- Börjeson, Sussanne, 1962- (författare)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Linköping University
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- Nordin, Karin (författare)
- Uppsala universitet,Livsstil och rehabilitering vid långvarig sjukdom,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
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- Davidson, Thomas, 1977- (författare)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Linköping University
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(creator_code:org_t)
- Taylor & Francis, 2023
- 2023
- Engelska.
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Ingår i: Acta Oncologica. - : Taylor & Francis. - 0284-186X .- 1651-226X. ; 62:4, s. 414-421
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BackgroundCost-effectiveness is important in the prioritisation between interventions in health care. Exercise is cost-effective compared to usual care during oncological treatment; however, the significance of exercise intensity to the cost-effectiveness is unclear. In the present study, we aimed to evaluate the long-term cost-effectiveness of the randomised controlled trial Phys-Can, a six-month exercise programme of high (HI) or low-to-moderate intensity (LMI) during (neo)adjuvant oncological treatment.MethodsA cost-effectiveness analysis was performed, based on 189 participants with breast, colorectal, or prostate cancer (HI: n = 99 and LMI: n = 90) from the Phys-Can RCT in Sweden. Costs were estimated from a societal perspective, and included cost of the exercise intervention, health care utilisation and productivity loss. Health outcomes were assessed as quality-adjusted life-years (QALYs), using EQ-5D-5L at baseline, post intervention and 12 months after the completion of the intervention.ResultsAt 12-month follow-up after the intervention, the total cost per participant did not differ significantly between HI (€27,314) and LMI exercise (€29,788). There was no significant difference in health outcome between the intensity groups. On average HI generated 1.190 QALYs and LMI 1.185 QALYs. The mean incremental cost-effectiveness ratio indicated that HI was cost effective compared with LMI, but the uncertainty was large.ConclusionsWe conclude that HI and LMI exercise have similar costs and effects during oncological treatment. Hence, based on cost-effectiveness, we suggest that decision makers and clinicians can consider implementing both HI and LMI exercise programmes and recommend either intensity to the patients with cancer during oncological treatment to facilitate improvement of health.
Ämnesord
- 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 -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Cancer
- exercise
- health
- cost-effectiveness
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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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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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Cancer och onkol ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
- Artiklar i publikationen
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Acta Oncologica
- Av lärosätet
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Linköpings universitet
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Högskolan Kristianstad
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Uppsala universitet