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- W2522492236 abstract "Objective - To report on the cost-effectiveness of the Exercise for Health trial, comparing an exercise intervention with usual care during and following treatment for women with breast cancer. Methods - Women with breast cancer were randomized to an eight-month exercise intervention (involving regular contact with an exercise physiologist over the phone, n=67, or home-delivered face-to-face, n=67) or usual care (n=60) group and were assessed pre-intervention (five weeks post-surgery), mid-intervention (six months post-surgery) and 10 weeks post-intervention (12 months post-surgery). The benefit measures were ‘number of improvers’ in quality of life (QoL; FACT-B+4) and quality-adjusted life years (QALYs; EQ-5D-3L). Data on provider, patient and government costs were used to consider two cost scenarios: 1) a service provider model and, 2) a private model. Results - There were 69 improvers in the intervention group compared with 21 in the usual care group (odds ratio 2.09, 95% CI: 1.08, 4.01, p=0.033). The incremental cost per improver was AU$2,282-$2,644. QALY gain for the intervention group versus the usual care group was 0.009, with incremental cost per QALY gain for model one and two being AU$105,231 and AU$90,842, respectively. However, sensitivity analyses indicate that incremental cost per QALY gained was volatile to EQ-5D-3L weights. Conclusions - Findings suggest that a pragmatic exercise intervention yields more women with markedly improved QoL after breast cancer than usual care and may be cost-effective. The results are less certain in terms of incremental cost per QALYs, however this may be an inappropriate measure for reflecting exercise benefit for women with breast cancer." @default.
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- W2522492236 date "2016-01-01" @default.
- W2522492236 modified "2023-09-22" @default.
- W2522492236 title "Cost-effectiveness of a pragmatic exercise intervention for women with breast cancer: Results from a randomized controlled trial" @default.
- W2522492236 hasPublicationYear "2016" @default.
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