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- W2796160934 abstract "Abstract Background Meaning‐centered group psychotherapy for cancer survivors (MCGP‐CS) improves meaning, psychological well‐being, and mental adjustment to cancer and reduces psychological distress. This randomized controlled trial was conducted to investigate the cost‐utility of MCGP‐CS compared with supportive group psychotherapy (SGP) and care‐as‐usual (CAU). Methods In total, 170 patients were randomized to MCGP‐CS, SGP, or CAU. Intervention costs, direct medical and nonmedical costs, productivity losses, and health‐related quality of life were measured until 6 months follow‐up, using the TIC‐P, PRODISQ, data from the hospital information system, and the EQ‐5D. The cost‐utility was calculated by comparing mean cumulative costs and quality‐adjusted life years (QALYs). Results Mean total costs ranged from €4492 (MCGP‐CS) to €5304 (CAU). Mean QALYs ranged .507 (CAU) to .540 (MCGP‐CS). MCGP‐CS had a probability of 74% to be both less costly and more effective than CAU, and 49% compared with SGP. Sensitivity analyses showed these findings are robust. If society is willing to pay €0 for one gained QALY, MCGP‐CS has a 78% probability of being cost‐effective compared with CAU. This increases to 85% and 92% at willingness‐to‐pay thresholds of €10 000 and €30 000, which are commonly accepted thresholds. Conclusions MCGP‐CS is highly likely a cost‐effective intervention, meaning that there is a positive balance between the costs and gains of MCGP‐CS, in comparison with SGP and CAU." @default.
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- W2796160934 date "2018-04-27" @default.
- W2796160934 modified "2023-10-18" @default.
- W2796160934 title "Cost‐utility analysis of meaning‐centered group psychotherapy for cancer survivors" @default.
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- W2796160934 doi "https://doi.org/10.1002/pon.4726" @default.
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