Abstract

PurposeThe eHealth self-management application ‘Oncokompas’ was developed to support cancer survivors in monitoring health-related quality of life (HRQOL) and symptoms, and obtaining personalized feedback and options for supportive care. The aim of this study was to assess the cost-utility of Oncokompas compared with care as usual (CAU) among cancer survivors.MethodsSurvivors were randomly allocated to the intervention or control group. Direct (non-)medical, indirect non-medical costs, and HRQOL were measured at 3- and 6-month follow-up, using iMTA Medical Consumption and Productivity Costs and the EuroQol-5D questionnaires. Mean cumulative costs and quality-adjusted life-years (QALYs) were compared between both groups.ResultsIn total, 625 survivors were randomized into intervention (n = 320) or control group (n = 305). Base case analysis showed that incremental costs from a societal perspective were − €163 (95% CI, − 665 to 326), and incremental QALYs were 0.0017 (95% CI, − 0.0121 to 0.0155) in the intervention group compared with those in the control group. The probability that, compared with CAU, Oncokompas is more effective was 60%, less costly 73%, and both more effective and less costly 47%. Sensitivity analyses showed that incremental costs vary between − €40 and €69, and incremental QALYs vary between − 0.0023 and − 0.0057.ConclusionOncokompas is likely to be equally effective on utilities, and not more expensive than CAU, and will therefore contribute to sustainable cancer survivorship care in a (cost-)effective manner.Implications for Cancer SurvivorsOncokompas seems to improve HRQOL and reduces the burden of several tumour-specific symptoms, while costs from a societal perspective are similar to CAU.

Highlights

  • Cancer survivorship care includes physical rehabilitation, psychosocial care, lifestyle interventions, existential issues, and themanagement of survivors’ health and healthcare

  • This study investigated the cost-utility of a fully automated Behavioural intervention technologies (BITs) ‘Oncokompas’ among cancer survivors, compared with care as usual (CAU)

  • In the base case analysis, quality-adjusted life-years (QALYs) were similar and costs were non-significantly lower in the intervention group (− €163), compared with those in the control group

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Summary

Introduction

Cancer survivorship care includes physical rehabilitation, psychosocial care, lifestyle interventions, existential issues, and the (self-)management of survivors’ health and healthcare. It is, challenging to organise cancer survivorship care, because it is difficult to align individual needs and preferences. Behavioural intervention technologies (BITs) are currently often used to collect and process PROM data [3]. EHealth self-management applications can support cancer survivors to self-manage their symptoms and healthrelated quality of life (HRQOL) [4,5,6,7,8]. Not much is known yet on the cost-effectiveness or cost-utility of eHealth self-management applications and BITs among cancer survivors

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