Economic Value of a Cancer Case Management Program

Wu, Charlotte; Bannister, Wade; Schumacker, Pamela; Rosen, Michael W.; Ozminkowski, Ronald J.; Rossof, Arthur H.

doi:10.1200/jop.2014.001384

Cited by 7 publications

(11 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A self-selected trial of phone-based case management could decrease cost, but quality of life was not assessed [17]. Overall, a meta-analysis showed psycho-oncologic interventions to be associated with a small-to-medium positive effect on quality of life [25].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Case management to increase quality of life after cancer treatment: a randomized controlled trial

et al. 2017

View full text Add to dashboard Cite

BackgroundCase management has been shown to be beneficial in phases of cancer screening and treatment. After treatment is completed, patients experience a loss of support due to reduced contact with medical professionals. Case management has the potential to offer continuity of care and ease re-entry to normal life. We therefore aim to investigate the effect of case management on quality of life in early cancer survivors.MethodsBetween 06/2010 and 07/2012, we randomized 95 patients who had just completed cancer treatment in 11 cancer centres in the canton of Zurich, Switzerland. Patients in the case management group met with a case manager at least three times over 12 months. Patient-reported outcomes were assessed after 3, 6 and 12 months using the Functional Assessment of Cancer Therapy (FACT-G) scale, the Patient Assessment of Chronic Illness Care (PACIC) and the Self-Efficacy scale.ResultsThe change in FACT-G over 12 months was significantly greater in the case management group than in the control group (16.2 (SE 2.0) vs. 9.2 (SE 1.5) points, P = 0.006). The PACIC score increased by 0.20 (SE 0.14) in the case management group and decreased by 0.29 (SE 0.12) points in the control group (P = 0.009). Self-Efficacy increased by 3.1 points (SE 0.9) in the case management group and by 0.7 (SE 0.8) points in the control group (P = 0.049).ConclusionsCase management has the potential to improve quality of life, to ease re-entry to normal life and to address needs for continuity of care in early cancer survivors.Trial registrationThe study has been submitted to the ISRCTN register under the name “Case Management in Oncology Rehabilitation” on the 12th of October 2010 and retrospectively registered under the number ISRCTN41474586 on the 24th of November 2010.Electronic supplementary materialThe online version of this article (doi:10.1186/s12885-017-3213-9) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Recent studies investigating patients during cancer treatment showed a decrease in emergency room visits and lower cancer-related medical costs [16, 17]. However, no studies are available on the effects of CM on quality of life after completion of cancer treatment.…”

Section: Introductionmentioning

confidence: 99%

Case management to increase quality of life after cancer treatment: a randomized controlled trial

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The second author checked the table for accuracy. Table 2 presents general characteristics of the nine included studies (Bleich et al, 2017;Chen, Chang, Tsou, Chen, & Pai, 2013;Hubbard, Gray, Ayansina, Evans, & Kyle, 2013;Ozcelik, Fadiloglu, Karabulut, & Uyar, 2014;Scherz et al, 2017;Seow et al, 2008;Wang, Piet, Kenworthy, & Dy, 2015;Wu et al, 2014;Wulff, Vedsted, & Søndergaard, 2012). Table 3 presents an evidence grid.…”

Section: Data Extraction and Synthesismentioning

confidence: 99%

Effectiveness of Nurse-Led Case Management in Cancer Care: Systematic Review

Joo

Liu

2018

Clin Nurs Res

View full text Add to dashboard Cite

Cancer survivors need accountable, patient-centered and lifelong care. Case management has been shown effective at providing quality care and at reducing both hospital access and health care costs. However, how effective case management in cancer care is to date unclear. This systematic review examines recent evidence of the effectiveness of nurse-led case management in adults with cancer. The Cochrane processes and PRISMA statements guided this systematic review. The methodological risk of bias was assessed. From four electronic databases, nine experimental studies published from 2008 to 2017 were retrieved. Synthesized results show positive case management effectively improved patients' quality of life and significantly reduced hospital readmission rates. However, there were mixed results of health care costs and other hospital access outcomes. There is some evidence that nurse-led case management is effective in cancer care. Further research applying rigorous design to large populations of cancer patients is recommended.

show abstract

“…There is a wide consensus therefore that new coordination mechanisms between hospitals and primary care providers—as well as new home patient follow-up methods—are required to introduce a coordinated clinical pathway for cancer patients [ 5 , 6 ]. The aim is to fill the gaps relating to fragmentation of the pathway, deficiencies in symptom monitoring, and lack of psychosocial support [ 7 ]. To achieve this goal, patient navigation programs (i.e., an intervention that reduces patient barriers to access to care and improves coordination of the clinical pathway) have been implemented [ 8 – 11 ].…”

mentioning

confidence: 99%

Analysis of nurse navigators’ activities for hospital discharge coordination: a mixed method study for the case of cancer patients

Yatim

Cristofalo

Ferrua

et al. 2016

Support Care Cancer

View full text Add to dashboard Cite

BackgroundModern cancer care requires the development of clinical pathways to enhance coordination, but there are few descriptive studies about the content of coordination activities. More specifically, little is known about hospital discharge coordination, although this is seen as a sensitive phase of clinical pathway.PurposeThe purpose of this study was to identify and quantify the categories of activities performed by nurse navigators for hospital discharge coordination.MethodsPatients supported within the Coordinating Outpatient Care department (COC) at Gustave Roussy (Villejuif, France). Study conducted over two consecutive phases (Feb-September 2014): (1) a qualitative phase to identify the categories of coordination activities (interviews with patients plus, focus groups with nurse navigators—NNs); (2) a quantitative phase to quantify the relative share of each category. The calls received through the telephone platform of COC (made by both patients and primary care providers) were systematically reported (caller; reason for the call; procedure performed) and then analyzed.ResultsQualitative phase: 17 interviews with patients, plus 2 focus groups with NNs. Quantitative phase: 543 calls analyzed. The callers were patients or their relatives (38 %), private nurses (35 %), medical device providers (20 %), and other primary care providers (e.g., pharmacists, family physicians) (7 %). Five categories of coordination activities identified: (F1) Patient monitoring (29 %); (F2) Helping to navigate (24 %); (F3) Managing technical problems (17 %); (F4) Explaining care protocols (16 %); (F5) Collecting and transmitting the patient medical record information (14 %).ConclusionsThe majority of requirements are related to organizational issues (e.g., navigation, lack of information, appointments). Nurse navigators’ training and qualification must therefore combine both clinical and managerial skills.

show abstract

Economic Value of a Cancer Case Management Program

Abstract: Self-selected participation in the cancer support program was associated with lower-cancer-related medical costs and greater hospice use.

Cited by 7 publications

References 19 publications

Case management to increase quality of life after cancer treatment: a randomized controlled trial

Case management to increase quality of life after cancer treatment: a randomized controlled trial

Effectiveness of Nurse-Led Case Management in Cancer Care: Systematic Review

Analysis of nurse navigators’ activities for hospital discharge coordination: a mixed method study for the case of cancer patients

Contact Info

Product

Resources

About