Cost-utility of an eHealth application ‘Oncokompas’ that supports cancer survivors in self-management: results of a randomised controlled trial

A van der Hout, F Jansen, CF van Uden-Kraan, VMH Coupé, K Holtmaat, GA Nieuwenhuijzen, Jose Hardillo, R.J. Baatenburg de Jong, Nicolette Verbeet, DW Sommeijer, K de Heer, CG Schaar, RJE Sedee, K Bosscha, MWM van den Brekel, JF Petersen, M Westerman, J Honings, RP Takes, I HoutenbosWT van den Broek, R de Bree, P Jansen, SEJ Eerenstein, CR Leemans, JM Zijlstra, P Cuijpers, LVV de Poll-Franse, IM Verdonck-de Leeuw

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Abstract

Purpose: The 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. Methods: Survivors 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. Results: In 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. Conclusion: Oncokompas 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 Survivors: Oncokompas seems to improve HRQOL and reduces the burden of several tumour-specific symptoms, while costs from a societal perspective are similar to CAU.

Original languageEnglish
Pages (from-to)77-86
Number of pages10
JournalJournal of Cancer Survivorship
Volume15
Issue number1
DOIs
Publication statusPublished - 2021

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