Academic Journal
Economic Analysis of a Three-Arm RCT Exploring the Delivery of Intensive, Prophylactic Swallowing Therapy to Patients with Head and Neck Cancer During (Chemo)Radiotherapy
| Title: | Economic Analysis of a Three-Arm RCT Exploring the Delivery of Intensive, Prophylactic Swallowing Therapy to Patients with Head and Neck Cancer During (Chemo)Radiotherapy |
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| Authors: | Wall, Laurelie R., Kularatna, Sanjeewa, Ward, Elizabeth C., Cartmill, Bena, Hill, Anne J., Isenring, Elizabeth, Byrnes, Joshua, Porceddu, Sandro V. |
| Source: | Dysphagia. 34:627-639 |
| Publisher Information: | Springer Science and Business Media LLC, 2018. |
| Publication Year: | 2018 |
| Subject Terms: | Male, Telepractice, Speech-Language Pathology, 3616 Speech and Hearing, Cost-Benefit Analysis, Clinical sciences, 03 medical and health sciences, 0302 clinical medicine, Humans, 2715 Gastroenterology, Prophylactic swallowing therapy, Head and neck cancer, Aged, Allied health and rehabilitation science, Economic analysis, Chemoradiotherapy, Health Care Costs, Middle Aged, Deglutition disorders, Telemedicine, Deglutition, 3. Good health, Oropharyngeal Neoplasms, 2733 Otorhinolaryngology, Dentistry, Carcinoma, Squamous Cell, Cost-effectiveness, Female, Health economics, Deglutition Disorders |
| Description: | Research advocates for the use of intensive, prophylactic swallowing therapy to help reduce the severity of dysphagia in patients receiving (chemo)radiotherapy ([C]RT) for head/neck cancer (HNC). Unfortunately, the intensity of this therapy, coupled with growing patient numbers and limited clinical resources, provides challenges to many international cancer facilities. Telepractice has been proposed as a potential method to provide patients with greater support in home-practice, whilst minimising burden to the health service. This study investigated the clinical and patient-attributable costs of delivering an intensive, prophylactic swallowing therapy protocol via a new telepractice application "SwallowIT" as compared to clinician-directed FTF therapy and independent patient self-directed therapy. Patients (n = 79) with oropharyngeal HNC receiving definitive (C)RT were randomised to receive therapy via a: clinician-directed (n = 26), patient-directed (n = 27), or SwallowIT-assisted (n = 26) model of care. Data pertaining to health service costs (service time, consumables, therapy resources), patient-attributable costs (travel and wages) and patient-reported health-related quality of life (QoL) (AQoL-6D) were collected. SwallowIT provided a cost-efficient model of care when compared to the clinician-directed model, with significant cost savings to both the health service and to HNC consumers (total saving of $1901.10 AUD per patient; p |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1432-0460 0179-051X |
| DOI: | 10.1007/s00455-018-9960-1 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/30515560 https://www.ncbi.nlm.nih.gov/pubmed/30515560 https://espace.library.uq.edu.au/view/UQ:a841660 https://research.bond.edu.au/en/publications/economic-analysis-of-a-three-arm-rct-exploring-the-delivery-of-in https://link.springer.com/article/10.1007/s00455-018-9960-1 https://research-repository.griffith.edu.au/handle/10072/385330 https://eprints.qut.edu.au/200233/ |
| Rights: | Springer TDM |
| Accession Number: | edsair.doi.dedup.....b578a77fa887162f1ceaaac297c87318 |
| Database: | OpenAIRE |
| ISSN: | 14320460 0179051X |
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| DOI: | 10.1007/s00455-018-9960-1 |