Efficacy and medical cost offset of psychosocial interventions in cancer care: making the case for economic analyses

Carlson, Linda E.; Bultz, Barry D.

doi:10.1002/pon.832

Cited by 276Cancer survivorship and careEconomic and Financial Impacts of CancerHealth Systems, Economic Evaluations, Quality of Life

Efficacy and medical cost offset of psychosocial interventions in cancer care: making the case for economic analyses

Carlson, Linda E., Bultz, Barry D.·2004·Psycho-Oncology

DOI 10.1002/pon.832

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Abstract

The burden of cancer in the worldwide context continues to grow, as incidence and mortality increase each year. Regardless of where they live, a significant proportion of cancer patients at all stages of the disease trajectory will suffer social, emotional and psychological morbidity as a result of their diagnosis and treatment. Psychosocial interventions have proven efficacious in helping patients and families overcome many of the challenges that arise consequent to a cancer diagnosis. Addressing psychosocial needs is an essential aspect of any model of adequate cancer care, however it may also prove to be a cornerstone in efforts to extend the reach of cost-effective cancer treatment to meet the growing global need. In order to set the stage for discussion of economic issues, this paper first briefly reviews the literature detailing the extent of distress and the efficacy of psychosocial treatments for cancer patients. This is followed by a summary of terminology and costing concepts in the economic evaluation of psychosocial treatments, and a review of the literature on medical cost offset in mental health, other medical populations, and in cancer patients. The literature clearly supports the notion that psychosocial interventions are not only effective, but also economical. Conclusions support adding costing data into evaluations of the efficacy of psychosocial treatments in order to detail the often present but usually overlooked long-term cost savings that may be accrued to overburdened health-care systems.

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Cook, S. A., Salmon, P., Hayes, G., Byrne, A., & Fisher, P. (2018) · Psycho-Oncology · doi:10.1002/pon.4601 · Cited by 133 · see citing works
Psychosocial Distress Screening Implementation in Cancer Care: An Analysis of Adherence, Responsiveness, and Acceptability
Zebrack, B., Kayser, K., Sundstrom, L., Savas, S. A., Henrickson, C., Acquati, C., & Tamas, R. L. (2015) · Journal of Clinical Oncology · doi:10.1200/jco.2014.57.4020 · Cited by 131 · see citing works
Socio‐demographic, psychosocial and attitudinal predictors of help seeking after cancer diagnosis
Steginga, S. K., Campbell, A., Ferguson, M., Beeden, A., Walls, M., Cairns, W., & Dunn, J. C. (2008) · Psycho-Oncology · doi:10.1002/pon.1317 · Cited by 124 · see citing works
Most prevalent unmet supportive care needs and quality of life of breast cancer patients in a tertiary hospital in Malaysia
Edib, Z., Kumarasamy, V., Abdullah, N., Manaf, M. R. A., & Al‐Dubai, S. A. R. (2016) · Health and Quality of Life Outcomes · doi:10.1186/s12955-016-0428-4 · Cited by 125 · see citing works
Are Needs Assessments Cost Effective in Reducing Distress Among Patients With Cancer? A Randomized Controlled Trial Using the Distress Thermometer and Problem List
Hollingworth, W., Metcalfe, C. D., Mancero, S., Harris, S., Campbell, R. M., Biddle, L., McKell-Redwood, D., & Brennan, J. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2012.48.3040 · Cited by 118 · see citing works
Clinical Experience with the NCCN Distress Thermometer in Breast Cancer Patients
Dabrowski, M., Boucher, K. M., Ward, J. H., Lovell, M. M., Sandre, A., Bloch, J., Carlquist, L., Porter, M., Norman, L., & Buys, S. S. (2007) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2007.0011 · Cited by 118 · see citing works
Cognitive-Behavior Therapy for Depressed Cancer Patients in a Medical Care Setting
Hopko, D. R., Bell, J. L., Armento, M. E. A., Robertson, S. M. C., Mullane, C., Wolf, N. J., & Lejuez, C. W. (2007) · Behavior Therapy · doi:10.1016/j.beth.2007.05.007 · Cited by 112 · see citing works
Brief cognitive-behavioral and relaxation training interventions for breast cancer: a randomized controlled trial
Gudenkauf, L. M., Antoni, M. H., Stagl, J. M., Lechner, S. C., Jutagir, D. R., Bouchard, L. C., Blomberg, B. B., Glück, S., Derhagopian, R. P., Giron, G. L., et al. (2015) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000020 · Cited by 108 · see citing works
Healthcare use and costs in adult cancer patients with anxiety and depression
Mausbach, B. T., Decastro, G., Schwab, R. B., Tiamson‐Kassab, M., & Irwin, S. A. (2020) · Depression and Anxiety · doi:10.1002/da.23059 · Cited by 95 · see citing works
“…suggests that psychosocial interventions can significantly offset medical costs for people with general mental distress and with comorbid medical illness (Carlson & Bultz, 2004), with 90% of studies showing cost reduction following psychosocial intervention (Chiles, Lambert, & Hatch, 1999, 2002).”
Background
Emotional distress in patients with cancer: the sixth vital sign
Bultz, B. D., & Holland, J. C. (2006) · Community Oncology · doi:10.1016/s1548-5315(11)70702-1 · Cited by 101 · see citing works
Quality of life among adult patients with neurofibromatosis 1, neurofibromatosis 2 and schwannomatosis: a systematic review of the literature
Vranceanu, A., Merker, V. L., Park, E. R., & Plotkin, S. R. (2013) · Journal of Neuro-Oncology · doi:10.1007/s11060-013-1195-2 · Cited by 98 · see citing works
Psychosocial care in cancer: an overview of psychosocial programmes and national cancer plans of countries within the International Federation of Psycho‐Oncology Societies
Grassi, L. G., Watson, M., & on behalf of the IPOS Federation of Psycho‐Oncology Societies' co‐authors (2012) · Psycho-Oncology · doi:10.1002/pon.3154 · Cited by 97 · see citing works
Psychometric properties of the Brief Symptom Inventory-18 in a Spanish breast cancer sample
Garrido, M. J. G., Ferrandis, E. D., Andreu, Y., Ferrando, M., Murgui, S., Pérez, S., & Ibañez, E. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2008.05.009 · Cited by 95 · see citing works
Emotion regulation and emotional distress: The mediating role of hope on reappraisal and anxiety/depression in newly diagnosed cancer patients
Peh, C. X., Liu, J., Bishop, G. D., Chan, H. Y., Chua, S. M., Kua, E. H., & Mahendran, R. (2016) · Psycho-Oncology · doi:10.1002/pon.4297 · Cited by 94 · see citing works
Screening Alone Is Not Enough: The Importance of Appropriate Triage, Referral, and Evidence-Based Treatment of Distress and Common Problems
Carlson, L. E. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2013.51.4315 · Cited by 77 · see citing works
Self-citation
Depression in cancer patients
Dauchy, S., Dolbeault, S., & Reich, M. (2013) · EJC supplements : EJC : official journal of EORTC, European Organization for Research and Treatment of Cancer ... [et al.] · doi:10.1016/j.ejcsup.2013.07.006 · Cited by 51 · see citing works
Stepped care targeting psychological distress in head and neck cancer and lung cancer patients: a randomized, controlled trial
Krebber, A. M. H., Jansen, F., Lissenberg-Witte, B. I., Cuijpers, P. J., de Bree, R., Becker‐Commissaris, A., Smit, E. F., van Straten, A., Eeckhout, A. M., Beekman, A. T. F., et al. (2016) · Annals of Oncology · doi:10.1093/annonc/mdw230 · Cited by 74 · see citing works
Association between serious psychological distress and health care use and expenditures by cancer history
Han, X., Lin, C. C., Li, C., de Moor, J. S., Rodriguez, J. L., Kent, E. E., & Forsythe, L. P. (2014) · Cancer · doi:10.1002/cncr.29102 · Cited by 72 · see citing works
Predictors of psychological distress in advanced cancer patients under palliative treatments
Diaz-Frutos, D., Baca‐García, E., García‐Foncillas, J., & López-Castroman, J. (2016) · European Journal of Cancer Care · doi:10.1111/ecc.12521 · Cited by 71 · see citing works
Economic evaluations of psychosocial interventions in cancer: a systematic review
Dieng, M., Cust, A. E., Kasparian, N. A., Mann, G. J., & Morton, R. L. (2016) · Psycho-Oncology · doi:10.1002/pon.4075 · Cited by 66 · see citing works
Psychological problems among cancer patients in relation to healthcare and societal costs: A systematic review
van Beek, F. E., Wijnhoven, L. M. A., Holtmaat, K., Custers, J. A. E., Prins, J. B., Leeuw, I. M. V., & Jansen, F. (2021) · Psycho-Oncology · doi:10.1002/pon.5753 · Cited by 64 · see citing works
Screening for distress, the sixth vital sign: examining self‐referral in people with cancer over a one‐year period
Waller, A. E., Williams, A. M., Groff, S. L., Bultz, B. D., & Carlson, L. E. (2011) · Psycho-Oncology · doi:10.1002/pon.2102 · Cited by 63 · see citing works
Self-citation
Positive psychological functioning in breast cancer: An integrative review
Casellas‐Grau, A., Vives, J., Font, A., & Ochoa, C. (2016) · The Breast · doi:10.1016/j.breast.2016.04.001 · Cited by 63 · see citing works
Validation of the emotion thermometers and hospital anxiety and depression scales in Singapore: Screening cancer patients for distress, anxiety and depression
Beck, K. R., Tan, S. M., Lum, S. S., Lim, L. E., & Krishna, L. K. R. (2014) · Asia-Pacific Journal of Clinical Oncology · doi:10.1111/ajco.12180 · Cited by 62 · see citing works
Happiness and time perspective as potential mediators of quality of life and depression in adolescent cancer
Bitsko, M. J., Stern, M., Dillon, R., Russell, E. C., & Laver, J. (2008) · Pediatric Blood & Cancer · doi:10.1002/pbc.21337 · Cited by 60 · see citing works
Supportive care of rural women with breast cancer in Tasmania, Australia: changing needs over time
Minstrell, M., Winzenberg, T. M., Rankin, N. M., Hughes, C. J., & Walker, J. (2007) · Psycho-Oncology · doi:10.1002/pon.1174 · Cited by 58 · see citing works
Evidence on the economic value of psychosocial interventions to alleviate anxiety and depression among cancer survivors: A systematic review
Gordon, L. G., Beesley, V. L., & Scuffham, P. (2011) · Asia-Pacific Journal of Clinical Oncology · doi:10.1111/j.1743-7563.2011.01395.x · Cited by 55 · see citing works
Selecting, implementing and evaluating patient-reported outcome measures for routine clinical use in cancer: the Cancer Care Ontario approach
Montgomery, N., Howell, D., Ismail, Z., Bartlett, S. J., Brundage, M., Bryant‐Lukosius, D., Krzyzanowska, M. K., Moody, L., Snyder, C. F., & Barbera, L. C. (2020) · Journal of Patient-Reported Outcomes · doi:10.1186/s41687-020-00270-1 · Cited by 55 · see citing works
Integrating mindfulness in supportive cancer care: a cohort study on a mindfulness-based day care clinic for cancer survivors
Dobos, G., Overhamm, T., Büssing, A., Ostermann, T., Langhorst, J., Kümmel, S., Paul, A., & Cramer, H. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-015-2660-6 · Cited by 54 · see citing works
Stepped care targeting psychological distress in head and neck and lung cancer patients: a randomized clinical trial
Krebber, A.-M. H., Leemans, C. R., de Bree, R., van Straten, A., Smit, F., Smit, E. F., Becker‐Commissaris, A., Eeckhout, G. M., Beekman, A. T. F., Cuijpers, P. J., et al. (2012) · BMC Cancer · doi:10.1186/1471-2407-12-173 · Cited by 53 · see citing works
Randomized Pilot Evaluation of the Supportive Care Intervention “CONNECT” for People Following Surgery for Colorectal Cancer
Harrison, J. D., Young, J. M., Solomon, M. J., Butow, P. N., Secomb, R., & Masya, L. M. (2011) · Diseases of the Colon & Rectum · doi:10.1007/dcr.0b013e31820bc152 · Cited by 51 · see citing works
Quality of life in head and neck cancer survivors at 1 year after treatment: the mediating role of unmet supportive care needs
So, W. K. W., Choi, K. C., Chen, J. M. T., Chan, C. W. H., Chair, S. Y., Fung, W. M. O., Wan, R. W. M., Mak, S. S. S., Ling, W. M., Ng, W. T., et al. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2278-0 · Cited by 48 · see citing works
Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers
Atreya, C. E., Kubo, A., Borno, H. T., Rosenthal, B., Campanella, M., Rettger, J. P., Joseph, G., Allen, I. E., Venook, A. P., Altschuler, A., et al. (2018) · PLoS ONE · doi:10.1371/journal.pone.0199423 · Cited by 47 · see citing works
“Distress in cancer patients has been associated with nonadherence to anti-cancer medications; increased number of clinic and emergency room visits, longer hospital stays [55, 56]; worse quality of life and inferior survival [57–59].”
Background
Screening for distress can predict loss of follow‐up and treatment in cancer patients: results of development and validation of the Distress Inventory for Cancer Version 2
Thomas, B. C., Thomas, I., NandaMohan, V., Nair, M. K., & Pandey, M. (2008) · Psycho-Oncology · doi:10.1002/pon.1422 · Cited by 46 · see citing works
A descriptive analysis of the relationship between quality of life and distress in individuals with head and neck cancer
Bornbaum, C. C., Fung, K., Franklin, J. H., Nichols, A. C., Yoo, J. J., & Doyle, P. C. (2011) · Supportive Care in Cancer · doi:10.1007/s00520-011-1326-2 · Cited by 45 · see citing works
Emotional distress in haemophilia: Factors associated with the presence of anxiety and depression symptoms among adults
Pinto, P. R., Paredes, A. C., Moreira, P. S., Fernandes, S., Lopes, M., Carvalho, M., & Almeida, A. (2018) · Haemophilia · doi:10.1111/hae.13548 · Cited by 45 · see citing works
An implementation science primer for psycho-oncology: translating robust evidence into practice
Rankin, N. M., Butow, P. N., Hack, T. F., Shaw, J., Shepherd, H. L., Ugalde, A., & Sales, A. E. (2019) · Journal of Psychosocial Oncology Research and Practice · doi:10.1097/or9.0000000000000014 · Cited by 44 · see citing works
A pilot study of improved psychological distress with art therapy in patients with cancer undergoing chemotherapy
Elimimian, E. B., Elson, L. C., Stone, E., Butler, R. S., Doll, M., Roshon, S., Kondaki, C., Padgett, A., & Nahleh, Z. A. (2020) · BMC Cancer · doi:10.1186/s12885-020-07380-5 · Cited by 43 · see citing works
Cost‐utility analysis of meaning‐centered group psychotherapy for cancer survivors
van der Spek, N., Jansen, F., Holtmaat, K., Vos, J., BREITBART, W. S., van Uden‐Kraan, C. F., Tollenaar, R. A. �. �., Cuijpers, P. J., Coupé, V. M. H., & Leeuw, I. M. V. (2018) · Psycho-Oncology · doi:10.1002/pon.4726 · Cited by 42 · see citing works
Patients' and clinicians' experiences of holistic needs assessment using a cancer distress thermometer and problem list: A qualitative study
Biddle, L., Paramasivan, S., Harris, S., Campbell, R. M., Brennan, J., & Hollingworth, W. (2016) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2016.04.004 · Cited by 42 · see citing works
Brief metacognitive therapy for emotional distress in adult cancer survivors.
Fisher, P. L., Byrne, A., Fairburn, L., Ullmer, H., Abbey, G., & Salmon, P. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00162 · Cited by 38 · see citing works
Hope, emotion regulation, and psychosocial well-being in patients newly diagnosed with cancer
Peh, C. X., Kua, E. H., & Mahendran, R. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-015-2989-x · Cited by 39 · see citing works
A review on cost-effectiveness and cost-utility of psychosocial care in cancer patients
Jansen, F., van Zwieten, V., Coupé, V. M. H., Leemans, C. R., & Leeuw, I. M. V. (2016) · Asia-Pacific Journal of Oncology Nursing · doi:10.4103/2347-5625.182930 · Cited by 39 · see citing works
Gender, age and surgery as a treatment modality leads to higher distress in patients with cancer
Thomas, B. C., NandaMohan, V., Nair, M. K., & Pandey, M. (2010) · Supportive Care in Cancer · doi:10.1007/s00520-009-0810-4 · Cited by 39 · see citing works
Symptom Concerns and Resource Utilization in Patients with Lung Cancer
Podnos, Y. D., Borneman, T. R., Koczywas, M., Uman, G. C., & FERRELL, B. R. (2007) · Journal of Palliative Medicine · doi:10.1089/jpm.2006.0232 · Cited by 38 · see citing works
Acceptance and commitment therapy for adults with advanced cancer (CanACT): study protocol for a feasibility randomised controlled trial
Low, J., Serfaty, M., Davis, S., Vickerstaff, V., Gola, A., Omar, R. Z., King, M., Tookman, A., Austen, J. S. J., Turner, K., et al. (2016) · Trials · doi:10.1186/s13063-016-1169-8 · Cited by 37 · see citing works
The usefulness and feasibility of a screening instrument to identify psychosocial problems in patients receiving curative radiotherapy: a process evaluation
Braeken, A. P. B. M., Kempen, G. I. J. M., Eekers, D. B. P., van Gils, F. C. J. M., Houben, R. M. A., & Lechner, L. (2011) · BMC Cancer · doi:10.1186/1471-2407-11-479 · Cited by 36 · see citing works
Unmet psychosocial supportive care needs and psychological distress in haematological cancer survivors: The moderating role of psychological flexibility
Swash, B., Bramwell, R., & Hulbert-Williams, N. J. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2017.02.005 · Cited by 35 · see citing works
Stress hormones mediate drug resistance to paclitaxel in human breast cancer cells through a CDK-1-dependent pathway
Flint, M. S., Kim, G., Hood, B. L., Bateman, N. W., Stewart, N. A., & Conrads, T. P. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2009.05.008 · Cited by 35 · see citing works
Oncologists’ identification of mental health distress in cancer patients: Strategies and barriers
Granek, L., Nakash, O., Ariad, S., Shapira, S., & Ben-David, M. A. (2018) · European Journal of Cancer Care · doi:10.1111/ecc.12835 · Cited by 35 · see citing works
Economic Analysis of Psychosocial Group Therapy in Women with Metastatic Breast Cancer
Lemieux, J., Topp, A., Chappell, H., Ennis, M., & Goodwin, P. J. (2006) · Breast Cancer Research and Treatment · doi:10.1007/s10549-006-9249-1 · Cited by 35 · see citing works
Effect of acceptance and commitment therapy on mood, sleep quality and quality of life in menopausal women: a randomized controlled trial
Monfaredi, Z., Malakouti, J., Farvareshi, M., & Mirghafourvand, M. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03768-8 · Cited by 36 · see citing works
“In addition to effectiveness, counseling in this field will reduce overall health costs [39, 40].”
Background
Distress predicts utilization of psychosocial health services in oncology patients
Hamilton, J. L., & Kroska, E. B. (2018) · Psycho-Oncology · doi:10.1002/pon.4910 · Cited by 34 · see citing works
A nurse- and peer-led support program to assist women in gynaecological oncology receiving curative radiotherapy, the PeNTAGOn study (Peer and nurse support trial to assist women in gynaecological oncology): study protocol for a randomised controlled trial
Schofield, P. E., Juraskova, I., Bergin, R. J., Gough, K., Mileshkin, L., Krishnasamy, M., White, K., Bernshaw, D. M., Penberthy, S., & Aranda, S. K. (2013) · Trials · doi:10.1186/1745-6215-14-39 · Cited by 35 · see citing works
The Interprofessional Psychosocial Oncology Distance Education (IPODE) project: perceived outcomes of an approach to healthcare professional education
McLeod, D. L., Curran, J., Dumont, S., White, M., & Charles, G. (2013) · Journal of Interprofessional Care · doi:10.3109/13561820.2013.863181 · Cited by 33 · see citing works
What to do with screening for distress scores? Integrating descriptive data into clinical practice
Blais, M.-C., St-Hilaire, A., Fillion, L., de Serres, M., & Tremblay, A. (2013) · Palliative & Supportive Care · doi:10.1017/s1478951513000059 · Cited by 33 · see citing works
Individualized Integrative Cancer Care in Anthroposophic Medicine
Kienle, G. S., Mussler, M., Fuchs, D., & Kiene, H. (2016) · Integrative Cancer Therapies · doi:10.1177/1534735416640091 · Cited by 33 · see citing works
Use of Mental Health Apps by Patients With Breast Cancer in the United States: Pilot Pre-Post Study
Chow, P. I., Showalter, S. L., Gerber, M. S., Kennedy, E. M., Brenin, D. R., Mohr, D. C., Lattie, E. G., Gupta, A., Ocker, G., & Cohn, W. F. (2020) · JMIR Cancer · doi:10.2196/16476 · Cited by 33 · see citing works
Screening for distress: Responding is a critical function for oncology nurses
Fitch, M. I., Howell, D., McLeod, D. L., & Green, E. (2011) · Canadian Oncology Nursing Journal · doi:10.5737/1181912x2211220 · Cited by 33 · see citing works
Cancer Patient Ethnicity and Associations with Emotional Distress—the 6th Vital Sign: A New Look at Defining Patient Ethnicity in a Multicultural Context
Thomas, B. C., Carlson, L. E., & Bultz, B. D. (2008) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-008-9180-0 · Cited by 33 · see citing works
Self-citation
Close Relationships and Immunity
Graham‐Engeland, J. E., Christian, L. M., & Kiecolt‐Glaser, J. K. (2007) · Elsevier eBooks · doi:10.1016/b978-012088576-3/50043-5 · Cited by 35 · see citing works
Assessing the Effectiveness of Integrated Interventions: Terminology and Approach
Smith, G., & Clarke, D. (2006) · Medical Clinics of North America · doi:10.1016/j.mcna.2006.04.006 · Cited by 32 · see citing works
The psychometric properties of the Icelandic version of the Distress Thermometer and Problem List
Gunnarsdóttir, S., Þorvaldsdóttir, G. H., Fridriksdóttir, N., Bjarnason, B., Sigurðsson, F., Skulason, B., & Smári, J. (2011) · Psycho-Oncology · doi:10.1002/pon.1950 · Cited by 33 · see citing works
Systematic review of healthcare costs related to mental health conditions among cancer survivors
Khushalani, J. S., Qin, J., Cyrus, J. W. W., Lunsford, N. B., Rim, S. H., Han, X., Yabroff, K. R., & Ekwueme, D. U. (2018) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1080/14737167.2018.1485097 · Cited by 32 · see citing works
Risk factors for developing depression in women with cervical cancer: a nationwide population-based study in Taiwan
Shyu, I.-L., Hu, L.-Y., Chen, Y.-J., Wang, P.-H., & Huang, B. (2019) · International Journal of Women's Health · doi:10.2147/ijwh.s193003 · Cited by 26 · see citing works
Psychosocial staffing at National Comprehensive Cancer Network member institutions: data from leading cancer centers
Deshields, T. L., Kracen, A. C., Nanna, S. K., & Kimbro, L. (2015) · Psycho-Oncology · doi:10.1002/pon.3826 · Cited by 30 · see citing works
Strategies and Barriers in Addressing Mental Health and Suicidality in Patients With Cancer
Granek, L., Nakash, O., Ariad, S., Shapira, S., & Ben-David, M. A. (2019) · Oncology nursing forum · doi:10.1188/19.onf.561-571 · Cited by 30 · see citing works
More frequent use of health care services among distressed compared with nondistressed survivors of lymphoma and chronic lymphocytic leukemia: Results from the population‐based PROFILES registry
Arts, L. P. J., Oerlemans, S., Tick, L. W., Koster, A., Roerdink, H., & van de Poll-Franse, L. V. (2018) · Cancer · doi:10.1002/cncr.31410 · Cited by 28 · see citing works
A Novel Mobile Phone App Intervention With Phone Coaching to Reduce Symptoms of Depression in Survivors of Women’s Cancer: Pre-Post Pilot Study
Chow, P. I., Drago, F., Kennedy, E. M., & Cohn, W. F. (2019) · JMIR Cancer · doi:10.2196/15750 · Cited by 28 · see citing works
Study protocol of a multicenter randomized controlled trial comparing the effectiveness of group and individual internet-based Mindfulness-Based Cognitive Therapy with treatment as usual in reducing psychological distress in cancer patients: the BeMind study
Compen, F. R., Bisseling, E., van der Lee, M. L., Adang, E., Donders, A. R. T., & Speckens, A. E. M. (2015) · BMC Psychology · doi:10.1186/s40359-015-0084-1 · Cited by 29 · see citing works
Cost–utility analysis of individual psychosocial support interventions for breast cancer patients in a randomized controlled study
Arving, C., Brandberg, Y., Feldman, I., Johansson, B., & Glimelius, B. L. G. (2013) · Psycho-Oncology · doi:10.1002/pon.3411 · Cited by 28 · see citing works
Mental health treatment dose and annual healthcare costs in patients with cancer and major depressive disorder.
Mausbach, B. T., Bos, T., & Irwin, S. A. (2018) · Health Psychology · doi:10.1037/hea0000670 · Cited by 27 · see citing works
Psychological needs when diagnosed with testicular cancer: findings from a population‐based study with long‐term follow‐up
Skoogh, J., Steineck, G., Johansson, B. E. A., Wilderäng, U., Stierner, U. K., & SWENOTECA (2013) · British Journal of Urology · doi:10.1111/j.1464-410x.2012.11696.x · Cited by 27 · see citing works
Screening for Psychosocial Distress: A Brief Review with Implications for Oncology Nursing
Fitch, M. I., Nicoll, I., & Burlein‐Hall, S. (2024) · Healthcare · doi:10.3390/healthcare12212167 · Cited by 26 · see citing works
Intravenous Mistletoe Treatment in Integrative Cancer Care: A Qualitative Study Exploring the Procedures, Concepts, and Observations of Expert Doctors
Kienle, G. S., Mussler, M., Fuchs, D., & Kiene, H. (2016) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2016/4628287 · Cited by 26 · see citing works
Pain Prevalence, Characteristics, and Impact Among People with Hemophilia: Findings from the First Portuguese Survey and Implications for Pain Management
Pinto, P. R., Paredes, A. C., & Almeida, A. (2018) · Pain Medicine · doi:10.1093/pm/pny309 · Cited by 26 · see citing works
Mindfulness‐based cognitive therapy (MBCT) is cost‐effective compared to a wait‐list control for persistent pain in women treated for primary breast cancer—Results from a randomized controlled trial
Johannsen, M., Sørensen, J. R., O’Connor, M., Jensen, A. B., & Zachariae, R. H. (2017) · Psycho-Oncology · doi:10.1002/pon.4450 · Cited by 25 · see citing works
The management of psychological issues in oncology.
McFarland, D. C., & Holland, J. C. (2016) · PubMed · Cited by 25 · see citing works
Measurement invariance across gender and age groups, validity and reliability of the Chinese version of the short-form supportive care needs survey questionnaire (SCNS-SF34)
Choi, E. P. H., Liao, Q., Soong, I., Chan, K. K. L., Lee, C. C. Y., Ng, A. W.-Y., Sze, W. K., Tsang, J. W. H., Lee, V. H.-F., & Lam, W. (2020) · Health and Quality of Life Outcomes · doi:10.1186/s12955-020-01289-0 · Cited by 25 · see citing works
Enduring psychological impact of childhood cancer on survivors and their families in Ireland: A national qualitative study
Barrett, P., Mullen, L., & McCarthy, T. (2020) · European Journal of Cancer Care · doi:10.1111/ecc.13257 · Cited by 25 · see citing works
Psychological Distress, Coping Strategies, and Quality of Life in Breast Cancer Patients Under Neoadjuvant Therapy: Protocol of a Systematic Review
Omari, M., Zarrouq, B., Amaadour, L., Benbrahim, Z., Asri, A. E., Mellas, N., Rhazi, K. E., Ragala, M. E. A., & Halim, K. (2022) · Cancer Control · doi:10.1177/10732748221074735 · Cited by 25 · see citing works
The interplay of financial toxicity, health care team communication, and psychosocial well‐being among rural cancer patients and survivors
Miller, M. F., Olson, J. S., Doughtie, K., Zaleta, A. K., & Rogers, K. P. (2023) · The Journal of Rural Health · doi:10.1111/jrh.12779 · Cited by 25 · see citing works
Distress and Quality of Life in Cancer Patients Receiving Chemotherapy
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Benefits of psychosocial oncology care: improved quality of life and medical cost offset.
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Self-citation
Health and Quality of Life Outcomes BioMed Central Review Benefits of psychosocial oncology care: Improved quality of life and
Carlson, L. E., Access, B. D. B. O., Carlson, L. E., & Bultz, B. D. (2003)
Self-citation
CARE: MAKING THE CASE FOR
Carlson, L., Bultz, B. D., Profile, S., Carlsona, L. E., & Bultza, B. D. (2004)
Self-citation
Economic evaluations of psychosocial interventions in cancer: a systematic review
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A review on cost-effectiveness and cost-utility of psychosocial care in cancer patients
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Authors: Carlson, L. E., & Bultz, B. D.
Affiliations: University of Calgary (CA)
Corresponding author: Carlson, Linda E.
ORCID: Carlson, Linda E.
Bultz, Barry D.
Venue: Psycho-Oncology
Publisher: Wiley
Published: 2004-12
Volume: 13
Issue: 12
Pages: 837-849
ISSN: 1057-9249 (ISSN-L)
1099-1611
DOI: 10.1002/pon.832
OpenAlex: W2100988689
Cited by: 276
References: 84
Citations by year: 2026: 10 · 2025: 7 · 2024: 3 · 2023: 12 · 2022: 13 · 2021: 12 · 2020: 15 · 2019: 16 · 2018: 30 · 2017: 14 · 2016: 20 · 2015: 17 · 2014: 13 · 2013: 19 · 2012: 11
FWCI: 0.90
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1 d)
Locations: Psycho-Oncology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Financial Impacts of Cancer
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Keywords: psychosocial interventions, cancer patients, economic evaluation, cost offsets, cost-effectiveness, psychological distress, mental health care costs, cancer care, healthcare cost reduction
MeSH terms: Cost-Benefit Analysis, Depression, Humans, Mental Health Services, Neoplasms, Patient Acceptance of Health Care, Social Support, Stress, Psychological, Health Care Costs, Cost of Illness

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Efficacy and medical cost offset of psychosocial interventions in cancer care: making the case for economic analyses

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