de Moor Janet S, Alfano Catherine M, Breen Nancy, Kent Erin E, Rowland Julia
Health Services and Economics Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Drive, 3E438, MSC 9764, Bethesda, MD, 20892-9764, USA,
J Cancer Surviv. 2015 Sep;9(3):560-6. doi: 10.1007/s11764-015-0433-3. Epub 2015 Feb 18.
This paper summarizes recommendations stemming from the meeting, Applying Evidence from Economic Evaluations to Translate Cancer Survivorship Research into Care, hosted by the National Cancer Institute.
The meeting convened funded investigators, experts in cancer control, survivorship, health economics, and team science to identify the economic and health services data needed to facilitate the dissemination of cancer survivorship interventions into care and how survivorship and health economic investigators can successfully collaborate together and with other stakeholders.
Recommendations from the meeting are as follows. First, investigators must engage key stakeholders early in the planning process to understand the outcomes and cost domains on which they base decisions. Second, evaluations of intervention efficacy and value should be conducted using standardized and comparable measures and analytic approaches to enable comparisons across studies. Finally, a health economist should be included during the planning phase of the study so that the economic evaluation is pursued in concert with the survivorship intervention.
Economic analyses, from the perspective of key stakeholders, must be incorporated into survivorship intervention research. The results from these analyses should be disseminated in a manner that is transparent, accessible, and comparable across studies.
To optimize cancer survivors' health and quality of life, it is essential deliver high-quality and high-value care. Incorporating economic analyses into survivorship intervention research can inform the translation of effective interventions into practice.
本文总结了由美国国立癌症研究所主办的“将经济评估证据应用于将癌症幸存者研究转化为护理”会议所产生的建议。
该会议召集了获得资助的研究人员、癌症控制、幸存者护理、卫生经济学和团队科学方面的专家，以确定促进将癌症幸存者干预措施推广到护理中所需的经济和卫生服务数据，以及幸存者护理和卫生经济研究人员如何能够成功地相互协作并与其他利益相关者合作。
会议的建议如下。首先，研究人员必须在规划过程的早期就与关键利益相关者合作，以了解他们做出决策所依据的结果和成本领域。其次，应使用标准化和可比的措施及分析方法对干预效果和价值进行评估，以便能够在各项研究之间进行比较。最后，应在研究的规划阶段纳入一名卫生经济学家，以便经济评估与幸存者护理干预措施同步进行。
必须从关键利益相关者的角度将经济分析纳入幸存者护理干预研究。这些分析的结果应以透明、易于获取且在各项研究之间具有可比性的方式进行传播。
为了优化癌症幸存者的健康和生活质量，提供高质量和高价值的护理至关重要。将经济分析纳入幸存者护理干预研究可以为将有效干预措施转化为实践提供信息。
