title: Increasing Cardiomyopathy Screening in Childhood Cancer Survivors: A Cost Analysis of Advanced Practice Nurse Phone Counseling.
abstract: To document the per survivor and per additional survivor screening costs of a mailed survivorship care plan (SCP) with advanced practice nurse (APN) telephone counseling (SCP+C) or without APN telephone counseling (SCP). .
  
  
  
  Randomized, longitudinal clinical trial. .
  
  
  
  St. Jude Children's Research Hospital in Memphis, Tennessee. .
  
  
  
  411 at-risk pediatric cancer survivors (aged 26-59 years), stratified by age (younger than 30 years versus 30 years or older), recommended screening frequency (every one, two, or five years), gender, and cancer diagnosis (hematologic versus solid tumor). .
  
  
  
  Clinical and resource data costs were derived from trial data and external estimates. .
  
  
  
  The cost-effectiveness of left ventricular systolic function screening per survivor and per each additional survivor screened. .
  
  
  
  The per-survivor costs of SCP (n = 206) and SCP+C (n = 205) were $74.91 and $224.69, respectively. The estimated costs of SCP and SCP+C per additional survivor screened for two years disseminated in a medium-sized clinic (n = 101 survivors annually) were $345.41 and $293.85, respectively. .
  
  
  
  Adding APN counseling to a printed SCP may help preserve cardiac health at little or no cost per additional survivor screened. .
  
  
  
  APN counseling is cost-effective and superior to the standard of care in supporting at-risk survivors' cardiac screening participation.
authors: St. Jude Children's Research Hospital.
authors: Cheryl L
authors: CL
authors: Cox
authors: The division of Public Health Sciences, The Fred Hutchinson Cancer Research Center.
authors: M Robyn
authors: MR
authors: Andersen
authors: St. Jude Children's Research Hospital.
authors: Aimee K
authors: AK
authors: Santucci
authors: St. Jude Children's Research Hospital.
authors: Les L
authors: LL
authors: Robison
authors: Department of Hematology/Oncology, St. Jude Children's Research Hospital.
authors: Melissa M
authors: MM
authors: Hudson
mesh_terms: D000328:Adult; D057179:Advanced Practice Nursing / Q000191:economics*; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D009202:Cardiomyopathies / Q000175:diagnosis*; D003362:Cost-Benefit Analysis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000191:economics* / Q000706:statistics & numerical data; D008875:Middle Aged; D011795:Surveys and Questionnaires; D017741:Survivors / Q000706:statistics & numerical data*; D017216:Telemedicine / Q000191:economics* / Q000706:statistics & numerical data; D013714:Tennessee
keywords: Screening; cardiomyopathy; echocardiogram; nursing intervention; pediatric cancer; survivors