Accession Number : ADA303130

Title :   A Randomized Clinical Trial to Evaluate Advanced Nursing Care for Women with Newly Diagnosed Breast Cancer.

Descriptive Note : Annual rept. 1 Oct 94-30 Sep 95,

Corporate Author : PARK NICOLLETT MEDICAL FOUNDATION MINNEAPOLIS MN

Personal Author(s) : Ritz, Laurie

PDF Url : ADA303130

Report Date : OCT 1995

Pagination or Media Count : 33

Abstract : Providing cost-effective care while maintaining quality outcomes of women newly diagnosed with breast cancer is a major public health goal in the United States. The purpose of this randomized clinical trial is to study the impact of an advanced practice nurse on the cost of care and quality of life for women newly diagnosed with breast cancer. The control group receives standard medical care while the experimental group receives standard medical care plus advanced nursing care. A cost model is being developed which, in addition to our current study, has implications for future cost analysis studies for treatment of breast cancer. Three quality of life instruments which are being utilized are the Profile of Mood States (POMS), Mishel Uncertainty in Illness Scale (MUIS), and the Functional Assessment of Cancer Therapy (FACT-B). Enrollment of 58 subjects into the four year study has occurred. The participants are maintaining a high rate of completion and return of all questionnaires (98%) with actual attrition being lower than projected, 9% and 20% respectively.

Descriptors :   *COST EFFECTIVENESS, *CLINICAL MEDICINE, *DIAGNOSIS(MEDICINE), *MEDICAL SERVICES, *HEALTH CARE FACILITIES, *WOMEN, *NURSES, *MAMMARY GLANDS, *BREAST CANCER, CONTROL, UNCERTAINTY, UNITED STATES, HIGH RATE, COST ANALYSIS, RANDOM VARIABLES, DAMAGE ASSESSMENT, QUALITY, SCALE, COST MODELS, ILLNESS, THERAPY, PUBLIC HEALTH, QUESTIONNAIRES, NURSING, CANCER, LIVING STANDARDS.

Subject Categories : Medicine and Medical Research
      Economics and Cost Analysis
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE