A Randomized Clinical Trial to Evaluate Advanced Nursing Care for Women With Newly Diagnosed Breast Cancer
Abstract
The purpose of the research funded by this grant (DAMD17-94-J-4449) was to determine if advanced practice nurses (APN's) improve quality of life(QOL) and decrease costs of care of women newly diagnosed with breast cancer. In a randomized clinical trial, the control group (n = 104) received standard care; the intervention group (n = 106) received standard care plus APN interventions. QOL was measured by tests with established reliability and validity at seven intervals over two years. Costs of care were collected through billing records. Uncertainty in illness decreased significantly more from baseline in the intervention group vs. the control group at 1, 3, and 6 months after diagnosis. Intervention and control groups did not differ in mood disturbance or well-being except among unmarried women and women and no history of breast cancer. Intervention and control costs did not differ. In a second descriptive study, similar QOL improvements were demonstrated with a less costly 6-month APN intervention. Qualitative analysis of participants' comments further describes the participants' experiences. In conclusion, APN interventions improved some QOL indicators but did not significantly affect costs. Women newly diagnosed with breast cancer have multiple needs requiring interventions. Further research is critical to maximize both quality and cost outcomes.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jul 01, 2000
- Accession Number
- ADA388011
Entities
People
- Laurie Ritz