Effect of group therapy for breast cancer on healthcare utilization

Purpose: The purpose of this study was to determine whether participation i n a group psychological intervention by patients with breast cancer would r esult in an improvement in psychological measures and in reduced billings i n general medical expenses. Description of study: Eligible women who had completed treatment for stage 0, I, or II primary breast cancer were prospectively and randomly assigned to either the intervention (n = 46) or control (n = 43) group. Both groups received the usual psychosocial care; however, the intervention group also participated in six weekly cognitive/behavioural psychosocial meetings. All were assessed on psychiatric symptoms, mood, depression, and coping strate gies at four time periods: preintervention, postintervention, 1-year follow -up, and 2-year follow-up. Alberta Healthcare billing records were obtained covering the 2-year follow-up period to determine the amount billed per pe rson over the course of the study. Results: Women in the intervention group had less depression, less overall mood disturbance, better overall quality of life, and fewer psychiatric sym ptoms than those in the control group, beginning immediately postinterventi on and remaining so at 2-years postintervention. Billing in the interventio n group was an average of $147 less than in the control group, a 23.5% redu ction. Clinical implications: This is the first study to show that a psychosocial intervention can reduce direct healthcare billings in a sample of patients with cancer. Importantly, these findings help to justify the routine availa bility of such programs in cancer treatment facilities worldwide.