Table 14Characteristics and outcomes of studies of case management for patients with cancer (randomized trials)

Author Year QualityCancer Type(s)Patient PopulationSettingSample SizeHealth OutcomesPatient ExperienceQuality of CareResource Utilization, Cost
Engelhardt 2006142
Fair
MultipleaAny patient with cancer, or COPD or CHF with recent hospitalizations3 VAMCs, 2 MCOs, home care organization (U.S.)275NR↑ Satisfaction↑ Advanced directive completion=
Goodwin 2003143
Jennings-Sanders 2003,147 2005148
Fair
BreastWomen ≥ 65 with newly diagnosed cancer13 community hospitals, 2 public hospitals (U.S.)335↑ Arm function after surgery↑ Satisfaction↑ Breast-conserving surgery with radiation therapyNR
McCorkle 1989145
Poor
LungHomebound patientsHome care program (U.S.)166↑ Improved symptoms, functional status

↓ Perceived health
NRNR=
Moore 2002144
Fair
LungPatients completing initial cancer treatmentCancer hospital, 3 outpatient cancer centers (U.K.)203↑ Improved symptoms, emotional functioning↑ Satisfaction↑ Radiation therapy↑ Fewer x-rays
Mor 199518
Fair
MultiplePatients starting chemotherapy2 hospital-based clinics, 8 private oncology practices (U.S.)257==NR=
Ritz 2000146
Poor
BreastWomen ≥ 21 with newly diagnosed cancerIntegrated health care system (U.S.)141↑ Less uncertainty about illnessNRNR=

CHF = congestive heart failure; COPD = chronic obstructive pulmonary disease; MCO = managed care organization; NR = not reported; U.K. = United Kingdom; U.S. = United States; VAMC=Veterans Affairs Medical Center

Note: ↑ Better with case management; = No difference; ↓ Worse with case management.

a

Studies may have examined multiple outcomes within an outcome category.

From: Results

Cover of Outpatient Case Management for Adults With Medical Illness and Complex Care Needs
Outpatient Case Management for Adults With Medical Illness and Complex Care Needs [Internet].
Comparative Effectiveness Reviews, No. 99.
Hickam DH, Weiss JW, Guise JM, et al.

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