Abstract
Purpose of the research
The main aim was to assess the effects of a spa treatment on the resumption of occupational
and non-occupational activities and the abilities of women in breast cancer remission.
A cost-effectiveness analysis (CEA) was also performed.
Methods and sample
A multicentre randomised controlled trial was carried out between 2008 and 2010 in
the University Hospital of Auvergne and two private hospitals in Clermont-Ferrand,
France. Eligible patients were women in complete breast cancer remission without contraindication
for physical activities or cognitive disorders and a body mass index between 18.5
and 40 kg/m2. The intervention group underwent spa treatment combined with consultation with dietician
whereas the control underwent consultations with the dietician only. Of the 181 patients
randomised, 92 and 89 were included in the intervention and the control groups, respectively.
The CEA involved 90 patients, 42 from the intervention group and 48 from the control
group.
Key results
The main results showed a higher rate of resumption of occupational activities in
the intervention group (p = 0.0025) and a positive effect of the intervention on the women's ability to perform
occupational activities 12 months after the beginning of the study (p = 0.0014), and on their ability to perform family activities (p = 0.033). The stay in a thermal centre was cost-effective at 12 months.
Conclusions
Spa treatment is a cost-effective strategy to improve resumption of occupational and
non-occupational activities and the abilities of women in breast cancer remission.
Keywords
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Article info
Publication history
Published online: May 29, 2014
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© 2014 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
