Cost-Utility Analysis of a Cardiac Telerehabilitation Program: The Teledialog Project.

Authors:
Kristian Kidholm
Kristian Kidholm
Odense University Hospital
Denmark
Jan Jesper Andreasen
Jan Jesper Andreasen
Aalborg Hospital
Denmark
John Hansen
John Hansen
University of Washington
United States
Gitte Nielsen
Gitte Nielsen
Aarhus University Hospital
Denmark
Helle Spindler
Helle Spindler
Aarhus University
Aarhus | Denmark
Birthe Dinesen
Birthe Dinesen
Aalborg University
Denmark

Telemed J E Health 2016 07 29;22(7):553-63. Epub 2015 Dec 29.

7 Telehealth and Telerehabilitation, Laboratory of Assistive Technologies, SMI ®, Department of Health Science and Technology, Faculty of Medicine, Aalborg University , Aalborg, Denmark .

Background: Cardiac rehabilitation can reduce mortality of patients with cardiovascular disease, but a frequently low participation rate in rehabilitation programs has been found globally. The objective of the Teledialog study was to assess the cost-utility (CU) of a cardiac telerehabilitation (CTR) program. The aim of the intervention was to increase the patients' participation in the CTR program. At discharge, an individualized 3-month rehabilitation plan was formulated for each patient. At home, the patients measured their own blood pressure, pulse, weight, and steps taken for 3 months.

Materials And Methods: The analysis was carried out together with a randomized controlled trial with 151 patients during 2012-2014. Costs of the intervention were estimated with a health sector perspective following international guidelines for CU. Quality of life was assessed using the 36-Item Short Form Health Survey.

Results: The rehabilitation activities were approximately the same in the two groups, but the number of contacts with the physiotherapist was higher among the intervention group. The mean total cost per patient was €1,700 higher in the intervention group. The quality-adjusted life-years (QALYs) gain was higher in the intervention group, but the difference was not statistically significant. The incremental CU ratio was more than €400,000 per QALY gained.

Conclusions: Even though the rehabilitation activities increased, the program does not appear to be cost-effective. The intervention itself was not costly (less than €500), and increasing the number of patients may show reduced costs of the devices and make the CTR more cost-effective. Telerehabilitation can increase participation, but the intervention, in its current form, does not appear to be cost-effective.

Download full-text PDF

Source
https://www.liebertpub.com/doi/10.1089/tmj.2015.0194
Publisher Site
http://dx.doi.org/10.1089/tmj.2015.0194DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4939376PMC

Still can't find the full text of the article?

Sign up to send a request to the authors directly.
July 2016
113 Reads

Publication Analysis

Top Keywords

intervention group
12
higher intervention
12
ctr program
8
cardiac telerehabilitation
8
appear cost-effective
8
rehabilitation activities
8
intervention
7
rehabilitation
5
difference statistically
4
weight steps
4
carried randomized
4
quality-adjusted life-years
4
steps monthsmaterials
4
group difference
4
qalys gain
4
analysis carried
4
methods analysis
4
gain higher
4
monthsmaterials methods
4
statistically incremental
4

Similar Publications

A Conductive Self-Healing Double Network Hydrogel with Toughness and Force Sensitivity.

Chemistry 2018 May 17;24(25):6632-6638. Epub 2018 Apr 17.

School of Chemistry and Chemical Engineering, Southeast University, Nanjing, 211189, P.R. China.

Mechanically tough and electrically conductive self-healing hydrogels may have broad applications in wearable electronics, health-monitoring systems, and smart robotics in the following years. Herein, a new design strategy is proposed to synthesize a dual physical cross-linked polyethylene glycol/poly(acrylic acid) (PEG/PAA) double network hydrogel, consisting of ferric ion cross-linked linear chain extensions of PEG (2,6-pyridinedicarbonyl moieties incorporated into the PEG backbone, PEG-H pdca) as the first physical network and a PAA-Fe gel as the second physical network. Metal-ion coordination and the double network structure enable the double network hydrogel to withstand up to 0. Read More

View Article
May 2018
9 Reads
5.73 Impact Factor

A Subpopulation of Stromal Cells Controls Cancer Cell Homing to the Bone Marrow.

Cancer Res 2018 01 24;78(1):129-142. Epub 2017 Oct 24.

Max-Planck Institute for Biochemistry, Martinsried, Germany.

Breast and prostate cancer cells home to the bone marrow, where they presumably hijack the hematopoietic stem cell niche. We characterize here the elusive premetastatic niche by examining the role of mesenchymal stromal cells (MSC) in cancer cell homing. Decreasing the number of MSC pharmacologically enhanced cancer cell homing to the bone marrow in mice. Read More

View Article
January 2018
19 Reads
1 PubMed Central Citation(source)
9.33 Impact Factor

Abstracts of the 40th National Congress of Medicine Tunis, 19-20 October 2017.

Authors:
Meya Abdallah A Abdelaziz O Abdelaziz Nour Abdelhedi Amina Abdelkbir Med Abdelkefi Leila Abdelmoula S Abdennacir Mahdi Abdennadher H Abidi Abir Abir Hakiri Sana Abou El Makarim M Abouda Wafa Achour C Aichaouia Amina Aissa Yosra Aissa W Aissi Meriem Ajroudi Emna Allouche Haithem Aloui D Aloui Feten Amdouni Y Ammar Y Ammara S Ammari A Ammous A Amous Adel Amri Mohamed Amri R Amri H Annabi Saoussen Antit Samira Aouadi A Arfaoui Assia Assadi Lilia Attia Moez Attia Leila Attia I Ayadi Imene Ayadi Dahmane Ayari Ayari S Azzabi Heifa Azzouz N B Mefteh C B Salah Hedi Baccar Asma Bachali M Bahlouli Gada Bahri Hassène Baïli Mejda Bani W Bani Mohamed Amine Bani E Bassalah R Bawandi M Bayar Najla Bchir R Bechraoui Maher Béji Rami Beji D Bel Haj Yahia Syrine Belakhel Houda Belfkih Olfa Belgacem Nesrine Belgacem Ahlem Belhadj Najeh Beltaief N Beltaief M Ben Abbes Ahmed Ben Abdelaziz Imen Ben Ahmed Nizar Ben Aissia M Ben Ali Hanen Ben Ammar Boutheina Ben Ammou Anissa Ben Amor Mohamed Ben Amor M Benatta Nahla Ben Ayed Wided Ben Ayoub Nejla Ben Charrada Mamoun Ben Cheikh Fatma Ben Dahmen M Ben Dhia Sinda Ben Fadhel Leila Ben Farhat F Ben Fredj Ismail Emira Ben Hamida E Ben Hamida Nouaili M Ben Hammamia Abir Ben Hamouda L Ben Hassine Ahmed Ben Hassouna Asma Ben Hasssen Manel Ben Hlima Badreddine Ben Kaab Nabyl Ben Mami Fatma Ben Mbarka N Ben Mefteh N Ben Kahla M Ben Mrad N Ben Mustapha Mahdi Ben Nacer Kaouther Ben Neticha E Ben Othmen S Ben Rhouma Meriam Ben Rhouma Sana Ben Saadi Amine Ben Safta Zoubeir Ben Safta C Ben Salah Nawel Ben Salah Samia Ben Sassi Jihène Ben Sassi Souha Ben Tekaya R Ben Temime Achref Ben Tkhayat Riadh Ben Tmim Yosra Ben Yahmed Soraya Ben Youssef Mouadh Ben Ali Mahmoud Ben Atta Zoubeir Ben Safta M Ben Salah Imen Berrahal Gazi Besbes Leila Bezdah Ahlem Bezzine A Bezzine Z Bokal Rim Borsali Ibtissem Bouasker J Boubaker Meriam Bouchekoua Faten Bouden Slim Boudiche I Boukhris Salem Bouomrani Saadia Bouraoui Saadia Bouraoui Soumaya Bourgou Elhem Boussabeh Khaled Bouzaidi K Chaker Lilia Chaker Amine Chaker Fatma Chaker Nessrine Chaouech M Charfi M R Charfi Fatma Charfi Lamia Chatti F Chebbi Wael Chebbi Rzaieg Cheikh Sarra Cheikhrouhou Jihène Chekir E Chelbi Ines Chelly Beya Chelly Manel Chemakh Sarra Chenik M Cheour Mejda Cheour E Cherif Yosra Cherif W Cherif Rahma Cherni Ahmed Chetoui Mélika Chihaoui Chiraz Chiraz Aichaouia Salsabil Dabousii Amin Daghfous A Daib N Daib Rahma Damak Nawel Daoud Z Daoud Nawel Daoued Habiba Debbabi Wiem Demni R Denguir Safa Derbel B Derbel Selma Dghaies Sonia Dhaouadi Issaoui Dhilel Kaouther Dimassi A Dougaz Wejih Dougaz H Douik Leila Douik El Gharbi Chadli Dziri Sahar El Aoud Zouhaeir El Hechmi Azza El Heni S ELaoud Emna Elfeleh S Ellini Faten Ellouz Othmane Elmoez Ben Rim Ennaifer S Ennaifer Mejda Essid Nadia Fadhloun Mariem Farhat M Fekih M Fourati Fadhel Fteriche Ons G Hali Said Galai S Gara Gada Garali W Garbouge Wafa Garbouj Ons Ghali Feriel Ghali Emna Gharbi Radhouane Gharbi Wafa Ghariani Houda Gharsalli Ghaya Ghaya Jmii F Ghédira A Ghédira Habib Ghédira Asma Ghériani Esma Leila Gouta F Guemira Emna Guermazi Ahmed Guesmi Jihène Hachem Anis Haddad Kaouther Hakim A Hakiri S Hamdi Wassim Hamed S Hamrouni Meriem Hamza Slim Haouet A Hariz Lotfi Hendaoui M Hfaidh H Hriz Mohamed Hsairi Hamza Ichaoui D Issaoui H Jaafoura Rached Jazi R Jazia H Jelassi Hichem Jerraya Housseina Jlassi Ghaya Jmii Mohamed Jouini M Kâaniche Montasser Kacem Mohsen Kadhraoui M Kalai Kalthoum Kallel Omar Kammoun Mehdi Karoui Souhaiel Karouia M Karrou Ahlem Kchaou R Kchaw Niadhameddine Kchir Héla Kchir I Kechaou Mna Kerrou Samira Khaled N Khalfallah Mehdi Khalfallah Rim Khalfallah K Khamassi M Kharrat Emira Khelifa Mohamed Khelil A Khelil Nadia Khessairi M A Khezami Hassen Khouni C Kooli B Korbsi M A Koubaa Rachid Ksantini A Ksentini I Ksibi J Ksibi Hamida Kwas Asma Laabidi A Labidi Nizar Ladhari R Lafrem R Lahiani M Lajmi J Lakhal Mariem Laribi Najla Lassoued Khaoula Lassoued F Letaif Faten Limaïem Sonia Maalej Nadia Maamouri R Maaoui Houda Maâtallah Sarra Maazaoui Houcine Maghrebi S Mahfoudhi Yacine Mahjoubi Sana Mahjoubi Ines Mahmoud T Makhlouf Amin Makni S Mamou S Mannoubi Amira Maoui Adel Marghli Zahra Marrakchi Jihène Marrakchi S Marzougui Ines Marzouk Nabil Mathlouthi K Mbarek Mondher Mbarek S Meddeb Azza Mediouni Nejla Mechergui Islam Mejri Mohamed Béchir Menjour Yosra Messaoudi Tahar Mestiri Alya Methnani Imed Mezghani Olfa Meziou A Mezlini Samira Mhamdi M Mighri S Miled I Miri Dorsaf Mlayeh Zied Moatemri Weil Mokaddem Mourad Mokni N Mouhli Mohamed Sami Mourali Ali Mrabet Fadhel Mrad Maroua Mrouki Hela Msaad A Msakni Sabrine Msolli Sana Mtimet Sabeh Mzabi Z Mzoughi E Naffeti Souhir Najjar Abdelwahab Nakhli S Nechi E Neffati Henda Neji Yosra Nouira Ramzi Nouira Souheil Omar Sana Ouali Y Ouannes Fatma Ouarda Wejdène Ouechtati Jamila Ouertani Jihene Ouertani Haroun Ouertani Annouar Oueslati J Oueslati Ibtissem Oueslati Annouar Oueslati Bassem Rabai H Rahali E Rbia Wael Rebai Nesrine Regaïeg Ons Rejeb Wafa Rhaiem Houcem Rhimi I Riahi Rym Ridha Leila Robbena Leila Rouached Sana Rouis Mouna Safer Khalil Saffar Hana Sahli Ghada Sahraoui Olfa Saidane D Sakka Houda Salah Satâa Sallami Issam Salouage A Samet Kais Sammoud Asma Sassi Mahfoudh Cyrine Sayadi A Sayhi T Sebri Yassine Sedki A Sellami M Serghini Ines Sghaier W Skouri Wa Skouri Iskander Slama Hédia Slimane Olfa Slimani Omar Souhail Souhir Souhir Asmahen Souissi Roua Souissi A Taboubi Ghofran Talbi Makram Tbini A Tborbi Rawdha Tekaya Helmi Temessek Moez Thameur Asma Touati Haifa Touinsi Abir Tounsi H Tounsia Sonia Trabelsi Safa Trabelsi Amel Triki M Triki Jihen Turki Khadija Turki Hassan Twinsi Yasmine Walha J Wali Haythem Yacoub F Yangui Meriem Yazidi Imen Youssef Aymen Zaier Rim Zainine Lilia Zakhama Haifa Zalila Hayet Zargouni Alia Zehani Zeineb Zeineb Imen Zemni Molka Zghal J Ziadi Z Zid Imen Znagui Chokri Zoghlami Chadia Zouaoui B Zouari L Zouiten Hazem Zribi

Tunis Med 2017 Novembre;95(11):1002-1070

View Article
June 2018
45 Reads

Quantitative bias analysis for epidemiological associations of perfluoroalkyl substance serum concentrations and early onset of menopause.

Environ Int 2017 02 5;99:245-254. Epub 2016 Dec 5.

RAMBOLL ENVIRON, RTP, NC, USA. Electronic address:

An association between increased serum concentrations of perfluoroalkyl substances (PFAS) such as perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA) and early menopause has been reported (Knox et al., 2011; Taylor et al., 2014). Read More

View Article
February 2017
19 Reads
2 PubMed Central Citations(source)
5.56 Impact Factor

Total knee arthroplasty following high tibial osteotomy - a radiological evaluation.

Maedica (Buchar) 2011 Jan;6(1):23-7

Elias Universitary Hospital, Bucharest Orthopaedics and Traumatology.

The purpose of this study was to evaluate the results of total knee arthroplasty (TKA) following a closed wedge high tibial osteotomy (HTO). A total of 16 TKAs were performed in 16 pacients who had previously undergone a closed wedge (HTO) as a treatement for knee osteoarthritis. The radiographic results were evaluated with respect to the femurotibial angle (FTA), joint line height (JLH), tibial bone resection and Insall-Salvati ratio. Read More

View Article
January 2011
11 Reads
1 PubMed Central Citation(source)