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|Title: ||Cost-utility of a cardiovascular prevention program in highly educated adults: Intermediate results of a randomized controlled trial|
|Authors: ||JACOBS, Nele|
|Issue Date: ||2010|
|Publisher: ||Cambridge University Press|
|Citation: ||INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE, 26(1). p. 11-19|
|Abstract: ||Objectives: Little is known about the costs and the effects of cardiovascular prevention
programs targeted at medical and behavioral risk factors. The aim was to evaluate the
cost-utility of a cardiovascular prevention program in a general sample of highly educated
adults after 1 year of intervention.
Methods: The participants were randomly assigned to intervention (n = 208) and usual
care conditions (n = 106). The intervention consisted of medical interventions and
optional behavior-change interventions (e.g., a tailored Web site). Cost data were
registered from a healthcare perspective, and questionnaires were used to determine
effectiveness (e.g., quality-adjusted life-years [QALYs]). A cost-utility analysis and
sensitivity analyses using bootstrapping were performed on the intermediate results.
Results: When adjusting for baseline utility differences, the incremental cost was €433
and the incremental effectiveness was 0.016 QALYs. The incremental cost-effectiveness
ratio was €26,910 per QALY.
Conclusions: The intervention was cost-effective compared with usual care in this
sample of highly educated adults after 1 year of intervention. Increased participation
would make this intervention highly cost-effective.|
|ISI #: ||000273836800003|
|Type: ||Journal Contribution|
|Validation: ||ecoom, 2011|
|Appears in Collections: ||Research publications|
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