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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/19093

Title: Effect of comprehensive cardiac telerehabilitation on one-year cardiovascular rehospitalization rate, medical costs and quality of life: A cost-effectiveness analysis
Authors: Frederix, Ines
Hansen, Dominique
Coninx, Karin
Vandervoort, Pieter
Vandijck, Dominique
Hens, Niel
Van Craenenbrouck, Emeline
Van Driessche, Niels
Dendale, Paul
Issue Date: 2015
Citation: European Journal of Preventive Cardiology 23 (7), p. 674-682
Abstract: Background: Notwithstanding the cardiovascular disease epidemic, current budgetary constraints do not allow for budget expansion of conventional cardiac rehabilitation programmes. Consequently, there is an increasing need for costeffectiveness studies of alternative strategies such as telerehabilitation. The present study evaluated the costeffectiveness of a comprehensive cardiac telerehabilitation programme. Design and methods: This multi-centre randomized controlled trial comprised 140 cardiac rehabilitation patients, randomized (1:1) to a 24-week telerehabilitation programme in addition to conventional cardiac rehabilitation (intervention group) or to conventional cardiac rehabilitation alone (control group). The incremental cost-effectiveness ratio was calculated based on intervention and health care costs (incremental cost), and the differential incremental quality adjusted life years (QALYs) gained. Results: The total average cost per patient was significantly lower in the intervention group (E2156 E126) than in the control group (E2720 E276) (p ¼ 0.01) with an overall incremental cost of E–564.40. Dividing this incremental cost by the baseline adjusted differential incremental QALYs (0.026 QALYs) yielded an incremental cost-effectiveness ratio of E–21,707/QALY. The number of days lost due to cardiovascular rehospitalizations in the intervention group (0.33 0.15) was significantly lower than in the control group (0.79 0.20) (p ¼ 0.037). Conclusions: This paper shows the addition of cardiac telerehabilitation to conventional centre-based cardiac rehabilitation to be more effective and efficient than centre-based cardiac rehabilitation alone. These results are useful for policy makers charged with deciding how limited health care resources should best be allocated in the era of exploding need.
Notes: Corresponding author: Ines Frederix, Beatrijslaan 105, 3110 Rotselaar, Belgium. ines.frederix@gmail.com
URI: http://hdl.handle.net/1942/19093
DOI: 10.1177/2047487315602257
ISI #: 000373834700001
ISSN: 2047-4873
Category: A1
Type: Journal Contribution
Validation: ecoom, 2017
Appears in Collections: Research publications

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