For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
6
views
69
references
 Top references
cited by
25
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      192
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      The cost-effectiveness of exercise-based cardiac telerehabilitation intervention: a systematic review

      review-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          INTRODUCTION

          Alternatives such as remotely delivered therapy in the home environment or telehealth represent an opportunity to increase overall cardiac rehabilitation (CR) utilization. Implementing alternatives into regular practice is the next step in development; however, the cost aspect is essential for policymakers. Limited economic budgets lead to cost-effectiveness analyses before implementation. They are appropriate in cases where there is evidence that the compared intervention provides a similar health benefit to usual care. This systematic review aimed to compare the cost-effectiveness of exercise-based telehealth CR interventions compared to standard exercise-based CR.

          EVIDENCE ACQUISITION

          PubMed and Web of Science databases were systematically searched up to August 2022 to identify randomized controlled trials assessing patients undergoing telehealth CR. The intervention was compared to standard CR protocols. The primary intent was to identify the cost-effectiveness. Interventions that met the criteria were home-based telehealth CR interventions delivered by information and communications technology (telephone, computer, internet, or videoconferencing) and included the results of an economic evaluation, comparing interventions in terms of cost-effectiveness, utility, costs and benefits, or cost-minimization analysis. The systematic review protocol was registered in the PROSPERO Registry (CRD42022322531).

          EVIDENCE SYNTHESIS

          Out of 1525 identified studies, 67 articles were assessed for eligibility, and, at the end of the screening process, 12 studies were included in the present systematic review. Most studies (92%) included in this systematic review found strong evidence that exercise-based telehealth CR is cost-effective. Compared to CBCR, there were no major differences, except for three studies evaluating a significant difference in average cost per patient and intervention costs in favor of telehealth CR.

          CONCLUSIONS

          Telehealth CR based on exercise is as cost-effective as CBCR interventions. Funding telehealth CR by third-party payers may promote patient participation to increase overall CR utilization. High-quality research is needed to identify the most cost-effective design.

          Related collections

          Most cited references69

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Global Burden of Cardiovascular Diseases and Risk Factors, 1990–2019

          Gregory A Roth, George A Mensah, Catherine O. Johnson … (2021)
          Cardiovascular diseases (CVDs), principally ischemic heart disease (IHD) and stroke, are the leading cause of global mortality and a major contributor to disability. This paper reviews the magnitude of total CVD burden, including 13 underlying causes of cardiovascular death and 9 related risk factors, using estimates from the Global Burden of Disease (GBD) Study 2019. GBD, an ongoing multinational collaboration to provide comparable and consistent estimates of population health over time, used all available population-level data sources on incidence, prevalence, case fatality, mortality, and health risks to produce estimates for 204 countries and territories from 1990 to 2019. Prevalent cases of total CVD nearly doubled from 271 million (95% uncertainty interval [UI]: 257 to 285 million) in 1990 to 523 million (95% UI: 497 to 550 million) in 2019, and the number of CVD deaths steadily increased from 12.1 million (95% UI:11.4 to 12.6 million) in 1990, reaching 18.6 million (95% UI: 17.1 to 19.7 million) in 2019. The global trends for disability-adjusted life years (DALYs) and years of life lost also increased significantly, and years lived with disability doubled from 17.7 million (95% UI: 12.9 to 22.5 million) to 34.4 million (95% UI:24.9 to 43.6 million) over that period. The total number of DALYs due to IHD has risen steadily since 1990, reaching 182 million (95% UI: 170 to 194 million) DALYs, 9.14 million (95% UI: 8.40 to 9.74 million) deaths in the year 2019, and 197 million (95% UI: 178 to 220 million) prevalent cases of IHD in 2019. The total number of DALYs due to stroke has risen steadily since 1990, reaching 143 million (95% UI: 133 to 153 million) DALYs, 6.55 million (95% UI: 6.00 to 7.02 million) deaths in the year 2019, and 101 million (95% UI: 93.2 to 111 million) prevalent cases of stroke in 2019. Cardiovascular diseases remain the leading cause of disease burden in the world. CVD burden continues its decades-long rise for almost all countries outside high-income countries, and alarmingly, the age-standardized rate of CVD has begun to rise in some locations where it was previously declining in high-income countries. There is an urgent need to focus on implementing existing cost-effective policies and interventions if the world is to meet the targets for Sustainable Development Goal 3 and achieve a 30% reduction in premature mortality due to noncommunicable diseases.
          Article 0 comments Cited 2600 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups.

            C A McHorney, J E Ware, J Lu … (1994)
            The widespread use of standardized health surveys is predicated on the largely untested assumption that scales constructed from those surveys will satisfy minimum psychometric requirements across diverse population groups. Data from the Medical Outcomes Study (MOS) were used to evaluate data completeness and quality, test scaling assumptions, and estimate internal-consistency reliability for the eight scales constructed from the MOS SF-36 Health Survey. Analyses were conducted among 3,445 patients and were replicated across 24 subgroups differing in sociodemographic characteristics, diagnosis, and disease severity. For each scale, item-completion rates were high across all groups (88% to 95%), but tended to be somewhat lower among the elderly, those with less than a high school education, and those in poverty. On average, surveys were complete enough to compute scales scores for more than 96% of the sample. Across patient groups, all scales passed tests for item-internal consistency (97% passed) and item-discriminant validity (92% passed). Reliability coefficients ranged from a low of 0.65 to a high of 0.94 across scales (median = 0.85) and varied somewhat across patient subgroups. Floor effects were negligible except for the two role disability scales. Noteworthy ceiling effects were observed for both role disability scales and the social functioning scale. These findings support the use of the SF-36 survey across the diverse populations studied and identify population groups in which use of standardized health status measures may or may not be problematic.
            Article 0 comments Cited 415 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Increasing Cardiac Rehabilitation Participation From 20% to 70%: A Road Map From the Million Hearts Cardiac Rehabilitation Collaborative.

              Philip Ades, Steven J Keteyian, Janet Wright … (2017)
              The primary aim of the Million Hearts initiative is to prevent 1 million cardiovascular events over 5 years. Concordant with the Million Hearts' focus on achieving more than 70% performance in the "ABCS" of aspirin for those at risk, blood pressure control, cholesterol management, and smoking cessation, we outline the cardiovascular events that would be prevented and a road map to achieve more than 70% participation in cardiac rehabilitation (CR)/secondary prevention programs by the year 2022. Cardiac rehabilitation is a class Ia recommendation of the American Heart Association and the American College of Cardiology after myocardial infarction or coronary revascularization, promotes the ABCS along with lifestyle counseling and exercise, and is associated with decreased total mortality, cardiac mortality, and rehospitalizations. However, current participation rates for CR in the United States generally range from only 20% to 30%. This road map focuses on interventions, such as electronic medical record-based prompts and staffing liaisons that increase referrals of appropriate patients to CR, increase enrollment of appropriate individuals into CR, and increase adherence to longer-term CR. We also calculate that increasing CR participation from 20% to 70% would save 25,000 lives and prevent 180,000 hospitalizations annually in the United States.
              Article 0 comments Cited 135 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): Eur J Phys Rehabil Med
                Journal ID (iso-abbrev): Eur J Phys Rehabil Med
                Journal ID (publisher-id): EJPRM
                Title: European Journal of Physical and Rehabilitation Medicine
                Publisher: Edizioni Minerva Medica
                ISSN (Print): 1973-9087
                ISSN (Electronic): 1973-9095
                Publication date (Electronic): 24 January 2023
                Publication date Collection: April 2023
                Volume: 59
                Issue: 2
                Pages: 248-258
                Affiliations
                deptDepartment of Rehabilitation , University Hospital Brno , Brno, Czech Republic; deptDepartment of Public Health, Faculty of Medicine , Masaryk University , Brno, Czech Republic; deptDepartment of Rehabilitation and Sports Medicine, Second Faculty of Medicine, Motol University Hospital , Charles University , Prague, Czech Republic; deptDepartment of Neurology , University Hospital of Brno , Brno, Czech Republic; deptSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong , China; deptSchool of Health Sciences, Department of Physiotherapy, Clinical Exercise Physiology and Rehabilitation Laboratory , University of Thessaly , Lamia, Greece
                Author notes
                [* ]Corresponding author: Ladislav Batalik, Department of Rehabilitation, University Hospital of Brno, 62500 Brno, Czech Republic. E-mail: batalik.ladislav@ 123456fnbrno.cz

                Conflicts of interest.—The authors certify that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript.

                Funding.—This research was funded by the Ministry of Health, Czech Republic; conceptual development of research organization (FNBr, 65269705).

                Authors’ contributions.—Ladislav Batalik, Katerina Filakova, Michaela Sladeckova, Filip Dosbaba, Jing J. Su and Garyfallia Pepera contributed equally. All authors read and approved the final version of the manuscript.

                Acknowledgements.—The authors acknowledge Katerina Batalikova for her support in this work.

                Article
                Publisher ID: 7773
                DOI: 10.23736/S1973-9087.23.07773-0
                PMC ID: 10167703
                PubMed ID: 36692413
                SO-VID: 92fdcef0-dda9-45ee-bf82-0d48c53598d7
                Copyright © 2023 THE AUTHORS
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND) 4.0 License.

                History
                Date accepted : 09 January 2023
                Date revision received : 28 November 2023
                Date received : 31 October 2022
                Funding
                Funded by: Ministry of Health, Czech Republic
                Award ID: 65269705
                Categories
                Subject: Article

                Keywords: telemedicine,cardiac rehabilitation,costs and cost analysis,exercise
                Data availability:
                Keywords: telemedicine, cardiac rehabilitation, costs and cost analysis, exercise

                Comments

                Comment on this article

                scite_

                Similar content192

                See all similar

                Cited by25

                See all cited by

                Most referenced authors1,433

                See all reference authors