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

J 2023

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

BAŤALÍK, Ladislav, Katerina FILAKOVA, Michaela SLÁDEČKOVÁ, Filip DOSBABA, Jingjing SU et. al.

Základní údaje

Originální název

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

Autoři

BAŤALÍK, Ladislav (203 Česká republika, garant, domácí), Katerina FILAKOVA (203 Česká republika), Michaela SLÁDEČKOVÁ (203 Česká republika, domácí), Filip DOSBABA (203 Česká republika), Jingjing SU a Garyfallia PEPERA

Vydání

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE, TURIN, EDIZIONI MINERVA MEDICA, 2023, 1973-9087

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30304 Public and environmental health

Stát vydavatele

Itálie

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 4.500 v roce 2022

Kód RIV

RIV/00216224:14110/23:00130862

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.23736/S1973-9087.23.07773-0

UT WoS

000983180600013

Klíčová slova anglicky

Telemedicine; Cardiac rehabilitation; Costs and cost analysis; Exercise

Štítky

14110614, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 30. 1. 2024 12:43, Mgr. Tereza Miškechová

Anotace

V originále

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, compar-ing 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 exer-cise-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.

Citovat

BAŤALÍK, Ladislav, Katerina FILAKOVA, Michaela SLÁDEČKOVÁ, Filip DOSBABA, Jingjing SU a Garyfallia PEPERA. The cost-effectiveness of exercise-based cardiac telerehabilitation intervention: a systematic review. EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE. TURIN: EDIZIONI MINERVA MEDICA, 2023, roč. 59, č. 2, s. 248-258. ISSN 1973-9087. Dostupné z: https://dx.doi.org/10.23736/S1973-9087.23.07773-0.

@article{2286939,
   author = {Baťalík, Ladislav and Filakova, Katerina and Sládečková, Michaela and Dosbaba, Filip and Su, Jingjing and Pepera, Garyfallia},
   article_location = {TURIN},
   article_number = {2},
   doi = {http://dx.doi.org/10.23736/S1973-9087.23.07773-0},
   keywords = {Telemedicine; Cardiac rehabilitation; Costs and cost analysis; Exercise},
   language = {eng},
   issn = {1973-9087},
   journal = {EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE},
   title = {The cost-effectiveness of exercise-based cardiac telerehabilitation intervention: a systematic review},
   url = {https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2023N02A0248},
   volume = {59},
   year = {2023}
}

TY  - JOUR
ID  - 2286939
AU  - Baťalík, Ladislav - Filakova, Katerina - Sládečková, Michaela - Dosbaba, Filip - Su, Jingjing - Pepera, Garyfallia
PY  - 2023
TI  - The cost-effectiveness of exercise-based cardiac telerehabilitation intervention: a systematic review
JF  - EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
VL  - 59
IS  - 2
SP  - 248-258
EP  - 248-258
PB  - EDIZIONI MINERVA MEDICA
SN  - 19739087
KW  - Telemedicine
KW  - Cardiac rehabilitation
KW  - Costs and cost analysis
KW  - Exercise
UR  - https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2023N02A0248
N2  - 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, compar-ing 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 exer-cise-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.
ER  -

BAŤALÍK, Ladislav, Katerina FILAKOVA, Michaela SLÁDEČKOVÁ, Filip DOSBABA, Jingjing SU a Garyfallia PEPERA. The cost-effectiveness of exercise-based cardiac telerehabilitation intervention: a systematic review. \textit{EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE}. TURIN: EDIZIONI MINERVA MEDICA, 2023, roč.~59, č.~2, s.~248-258. ISSN~1973-9087. Dostupné z: https://dx.doi.org/10.23736/S1973-9087.23.07773-0.

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