Cost-Effectiveness of Exercise Therapy in Patients with Intermittent Claudication—A Comparison of Supervised Exercise, Home-Based Structured Exercise, and Walk Advice from the SUNFIT Trial
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Le résumé fourni par la source
Hospital-based supervised exercise (SEP) is a guideline-recommended intervention for patients with intermittent claudication (IC). However, due to the limited availability of SEP, home-based structured exercise programs (HSEP) have become increasingly popular alongside the “go home and walk” advice. We evaluated the cost-effectiveness of walk advice (WA) with Nordic pole walking vs. SEP combined with WA or HSEP combined with WA. We used data from the SUNFIT RCT (NCT02341716) to measure quality-adjusted life-years (QALYs) over a 12-month follow-up, and economic costs were obtained from a hospital cost-per-patient accounting system. Incremental cost-effectiveness ratios (ICERs) were calculated, and uncertainty was assessed using nonparametric bootstrapping. The average health-care-cost per patient was similar in the WA (EUR 1781, n = 51) and HSEP (EUR 1820, n = 48) groups but higher in the SEP group (EUR 4619, n = 50, p-value < 0.01). Mean QALYs per patient during the follow-up were similar with no statistically significant differences. The findings do not support SEP as a cost-effective treatment for IC, as it incurred significantly higher costs without providing additional health improvements over WA with or without HSEP during the one-year observation period. The analysis also suggested that HSEP may be cost-effective compared to WA, but only with a 64% probability.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Cost-Effectiveness of Exercise Therapy in Patients with Intermittent Claudication—A Comparison of Supervised Exercise, Home-Based Structured Exercise, and Walk Advice from the SUNFIT Trial
- Date Crossref
- 14/08/2023
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Gothenburg Department of Molecular and Clinical Medicine pays non établi dans la noticeUniversité ou école supérieure
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Sahlgrenska University Hospital Department of Occupational Therapy and Physiotherapy pays non établi dans la noticeÉtablissement de santé
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Region Västra Götaland pays non établi dans la noticeOrganisme public
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University of Florida pays non établi dans la noticeUniversité ou école supérieure
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School of Public Health and Community Medicine pays non établi dans la noticeUniversité ou école supérieure
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Sidekick Health pays non établi dans la noticeInstitution
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College of Pharmacy Department of Pharmaceutical Outcomes & Policy pays non établi dans la noticeUniversité ou école supérieure
Department of Molecular and Clinical Medicine — University of Gothenburg, Department of Occupational Therapy and Physiotherapy — Sahlgrenska University Hospital et Region Västra Götaland, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.