Cost-Effectiveness Analysis in Telehealth: A Comparison between Home Telemonitoring, Nurse Telephone Support, and Usual Care in Chronic Heart Failure Management

Andrija S. Grustam*, Johan L. Severens, Daniele De Massari, Nasuh Buyukkaramikli, Ron Koymans, Hubertus J. M. Vrijhoef

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objectives: To assess the cost effectiveness of home telemonitoring (HTM) and nurse telephone support (NTS) compared with usual care (UC) in the management of patients with chronic heart failure, from a third-party payer's perspective. Methods: We developed a Markov model with a 20-year time horizon to analyze the cost effectiveness using the original study (Trans-European Network-Home-Care Management System) and various data sources. A probabilistic sensitivity analysis was performed to assess the decision uncertainty in our model. Results: In the original scenario (which concerned the cost inputs at the time of the original study), HTM and NTS interventions yielded a difference in quality-adjusted life-years (QALYs) gained compared with UC: 2.93 and 3.07, respectively, versus 1.91. An incremental net monetary benefit analysis showed (sic)7,697 and (sic)13,589 in HTM and NTS versus UC at a willingness-to-pay (WTP) threshold of (sic)20,000, and (sic)69,100 and (sic)83,100 at a WTP threshold of (sic)80,000, respectively. The incremental cost-effectiveness ratios were (sic)12,479 for HTM versus UC and (sic)8,270 for NTS versus UC. The current scenario (including telenurse cost inputs in NTS) yielded results that were slightly different from those for the original scenario, when comparing all New York Heart Association (NYHA) classes of severity. NTS dominated HTM, compared with UC, in all NYHA classes except NYHA IV. Conclusions: This modeling study demonstrated that HTM and NTS are viable solutions to support patients with chronic heart failure. NTS is cost-effective in comparison with UC at a WTP of (sic)9000/QALY or higher. Like NTS, HTM improves the survival of patients in all NYHA classes and is cost-effective in comparison with UC at a WTP of (sic)14,000/QALY or higher.
Original languageEnglish
Pages (from-to)772-782
Number of pages11
JournalValue in Health
Volume21
Issue number7
DOIs
Publication statusPublished - 1 Jul 2018

Keywords

  • CEA
  • CHF
  • Markov model
  • telehealth
  • WHOLE SYSTEMS DEMONSTRATOR
  • CLUSTER RANDOMIZED-TRIAL
  • LONG-TERM CONDITIONS
  • ECONOMIC-EVALUATION
  • DISEASE MANAGEMENT
  • HIGH-RISK
  • MORTALITY
  • TELECARE
  • IMPACT
  • LIFE

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