TY - JOUR
T1 - Cost-effectiveness analysis of telemonitoring versus usual care in patients with heart failure: the TEHAF-study
AU - Boyne, Josiane J. J.
AU - Van Asselt, Antoinette D. I.
AU - Gorgels, Anton P. M.
AU - Steuten, Lotte M. G.
AU - De Weerd, Gerjan
AU - Kragten, Johannes
AU - Vrijhoef, Hubertus J. M.
PY - 2013/7
Y1 - 2013/7
N2 - We examined the incremental cost-effectiveness of telemonitoring (TM) versus usual care (UC) in patients with congestive heart failure (CHF). In one university and two general hospitals, 382 patients were randomised to usual care or telemonitoring and followed for 1 year. Hospital-related and home costs were estimated, based on resource use multiplied by the appropriate unit prices. Effectiveness was expressed as QALYs gained. Information was gathered, using 3 monthly costs diaries and questionnaires. The mean age of the patients was 71 years (range 32-93), 59% were male and 64% lived with a partner. Health related quality of life improved by 0.07 points for the usual care and 0.1 points for the telemonitoring group, but the difference between groups was not significant. There were no significant differences in annual costs per patient between groups. At a threshold of (sic)50,000 the probability of telemonitoring being cost-effective was 48%. The cost effectiveness analysis showed a high level of decision uncertainty, probably caused by the divergence between the participating institutions. It is therefore premature to draw an unambiguous conclusion regarding cost-effectiveness for the whole group.
AB - We examined the incremental cost-effectiveness of telemonitoring (TM) versus usual care (UC) in patients with congestive heart failure (CHF). In one university and two general hospitals, 382 patients were randomised to usual care or telemonitoring and followed for 1 year. Hospital-related and home costs were estimated, based on resource use multiplied by the appropriate unit prices. Effectiveness was expressed as QALYs gained. Information was gathered, using 3 monthly costs diaries and questionnaires. The mean age of the patients was 71 years (range 32-93), 59% were male and 64% lived with a partner. Health related quality of life improved by 0.07 points for the usual care and 0.1 points for the telemonitoring group, but the difference between groups was not significant. There were no significant differences in annual costs per patient between groups. At a threshold of (sic)50,000 the probability of telemonitoring being cost-effective was 48%. The cost effectiveness analysis showed a high level of decision uncertainty, probably caused by the divergence between the participating institutions. It is therefore premature to draw an unambiguous conclusion regarding cost-effectiveness for the whole group.
U2 - 10.1177/1357633X13495478
DO - 10.1177/1357633X13495478
M3 - Article
C2 - 24163233
SN - 1357-633X
VL - 19
SP - 242
EP - 248
JO - Journal of Telemedicine and Telecare
JF - Journal of Telemedicine and Telecare
IS - 5
ER -