TY - JOUR
T1 - Comprehensive cardiac rehabilitation
T2 - a cost assessment based on a randomized clinical trial
AU - Kruse, Marie
AU - Hochstrasser, Stefan
AU - Zwisler, Ann-Dorthe O
AU - Kjellberg, Jakob
PY - 2006
Y1 - 2006
N2 - OBJECTIVES: The costs of comprehensive cardiac rehabilitation are established and compared to the corresponding costs of usual care. The effect on health-related quality of life is analyzed.METHODS: An unprecedented and very detailed cost assessment was carried out, as no guidelines existed for the situation at hand. Due to challenging circumstances, the cost assessment turned out to be ex-post and top-down.RESULTS: Cost per treatment sequence is estimated to be approximately euro 976, whereas the incremental cost (compared with usual care) is approximately euro 682. The cost estimate is uncertain and may be as high as euro 1.877.CONCLUSIONS: Comprehensive cardiac rehabilitation is more costly than usual care, and the higher costs are not outweighed by a quality of life gain. Comprehensive cardiac rehabilitation is, therefore, not cost-effective.
AB - OBJECTIVES: The costs of comprehensive cardiac rehabilitation are established and compared to the corresponding costs of usual care. The effect on health-related quality of life is analyzed.METHODS: An unprecedented and very detailed cost assessment was carried out, as no guidelines existed for the situation at hand. Due to challenging circumstances, the cost assessment turned out to be ex-post and top-down.RESULTS: Cost per treatment sequence is estimated to be approximately euro 976, whereas the incremental cost (compared with usual care) is approximately euro 682. The cost estimate is uncertain and may be as high as euro 1.877.CONCLUSIONS: Comprehensive cardiac rehabilitation is more costly than usual care, and the higher costs are not outweighed by a quality of life gain. Comprehensive cardiac rehabilitation is, therefore, not cost-effective.
KW - Coronary Disease/economics
KW - Costs and Cost Analysis/methods
KW - Denmark
KW - Health Status
KW - Humans
KW - Quality of Life
KW - Randomized Controlled Trials as Topic
U2 - 10.1017/S0266462306051403
DO - 10.1017/S0266462306051403
M3 - Journal article
C2 - 16984681
SN - 0266-4623
VL - 22
SP - 478
EP - 483
JO - International Journal of Technology Assessment in Health Care
JF - International Journal of Technology Assessment in Health Care
IS - 4
ER -