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

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F23%3A00077961" target="_blank" >RIV/65269705:_____/23:00077961 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/23:00130862 RIV/00216208:11130/23:10453910

Result on the web

<a href="https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2023N02A0248" target="_blank" >https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2023N02A0248</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.23736/S1973-9087.23.07773-0" target="_blank" >10.23736/S1973-9087.23.07773-0</a>

Result language

angličtina

Original language name

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

Original language description

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.(Cite this article as: Batalik L, Filakova K, Sladeckova M, Dosbaba F, Su J, Pepera G. The cost-effectiveness of exercise-based cardiac telerehabilita-tion intervention: a systematic review. Eur J Phys Rehabil Med 2023;59:248-58. DOI: 10.23736/S1973-9087.23.07773-0)

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30300 - Health sciences

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European Journal of Physical and Rehabilitation Medicine

ISSN

1973-9087

e-ISSN

1973-9095

Volume of the periodical

59

Issue of the periodical within the volume

2

Country of publishing house

IT - ITALY

Number of pages

11

Pages from-to

248-258

UT code for WoS article

000983180600013

EID of the result in the Scopus database

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