Cost-effectiveness of a systematic e-assessed follow-up of postoperative recovery after day surgery: a multicentre randomized trial

British Journal of Anaesthesia
K DahlbergU Nilsson

Abstract

Most surgeries are done on a day-stay basis. Recovery assessment by phone points (RAPP) is a smartphone-based application (app) to evaluate patients after day surgery. The aim of this study was to estimate the cost-effectiveness of using RAPP for follow-up on postoperative recovery compared with standard care. This study was a prospective parallel single-blind multicentre randomized controlled trial. Participants were randomly allocated to the intervention group using RAPP or the control group receiving standard care. A cost-effectiveness analysis was performed based on individual data and included costs for the intervention, health effect [quality-adjusted life-years (QALYs)], and costs or savings in health-care use. The mean cost for health-care consumption during 2 weeks after surgery was estimated at €37.29 for the intervention group and €60.96 for the control group. The mean difference was €23.66 (99% confidence interval -46.57 to - 0.76; P=0.008). When including the costs of the intervention, the cost-effectiveness analysis showed net savings of €4.77 per patient in favour of the intervention. No difference in QALYs gained was seen between the groups (P=0.75). The probability of the intervention being cost-effective was 7...Continue Reading

Citations

Nov 2, 2018·BMJ Quality & Safety·Daniel Cornejo-PalmaUNKNOWN David R Urbach
Feb 7, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Krista B HighlandChester C Buckenmaier
Oct 1, 2020·Surgical Endoscopy·Natalie LiuAnne O Lidor
Oct 27, 2020·Anaesthesia and Intensive Care·Kasia Kulinski, Natalie A Smith
Jan 5, 2021·JMIR Perioperative Medicine·Ben Patel, Arron Thind
May 11, 2021·Anaesthesia Critical Care & Pain Medicine·Patrice Forget, Karuna Dahlberg
May 10, 2021·Anaesthesia Critical Care & Pain Medicine·Jérome CarlierKarine Nouette-Gaulain
Jul 23, 2020·Journal of the American Medical Directors Association·Leonie T JonkerMaarten M H Lahr
Jul 17, 2021·Current Opinion in Anaesthesiology·Marc CoppensMelissa De Regge

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