Cost-effectiveness of telehealthcare to patients with chronic obstructive pulmonary disease: results from the Danish 'TeleCare North' cluster-randomised trial

BMJ Open
Flemming Witt UdsenLars Ehlers

Abstract

To investigate the cost-effectiveness of a telehealthcare solution in addition to usual care compared with usual care. A 12-month cost-utility analysis conducted alongside a cluster-randomised trial. Community-based setting in the geographical area of North Denmark Region in Denmark. 26 municipality districts define randomisation clusters with 13 districts in each arm. 1225 patients with chronic obstructive pulmonary disease were enrolled, of which 578 patients were randomised to telehealthcare and 647 to usual care. In addition to usual care, patients in the intervention group received a set of telehealthcare equipment and were monitored by a municipality-based healthcare team. Patients in the control group received usual care. Incremental costs per quality-adjusted life-years gained from baseline up to 12 months follow-up. From a healthcare and social sector perspective, the adjusted mean difference in total costs between telehealthcare and usual care was €728 (95% CI -754 to 2211) and the adjusted mean difference in quality-adjusted life-years gained was 0.0132 (95% CI -0.0083 to 0.0346). The incremental cost-effectiveness ratio was €55 327 per quality-adjusted life-year gained. Decision-makers should be willing to pay more ...Continue Reading

Associated Clinical Trials

Citations

Jan 6, 2018·International Journal of Environmental Research and Public Health·Jannie Kristine Bang Christensen
Jul 18, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Frederico Arriaga Criscuoli de FariasAsdrubal Falavigna
Sep 8, 2020·COPD·Miguel T BarbosaPedro Mendes
May 10, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Elijah H BolinRenee A Bornemeier
Sep 6, 2017·Applied Health Economics and Health Policy·Kristian Kidholm, Mie Borch Dahl Kristensen
Jan 9, 2021·BMJ Open Respiratory Research·Frances WuJohn R Hurst
Mar 4, 2021·BMJ Open·Monica L TaylorLiam J Caffery
Aug 10, 2021·Journal of Telemedicine and Telecare·Cristóbal EstebanUNKNOWN telEPOC group
Oct 26, 2021·The Cochrane Database of Systematic Reviews·Sadia JanjuaRebecca T Disler

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