Cost-utility analysis on telemonitoring of users with pacemakers: The PONIENTE study
Por:
Lopez-Villegas A, Catalan-Matamoros D, Robles-Musso E, Bautista-Mesa R and Peiro S
Publicada:
1 may 2019
Ahead of Print:
1 ene 2018
Categoría:
Health informatics
Resumen:
Introduction Few studies have confirmed the cost-saving of telemonitoring of users with pacemakers (PMs). The purpose of this controlled, non-randomised, non-masked clinical trial was to perform an economic assessment of telemonitoring (TM) of users with PMs and check whether TM offers a cost-utility alternative to conventional follow-up in hospital. Methods Eighty-two patients implanted with an internet-based transmission PM were selected to receive either conventional follow-up in hospital (n = 52) or TM (n = 30) from their homes. The data were collected during 12 months while patients were being monitored. The economic assessment of the PONIENTE study was performed as per the perspectives of National Health Service (NHS) and patients. A cost-utility analysis was conducted to measure whether the TM of patients with PMs is cost-effective in terms of costs per gained quality-adjusted life years (QALYs). Results There was a significant cost-saving for participants in the TM group in comparison with the participants in the conventional follow-up group. From the NHS's perspective, the patients in the TM group gained 0.09 QALYs more than the patients in the conventional follow-up group over 12 months, with a cost saving of 57.64% (euro46.51 versus euro109.79, respectively; p < 0.001) per participant per year. In-office visits were reduced by 52.49% in the TM group. The costs related to the patient perspective were lower in the TM group than in the conventional follow-up group (euro31.82 versus euro73.48, respectively; p < 0.005). The costs per QALY were 61.68% higher in the in-office monitoring group. Discussion The cost-utility analysis performed in the PONIENTE study showed that the TM of users with PMs appears to be a significant cost-effective alternative to conventional follow-up in hospital.
Filiaciones:
Lopez-Villegas A:
1 Social Involvement of Critical and Emergency Medicine, CTS-609 Research Group, Hospital de Poniente, Almeria, Spain
2 Institute of Clinical Medicine, Faculty of Health Sciences, University of Tromsø, Tromsø. Norway
Catalan-Matamoros D:
3 Department of Journalism and Communication, 16726 University Carlos III of Madrid , Madrid, Spain
4 Health Sciences CTS-451 Research Group, University of Almeria, Almería, Spain
Robles-Musso E:
5 Intensive Care Unit, 16579 Hospital de Poniente , Almeria, Spain
Bautista-Mesa R:
6 Management Unit, 16579 Hospital de Poniente , Almeria, Spain
:
7 Health Services Research Unit, FISABIO-PUBLIC HEALTH, Valencia, Spain
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