Date of Award
January 2016
Document Type
Open Access Thesis
Degree Name
Master of Public Health (MPH)
Department
School of Public Health
First Advisor
Shiyi Wang
Abstract
Background: Multidisciplinary management program (MMP) or exercise training program (ETP) is cost-effective in treating heart failure patients compared with usual care (UC), but no comparison across these three strategies has been made.
Objective: To estimate and compare the cost-effectiveness of MMP, ETP, or UC.
Design: Cohort simulations using a Markov model.
Data Sources: Derived from literature.
Participants: Heart failure (HF) patients aged 56-80 years old.
Time horizon: 10 years.
Intervention: UC, MMP (including disease education and continuous social and psychological support) and ETP (including exercise training and the basic support in MMP).
Outcome Measures: Life-year saved, lifetime costs, and incremental cost-effectiveness ratio (ICER) as measured by cost per life-year saved.
Results of Base-Case Analysis: UC yielded 6.75 life-years saved, MMP 7.12 life-years saved, and ETP 7.93 life-years saved. The associated costs were $10,694, $12,007, and $37,635, respectively. The ICERs were $3,535 per life-year saved in MMP vs. UC, and $31,624 per life-year saved in ETP vs. MMP.
Results of Sensitivity Analysis: The ICERs ranged from $1,307 to $4,743 per life-year saved in MMP vs. UC, and from $16,043 to $42,397 per life-year saved in ETP vs. MMP.
Limitation: No trials have directly compared MMP with ETP; different sources of input data.
Conclusion: In patients with heart failure, MMP and ETP appear to be cost-effective.
Recommended Citation
Yi, Anji, "Cost-Effectiveness Of Multidisciplinary Management And Exercise Training In Heart Failure Treatment" (2016). Public Health Theses. 1336.
https://elischolar.library.yale.edu/ysphtdl/1336
Comments
This is an Open Access Thesis.