Cost-effectiveness analysis of telemonitoring versus usual care in patients with heart failure

The TEHAF-study

J.J. Boyne, A.D.I. van Asselt, A.P.M. Gorgels, L.M.G. Steuten, G. de Weerd, J. Kragten, H.J.M. Vrijhoef

Research output: Contribution to journalArticleScientificpeer-review

Abstract

We examined the incremental cost–effectiveness of telemonitoring (TM) versus usual care (UC) in patients with congestive heart failure (CHF). In one university and two general hospitals, 382 patients were randomised to usual care or telemonitoring and followed for 1 year. Hospital-related and home costs were estimated, based on resource use multiplied by the appropriate unit prices. Effectiveness was expressed as QALYs gained. Information was gathered, using 3 monthly costs diaries and questionnaires. The mean age of the patients was 71 years (range 32–93), 59% were male and 64% lived with a partner. Health related quality of life improved by 0.07 points for the usual care and 0.1 points for the telemonitoring group, but the difference between groups was not significant. There were no significant differences in annual costs per patient between groups. At a threshold of €50,000 the probability of telemonitoring being cost-effective was 48%. The cost effectiveness analysis showed a high level of decision uncertainty, probably caused by the divergence between the participating institutions. It is therefore premature to draw an unambiguous conclusion regarding cost-effectiveness for the whole group.
Original languageEnglish
Pages (from-to)242-248
JournalJournal of Telemedicine and Telecare
Volume19
Issue number5
DOIs
Publication statusPublished - 2013

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Cost-Benefit Analysis
Quality-Adjusted Life Years
General Hospitals

Cite this

Boyne, J. J., van Asselt, A. D. I., Gorgels, A. P. M., Steuten, L. M. G., de Weerd, G., Kragten, J., & Vrijhoef, H. J. M. (2013). Cost-effectiveness analysis of telemonitoring versus usual care in patients with heart failure: The TEHAF-study. Journal of Telemedicine and Telecare, 19(5), 242-248. https://doi.org/10.1177/1357633x13495478
Boyne, J.J. ; van Asselt, A.D.I. ; Gorgels, A.P.M. ; Steuten, L.M.G. ; de Weerd, G. ; Kragten, J. ; Vrijhoef, H.J.M. / Cost-effectiveness analysis of telemonitoring versus usual care in patients with heart failure : The TEHAF-study. In: Journal of Telemedicine and Telecare. 2013 ; Vol. 19, No. 5. pp. 242-248.
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Boyne, JJ, van Asselt, ADI, Gorgels, APM, Steuten, LMG, de Weerd, G, Kragten, J & Vrijhoef, HJM 2013, 'Cost-effectiveness analysis of telemonitoring versus usual care in patients with heart failure: The TEHAF-study', Journal of Telemedicine and Telecare, vol. 19, no. 5, pp. 242-248. https://doi.org/10.1177/1357633x13495478

Cost-effectiveness analysis of telemonitoring versus usual care in patients with heart failure : The TEHAF-study. / Boyne, J.J.; van Asselt, A.D.I.; Gorgels, A.P.M.; Steuten, L.M.G.; de Weerd, G.; Kragten, J.; Vrijhoef, H.J.M.

In: Journal of Telemedicine and Telecare, Vol. 19, No. 5, 2013, p. 242-248.

Research output: Contribution to journalArticleScientificpeer-review

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AU - van Asselt, A.D.I.

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AB - We examined the incremental cost–effectiveness of telemonitoring (TM) versus usual care (UC) in patients with congestive heart failure (CHF). In one university and two general hospitals, 382 patients were randomised to usual care or telemonitoring and followed for 1 year. Hospital-related and home costs were estimated, based on resource use multiplied by the appropriate unit prices. Effectiveness was expressed as QALYs gained. Information was gathered, using 3 monthly costs diaries and questionnaires. The mean age of the patients was 71 years (range 32–93), 59% were male and 64% lived with a partner. Health related quality of life improved by 0.07 points for the usual care and 0.1 points for the telemonitoring group, but the difference between groups was not significant. There were no significant differences in annual costs per patient between groups. At a threshold of €50,000 the probability of telemonitoring being cost-effective was 48%. The cost effectiveness analysis showed a high level of decision uncertainty, probably caused by the divergence between the participating institutions. It is therefore premature to draw an unambiguous conclusion regarding cost-effectiveness for the whole group.

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