Cost-effectiveness of seven-days-per-week rehabilitation schedule for acute stroke patients

Morii, Yasuhiro; Abiko, Kagari; Osanai, Toshiya; Takami, Jiro; Tanikawa, Takumi; Fujiwara, Kensuke; Houkin, Kiyohiro; Ogasawara, Katsuhiko

doi:10.1186/s12962-023-00421-3

Cited by 3 publications

(1 citation statement)

References 23 publications

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“…Indeed, ten out of eleven included studies were published in the last ten years, with four of them published in the last four years. These studies are thus based on updated methodological guidelines for economic evaluations [ 5 , 8 , 12 , 14 , 17 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Economic analysis of digital motor rehabilitation technologies: a systematic review

Agbemanyole,

Agbohessou,

Pons

et al. 2024

Health Econ Rev

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Rehabilitation technologies offer promising opportunities for interventions for patients with motor disabilities. However, their use in routine care remains limited due to their high cost and persistent doubts about their cost-effectiveness. Providing solid evidence of the economic efficiency of rehabilitation technologies would help dispel these doubts in order to better take advantage of these technologies. In this context, this systematic review aimed to examine the cost-effectiveness of rehabilitation interventions based on the use of digital technologies. In total, 660 articles published between 2011 and 2021 were identified, of which eleven studies met all the inclusion criteria. Of these eleven studies, seven proved to be cost-effective, while four were not. Four studies used cost-utility analyses (CUAs) and seven used cost-minimization analyses (CMAs). The majority (ten studies) focused on the rehabilitation of the upper and/or lower limbs after a stroke, while only one study examined the rehabilitation of the lower limbs after knee arthroplasty. Regarding the evaluated devices, seven studies analyzed the cost-effectiveness of robotic rehabilitation and four analyzed rehabilitation with virtual reality.The assessment of the quality of the included studies using the CHEERS (Consolidated Health Economic Evaluation Reporting Standards) suggested that the quality was related to the economic analysis method: all studies that adopted a cost-utility analysis obtained a high quality score (above 80%), while the quality scores of the cost-minimization analyses were average, with the highest score obtained by a CMA being 72%. The average quality score of all the articles was 75%, ranging between 52 and 100. Of the four studies with a considering score, two concluded that there was equivalence between the intervention and conventional care in terms of cost-effectiveness, one concluded that the intervention dominated, while the last one concluded that usual care dominated. This suggests that even considering the quality of the included studies, rehabilitation interventions based on digital technologies remain cost-effective, they improved health outcomes and quality of life for patients with motor disorders while also allowing cost savings.

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Section: Discussionmentioning

confidence: 99%

Economic analysis of digital motor rehabilitation technologies: a systematic review

Agbemanyole,

Agbohessou,

Pons

et al. 2024

Health Econ Rev

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Stroke rehabilitation pathways during the first year: A cost-effectiveness analysis from a cohort of 460 individuals

Barbosa,

Szrek,

Ferreira

et al. 2024

Annals of Physical and Rehabilitation Medicine

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Pharmacoeconomic analysis of the use of combinations of complex electrolyte compounds with citicoline in the treatment of patients with acute ischemic stroke in Ukraine

Костюк,

Міщенко,

Шалабін

2023

Farm Zh

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Ischemic stroke is a clinical syndrome of rapid development of signs of focal or global loss of brain function that lasts 24 hours or more or leads to death without other (nonvascular) causes. Cerebral stroke is one of the most severe forms of cerebrovascular disease. A significant place in stroke pharmacotherapy is occupied by prescription drugs that increase the preservation of nervous tissue. Citicoline is an essential mediator in phosphatidylcholine biosynthesis, a major component of biological membranes. The study aimed to analyze the cost-effectiveness and budget impact on using of complex electrolyt compounds with citicoline combinations in treatment of patients with acute ischemic stroke in Ukraine. The cost analysis was based on a decision tree model developed for treatment within 28 days after an ischemic stroke, including the likelihood that a patient will need to undergo rehabilitation care in an out-patient or in-patient treatment. The cost of direct expenses was determined based on the results of the course of Neurocytin® in combination with standard therapy, compared to the use of standard therapy alone, which, according to the results of the modelled analysis, is 30 407.10 UAH and 28 171.43 UAH per 1 person, respectively. Due to performing a pharmacoeconomic analysis using the cost-effectiveness method, the cost-utility indicator was calculated, which for treatment with Neurocytin® is 47 142.79 UAH, and for standard therapy – 46 031.74 UAH. The calculated ICUR value is 68 996.36 UAH, which indicates that the technology of Neurocytin® in combination with standard therapy is more effective and more costly. The ratio of the potential threshold of «willingness to pay» and the ICUR value visually demonstrates that in terms of cost-effectiveness, the technology of Neurocytin® in combination with standard therapy is within the threshold of willingness to pay from the perspective of the state budget. Based on the budget impact analysis results, it was found that the cost of Scenario 3 (an annual 20% increase in the number of patients prescribed Neurocytin® in combination with standard therapy) will amount to 17.2 billion UAH.

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Cost-effectiveness of seven-days-per-week rehabilitation schedule for acute stroke patients

Cited by 3 publications

References 23 publications

Economic analysis of digital motor rehabilitation technologies: a systematic review

Economic analysis of digital motor rehabilitation technologies: a systematic review

Stroke rehabilitation pathways during the first year: A cost-effectiveness analysis from a cohort of 460 individuals

Pharmacoeconomic analysis of the use of combinations of complex electrolyte compounds with citicoline in the treatment of patients with acute ischemic stroke in Ukraine

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