Cost-Effectiveness of Telehealth-Delivered Exercise and Dietary Weight Loss Programs for Knee Osteoarthritis Within a Twelve-Month Randomized Trial.
Journal
Arthritis care & research
ISSN: 2151-4658
Titre abrégé: Arthritis Care Res (Hoboken)
Pays: United States
ID NLM: 101518086
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
revised:
23
08
2022
received:
29
04
2022
accepted:
13
09
2022
medline:
29
5
2023
pubmed:
16
9
2022
entrez:
15
9
2022
Statut:
ppublish
Résumé
To evaluate the cost-effectiveness of telehealth-delivered exercise and diet-plus-exercise programs within 12 months. An economic evaluation within a 12-month, 3-arm, parallel randomized trial of two 6-month telehealth-delivered exercise programs, with and without a dietary component. A total of 415 people with knee osteoarthritis ages 45-80 years and body mass index of 28-40 kg/m The clinical trial demonstrated greater improvements in pain and function compared to information only for individuals with knee osteoarthritis and overweight/obesity. We can be 88% confident that diet plus exercise is cost effective ($45,500 per QALY), 53% confident that exercise is cost-effective ($67,600 per QALY) compared to the control, and 86% confident that augmenting exercise with the diet program is cost effective ($21,100 per QALY). Telehealth-delivered programs targeting exercise with dietary intervention for people with knee osteoarthritis who have overweight/obesity are likely to be cost-effective, particularly if potential long-term gains from weight loss and work productivity are realized.
Banques de données
ANZCTR
['ACTRN12618000930280']
Types de publication
Randomized Controlled Trial
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1311-1319Informations de copyright
© 2022 The Authors. Arthritis Care & Research published by Wiley Periodicals LLC on behalf of American College of Rheumatology.
Références
BMC Public Health. 2018 Dec 27;18(1):1408
pubmed: 30587191
Arthritis Care Res (Hoboken). 2012 Jun;64(6):853-61
pubmed: 22262497
Osteoarthritis Cartilage. 2019 Nov;27(11):1578-1589
pubmed: 31278997
PeerJ. 2018 Oct 30;6:e5846
pubmed: 30397549
Pharmacoeconomics. 2018 Feb;36(2):239-252
pubmed: 29273843
Health Psychol. 1996 Mar;15(2):114-23
pubmed: 8681919
MMWR Morb Mortal Wkly Rep. 2017 Mar 10;66(9):246-253
pubmed: 28278145
Br J Sports Med. 2020 Jul;54(13):790-797
pubmed: 31748198
Arthritis Care Res (Hoboken). 2017 Mar;69(3):376-383
pubmed: 27332971
Patient. 2014;7(1):85-96
pubmed: 24271592
Health Econ. 2010 Apr;19(4):422-37
pubmed: 19382128
J Occup Environ Med. 2003 Feb;45(2):156-74
pubmed: 12625231
Arthritis Care Res (Hoboken). 2019 Jul;71(7):855-864
pubmed: 30055077
Ann Intern Med. 2021 Jan;174(1):25-32
pubmed: 33136426
Med Decis Making. 2008 Sep-Oct;28(5):713-22
pubmed: 18378939
JAMA. 2013 Sep 25;310(12):1263-73
pubmed: 24065013
Ann Intern Med. 2011 Feb 15;154(4):217-26
pubmed: 21320937
BMC Musculoskelet Disord. 2020 Mar 12;21(1):160
pubmed: 32164604
Soc Sci Med. 2018 Aug;211:131-136
pubmed: 29935403
J Comp Eff Res. 2016 Jul;5(4):417-31
pubmed: 27346368
Arthritis Care Res (Hoboken). 2020 Feb;72(2):149-162
pubmed: 31908149
Arthritis Care Res (Hoboken). 2018 Oct;70(10):1448-1454
pubmed: 29468844
Health Econ. 1998 Dec;7(8):723-40
pubmed: 9890333
Osteoarthritis Cartilage. 2021 Apr;29(4):456-470
pubmed: 33197558
BMC Musculoskelet Disord. 2017 Jun 21;18(1):271
pubmed: 28633661
Am J Prev Med. 2006 May;30(5):385-93
pubmed: 16627126
Arthritis Care Res (Hoboken). 2018 Jan;70(1):89-97
pubmed: 28320075
Stat Methods Med Res. 2002 Dec;11(6):455-68
pubmed: 12516984
Milbank Q. 1996;74(4):511-44
pubmed: 8941260
Ann Intern Med. 2022 Feb;175(2):198-209
pubmed: 34843383
Arthritis Rheum. 2004 May;50(5):1501-10
pubmed: 15146420
Int J Obes (Lond). 2021 Jun;45(6):1249-1258
pubmed: 33658682
Semin Arthritis Rheum. 2019 Apr;48(5):765-777
pubmed: 30072112
Qual Life Res. 2016 Dec;25(12):3209-3219
pubmed: 27344318
Health Econ. 2004 May;13(5):405-15
pubmed: 15127421
Health Technol Assess. 2015 Feb;19(14):1-503, v-vi
pubmed: 25692211
Arch Intern Med. 2001 Oct 22;161(19):2309-16
pubmed: 11606146
Ann Intern Med. 2017 Apr 04;166(7):453-462
pubmed: 28241215
Ann Rheum Dis. 2007 Apr;66(4):433-9
pubmed: 17204567
Arthritis Care Res (Hoboken). 2018 Jun;70(6):869-876
pubmed: 28950426
Arthritis Care Res (Hoboken). 2011 Jan;63(1):79-93
pubmed: 20824798