Intervention study shows outpatient cardiac rehabilitation to be economically at least as attractive as inpatient rehabilitation

Clinical Research in Cardiology

Volumn 98, Issue 12, 2009, Pages 787-795

  Schweikert, Bernd ^a,b   Hahmann, Harry ^c   Steinacker, Jürgen M ^d   Imhof, Armin ^e   Muche, Rainer ^d   Koenig, Wolfgang ^e   Liu, Yufei ^d   Leidl, Reiner ^a  

^a INSTITUTE OF EPIDEMIOLOGY   (Germany)

^b Health Economics and Outcomes   (Germany)

^c Klinik Schwabenland   (Germany)

^d UNIVERSITY OF ULM   (Germany)

^e UNIVERSITY HOSPITAL ULM   (Germany)

Author keywords

Cardiac rehabilitation; Comprehensive cohort design; Cost effectiveness; EQ 5D; Health care cost; Propensity score; Quality of life

Indexed keywords

ADULT; ARTICLE; BOOTSTRAPPING; CARDIOVASCULAR RISK; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DRUG COST; ECONOMIC ASPECT; FEMALE; HEALTH CARE COST; HEART INFARCTION; HEART REHABILITATION; HOSPITAL ADMISSION; HOSPITAL CARE; HOSPITAL DISCHARGE; HUMAN; MAJOR CLINICAL STUDY; MALE; OUTPATIENT CARE; QUALITY OF LIFE; SOCIAL ASPECT; ST SEGMENT ELEVATION; UNSTABLE ANGINA PECTORIS;

ADULT; AGED; AMBULATORY CARE; COHORT STUDIES; COST-BENEFIT ANALYSIS; FEMALE; FOLLOW-UP STUDIES; GERMANY; HUMANS; INTERVENTION STUDIES; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; QUALITY OF LIFE; QUALITY-ADJUSTED LIFE YEARS; REHABILITATION CENTERS; SELECTION BIAS;

EID: 73349084609     PISSN: 18610684     EISSN: 18610692     Source Type: Journal    
DOI: 10.1007/s00392-009-0081-6     Document Type: Article

References (29)

1. PA Ades FJ Pashkow JR Nestor 1997 Cost-effectiveness of cardiac rehabilitation after myocardial infarction J Cardiopulm Rehabil 17 222 231 10.1097/00008483-199707000-00002 1:STN:280:DyaK2svhslKqtw%3D%3D 9271765 (Pubitemid 27449025)
2. P Aidelsburger K Grabein V Klauss J Wasem 2008 Cost-effectiveness of cardiac resynchronization therapy in combination with an implantable cardioverter defibrillator (CRT-D) for the treatment of chronic heart failure from a German health-care system perspective Clin Res Cardiol 97 89 97 10.1007/s00392-007-0586-9 17955159 (Pubitemid 351257992)
3. B Bjarnason-Wehrens D Bott L Benesch KO Bischoff B Buran-Kilian D Gysan U Hollenstein W Mayer-Berger R Wilkniss G Sauer 2007 Long-term results of a three-week intensive cardiac outpatient rehabilitation program in motivated patients with low social status Clin Res Cardiol 96 77 85 10.1007/s00392-007- 0461-0 1:STN:280:DC%2BD2s%2Foslyrug%3D%3D 17160566 (Pubitemid 46233209)
4. British Heart Foundation (2008) BHF Coronary heart disease statistics. http://www.heartstats.org. Accessed 20 Aug 2008
5. JR Cook JF Heyse 2000 Use of an angular transformation for ratio estimation in cost-effectiveness analysis Stat Med 19 2989 3003 10.1002/1097-0258(20001115)19:21<2989::AID-SIM599>3.0.CO;2-G 1:STN:280:DC%2BD3M7itFehtg%3D%3D 11042628 (Pubitemid 30828020)
6. RB D'Agostino Jr 2007 Propensity scores in cardiovascular research Circulation 115 2340 2343 10.1161/CIRCULATIONAHA.105.594952 17470708 (Pubitemid 46685902)
7. Davison AC, Hinkley DV (1997) Bootstrap methods and their application. Cambridge University Press, NY
8. T Dixon LL Lim NB Oldridge 2002 The MacNew heart disease health-related quality of life instrument: reference data for users Qual Life Res 11 173 183 10.1023/A:1015005109731 12018740 (Pubitemid 34438163)
9. Drummond MF, Stoddart GL, Torrance GW (1997) Methods for the economic evaluation of health-care programmes, 2nd edn. Oxford University Press, Oxford
10. Efron B, Tibshirani R (1993) An introduction to the bootstrap. Chapman & Hall, New York
11. Grande G, Schott T, Badura B (1999) Ergebnisevaluation Kardiologischer Rehabilitation: Ein Langzeitvergleich über 3 Jahre zwischen stationären und ambulanten Versorgungsformen. In: Badura B (ed) Evaluation im Gesundheitswesen: Ansätze und Ergebnisse. Juventa-Verlag, Weinheim u.a., pp 203-225
12. W Greiner T Weijnen M Nieuwenhuizen S Oppe X Badia J Busschbach M Buxton P Dolan P Kind P Krabbe A Ohinmaa D Parkin M Roset H Sintonen A Tsuchiya F de Charro 2003 A single European currency for EQ-5D health states: results from a six-country study Eur J Health Econ 4 222 231 10.1007/s10198-003-0182-5 15609189 (Pubitemid 37247975)
13. RV Jeger L Jorg P Rickenbacher ME Pfisterer A Hoffmann 2007 Benefit of outpatient cardiac rehabilitation in under-represented patient subgroups J Rehabil Med 39 246 251 10.2340/16501977-0055 17468794
14. H Karapolat S Eyigor M Zoghi T Yagdi S Nalbantgil B Durmaz M Ozbaran 2008 Effects of cardiac rehabilitation program on exercise capacity and chronotropic variables in patients with orthotopic heart transplant Clin Res Cardiol 97 449 456 10.1007/s00392-008-0648-7 18317667
15. HE Klingelhöfer A Latzsch 2003 Comparing the economy of outpatient versus inpatient rehabilitation Gesundheitswesen 65 163 166 10.1055/s-2003-38516 12698385 (Pubitemid 36528108)
16. C Krauth F Hessel T Hansmeier J Wasem R Seitz B Schweikert 2005 Empirical standard costs for health economic evaluation in Germany-a proposal by the working group methods in health economic evaluation Gesundheitswesen 67 736 746 10.1055/s-2005-858698 1:STN:280:DC%2BD2Mrls1Gruw%3D%3D 16235143 (in German) (Pubitemid 41604934)
17. E Miche E Roelleke U Wirtz B Zoller M Tietz M Huerst A Radzewitz 2008 Combined endurance and muscle strength training in female and male patients with chronic heart failure Clin Res Cardiol 97 615 622 10.1007/s00392-008-0660-y 18432395
18. R Muche A Imhof 2003 The Comprehensive Cohort Design as alternative to the randomized controlled trial in rehabilitation research: advantages, disadvantages, and implementation in the SARAH study Rehabilitation (Stuttg) 42 343 349 1:STN:280:DC%2BD3srpsFejtw%3D%3D
19. J Muller-Nordhorn H Englert K Wegscheider H Berger F Sonntag H Voller W Meyer-Sabellek T Reinhold E Windler HA Katus SN Willich 2008 Productivity loss as a major component of disease-related costs in patients with hypercholesterolemia in Germany Clin Res Cardiol 97 152 159 10.1007/s00392-007- 0602-0 18060377 (Pubitemid 351712811)
20. N Oldridge W Furlong D Feeny G Torrance G Guyatt J Crowe N Jones 1993 Economic evaluation of cardiac rehabilitation soon after acute myocardial infarction Am J Cardiol 72 154 161 10.1016/0002-9149(93)90152-3 1:STN:280:DyaK3szhvVOntA%3D%3D 8328376 (Pubitemid 23205870)
21. C Schmoor M Olschewski M Schumacher 1996 Randomized and non-randomized patients in clinical trials: experiences with comprehensive cohort studies Stat Med 15 263 271 10.1002/(SICI)1097-0258(19960215)15:3<263::AID-SIM165>3.0. CO;2-K 1:STN:280:DyaK283gs1Omsg%3D%3D 8643884 (Pubitemid 26020344)
22. B Schweikert H Hahmann R Leidl 2006 Validation of the EuroQol questionnaire in cardiac rehabilitation Heart 92 62 67 10.1136/hrt.2004.052787 1:STN:280:DC%2BD2MnnslSlsg%3D%3D 15797936 (Pubitemid 43021857)
23. B Schweikert H Hahmann R Leidl 2008 Development and first assessment of a questionnaire for health-care utilization and costs for cardiac patients BMC Health Serv Res 8 187 10.1186/1472-6963-8-187 18803845
24. B Schweikert M Hunger C Meisinger HH Konig O Gapp R Holle 2009 Quality of life several years after myocardial infarction: comparing the MONICA/KORA registry to the general population Eur Heart J 30 436 443 10.1093/eurheartj/ ehn509 19019995
25. Statistisches Bundesamt (2009) Diagnosedaten der Patienten und Patientinnen in Vorsorge- oder Rehabilitationseinrichtungen, Wiesbaden
26. RS Taylor A Brown S Ebrahim J Jolliffe H Noorani K Rees B Skidmore JA Stone DR Thompson N Oldridge 2004 Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials Am J Med 116 682 692 10.1016/j.amjmed.2004.01.009 15121495 (Pubitemid 38581114)
27. M Unverdorben S Unverdorben K Edel R Degenhardt O Brusis C Vallbracht 2007 Risk predictors and frequency of cardiovascular symptoms occurring during cardiac rehabilitation programs in phase III-WHO Clin Res Cardiol 96 383 388 10.1007/s00392-007-0517-9 17503114 (Pubitemid 46798977)
28. A Vom Orde T Schott O Iseringhausen 2002 Outcomes of cardiac rehabilitation treatment and cost-effectiveness relations-a comparison between inpatient and outpatient rehabilitation programmes Rehabilitation (Stuttg) 41 119 129 1:STN:280:DC%2BD383mslWqtA%3D%3D
29. AR Willan DY Lin A Manca 2005 Regression methods for cost-effectiveness analysis with censored data Stat Med 24 131 145 10.1002/sim.1794 15515137 (Pubitemid 40074070)