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dc.contributor.authorBurge, AT
dc.contributor.authorHolland, AE
dc.contributor.authorMcDonald, CF
dc.contributor.authorAbramson, MJ
dc.contributor.authorHill, CJ
dc.contributor.authorLee, AL
dc.contributor.authorCox, NS
dc.contributor.authorMoore, R
dc.contributor.authorNicolson, C
dc.contributor.authorO'Halloran, P
dc.contributor.authorLahham, A
dc.contributor.authorGillies, R
dc.contributor.authorMahal, A
dc.date.accessioned2021-10-05T23:22:15Z
dc.date.available2021-10-05T23:22:15Z
dc.date.issued2019-08-16
dc.identifier.citationBurge, A. T., Holland, A. E., McDonald, C. F., Abramson, M. J., Hill, C. J., Lee, A. L., Cox, N. S., Moore, R., Nicolson, C., O'Halloran, P., Lahham, A., Gillies, R. & Mahal, A. (2019). Home-based pulmonary rehabilitation for COPD using minimal resources: An economic analysis. RESPIROLOGY, 25 (2), pp.183-190. https://doi.org/10.1111/resp.13667.
dc.identifier.issn1323-7799
dc.identifier.urihttp://hdl.handle.net/11343/286310
dc.description.abstractBACKGROUND AND OBJECTIVE: This study aimed to compare the cost-effectiveness and cost-utility of home and centre-based pulmonary rehabilitation for adults with stable chronic obstructive pulmonary disease (COPD). METHODS: Prospective economic analyses were undertaken from a health system perspective alongside a randomized controlled equivalence trial in which participants referred to pulmonary rehabilitation undertook a standard 8-week outpatient centre-based or a new home-based programme. Participants underwent clinical assessment prior to programme commencement, immediately following completion and 12 months following programme completion. They provided data for utility (quality-adjusted life years (QALY) determined using SF6D (utility scores for health states) calculated from 36-Item Short Form Health Survey version 2) and effectiveness (change in distance walked on 6-min walk test (Δ6MWD) following pulmonary rehabilitation ). Individual-level cost data for the 12 months following programme completion was sourced from healthcare administration and government databases. RESULTS: Between-group mean difference point estimates for cost (-$4497 (95% CI: -$12 250 to $3257), utility (0.025 (-0.038 to 0.086) QALY) and effectiveness (14 m (-11 to 39) Δ6MWD) favoured the home-based group. Cost-utility analyses demonstrated 63% of estimates falling in the dominant southeast quadrant and the probability that the new home-based model was cost-effective at a $0 threshold for willingness to pay was 78%. Results were robust to a range of sensitivity analyses. Programme completion was associated with significantly lower healthcare costs in the following 12 months. CONCLUSION: Home-based pulmonary rehabilitation provides a cost-effective alternative model for people with COPD who cannot access traditional centre-based programmes.
dc.languageEnglish
dc.publisherWILEY
dc.titleHome-based pulmonary rehabilitation for COPD using minimal resources: An economic analysis
dc.typeJournal Article
dc.identifier.doi10.1111/resp.13667
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.affiliation.departmentUniversity General
melbourne.affiliation.departmentPhysiotherapy
melbourne.affiliation.departmentMedicine (Austin & Northern Health)
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.affiliation.facultyUniversity Services
melbourne.source.titleRespirology
melbourne.source.volume25
melbourne.source.issue2
melbourne.source.pages183-190
melbourne.elementsid1409750
melbourne.contributor.authorMahal, Ajay
melbourne.contributor.authorMcDonald, Christine
melbourne.contributor.authorBURGE, ANGELA
melbourne.contributor.authorHOLLAND, ANNE
melbourne.contributor.authorAbramson, Michael
melbourne.contributor.authorHILL, CATHERINE
melbourne.contributor.authorLEE, ANNEMARIE
melbourne.contributor.authorMOORE, ROSEMARY
melbourne.contributor.authorNICOLSON, CAROLINE
melbourne.contributor.authorGILLIES, REBECCA
dc.identifier.eissn1440-1843
melbourne.accessrightsOpen Access


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