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Cost-effectiveness ...
Cost-effectiveness of a systematic e-assessed follow-up of postoperative recovery after day surgery : a multicentre randomized trial
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- Dahlberg, Karuna, 1979- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper
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- Philipsson, Anna, 1978- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper,University Health Care Research Centre, Region Örebro County, Örebro, Sweden
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- Hagberg, Lars, 1956- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,University Health Care Research Centre, Region Örebro County, Örebro, Sweden
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- Jaensson, Maria, 1967- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper
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- Hälleberg Nyman, Maria, 1968- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper
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- Nilsson, Ulrica, 1960- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper
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(creator_code:org_t)
- Oxford University Press, 2017
- 2017
- Engelska.
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Ingår i: British Journal of Anaesthesia. - : Oxford University Press. - 0007-0912 .- 1471-6771. ; 119:5, s. 1039-1046
- Relaterad länk:
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https://doi.org/10.1...
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http://bjanaesthesia...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Most surgeries are done on a day-stay basis. Recovery assessment by phone points (RAPP) is a smartphonebased application (app) to evaluate patients after day surgery. The aim of this study was to estimate the cost-effectiveness of using RAPP for follow-up on postoperative recovery compared with standard care.Methods: This study was a prospective parallel single-blind multicentre randomized controlled trial. Participants were randomly allocated to the intervention group using RAPP or the control group receiving standard care. A cost-effectiveness analysis was performed based on individual data and included costs for the intervention, health effect [quality-adjusted life-years (QALYs)], and costs or savings in health-care use.Results: The mean cost for health-care consumption during 2 weeks after surgery was estimated at e37.29 for the intervention group and e60.96 for the control group. The mean difference was e23.66 (99% confidence interval 46.57 to0.76; P¼0.008). When including the costs of the intervention, the cost-effectiveness analysis showed net savings of e4.77 per patient in favour of the intervention. No difference in QALYs gained was seen between the groups (P¼0.75). The probability of the intervention being cost-effective was 71%.Conclusions: This study shows that RAPP can be cost-effective but had no effect on QALY. RAPP can be a cost-effective toolin providing low-cost health-care contacts and in systematically assessing the quality of postoperative recovery.Clinical trial registration:NCT02492191
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Nyckelord
- Ambulatory surgery
- cost effectiveness
- mobile applications
- postoperative period
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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