Cost-effectiveness of exercise programs in type 2 diabetes.
| Autor: | Coyle D; University of Ottawa, Ontario, Canada. dcoyle@uottawa.ca, Coyle K, Kenny GP, Boulé NG, Wells GA, Fortier M, Reid RD, Phillips P, Sigal RJ |
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| Jazyk: | angličtina |
| Zdroj: | International journal of technology assessment in health care [Int J Technol Assess Health Care] 2012 Jul; Vol. 28 (3), pp. 228-34. |
| DOI: | 10.1017/S0266462312000256 |
| Abstrakt: | Background: A randomized controlled trial has shown that supervised, facility-based exercise training is effective in improving glycemic control in type 2 diabetes. However, these programs are associated with additional costs. This analysis assessed the cost-effectiveness of such programs. Methods: Analysis used data from the Diabetes Aerobic and Resistance Exercise (DARE) clinical trial which compared three different exercise programs (resistance, aerobic or a combination of both) of 6 months duration with a control group (no exercise program). Clinical outcomes at 6 months were entered for individual patients into the UKPDS economic model for type 2 diabetes adapted for the Canadian context. From this, expected life-years, quality-adjusted life-years (QALYs) and costs were estimated for all patients within the trial. Results: The combined exercise program was the most expensive ($40,050) followed by the aerobic program ($39,250), the resistance program ($38,300) and no program ($31,075). QALYs were highest for combined (8.94), followed by aerobic (8.77), resistance (8.73) and no program (8.70). The incremental cost per QALY gained for the combined exercise program was $4,792 compared with aerobic alone, $8,570 compared with resistance alone, and $37,872 compared with no program. The combined exercise program remained cost-effective for all scenarios considered within sensitivity analysis. Conclusions: A program providing training in both resistance and aerobic exercise was the most cost-effective of the alternatives compared. Based on previous funding decisions, exercise training for individuals with diabetes can be considered an efficient use of resources. |
| Databáze: | MEDLINE |
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