Cost-Effectiveness of Exercise-Based Cardiac Rehabilitation in Chilean Patients Surviving Acute Coronary Syndrome

Simple item page
dc.contributor.authorSeron, Pamela
dc.contributor.authorGaete, Monica
dc.contributor.authorOliveros, Maria-Jose
dc.contributor.authorRoman, Claudia
dc.contributor.authorLanas, Fernando
dc.contributor.authorVelasquez, Monica
dc.contributor.authorReveco, Roberto
dc.contributor.authorBustos, Luis
dc.contributor.authorRojas, Ruben
dc.date.accessioned2025-01-23T21:15:13Z
dc.date.available2025-01-23T21:15:13Z
dc.date.issued2019
dc.description.abstractPurpose: To assess the cost-effectiveness of 3 models of exercise-based cardiac rehabilitation (CR) compared with standard care in survivors of acute coronary syndrome (ACS) within the public health system in Chile.
dc.description.abstractMethods: A Markov model was designed using 5 health states: ACS survivor, second ACS, complications, general mortality, and cardiovascular mortality. The transition probabilities between health states for standard care and corresponding relative risk for CR were calculated from a systematic review. Health benefits were measured with the EuroQol 5-dimensional 3-level (EQ-5D-3L) survey. Costs for each health state were quantified using the national cost verification study. The CR cost was estimated with a microcosting methodology. The time horizon was a lifetime and the discount rate was 3% per year for costs and benefits. Deterministic and probabilistic analyses were performed. Structural uncertainty was managed by designing 3 scenarios: CR as currently delivered in a specific Chilean public health center, CR as recommended by South American guidelines, and CR as proposed for low-resource settings.
dc.description.abstractResults: Cardiac rehabilitation versus standard care showed an incremental cost-effectiveness ratio for the standard model of $722, for the South American model of $1247, and for the low-resource model of $666. The tornado diagram showed higher uncertainty in relative risk for the complications state and for the second ACS state.
dc.description.abstractConclusion: Considering a cost-effectiveness threshold of 1 unit of gross domestic product per capita (approximate to$19 000), CR is highly cost-effective for the public health system in Chile.
dc.description.funderFondo Nacional de Investigacion y Desarrollo en Salud FONIS-Chile
dc.fuente.origenWOS
dc.identifier.doi10.1097/HCR.0000000000000356
dc.identifier.eissn1932-751X
dc.identifier.issn1932-7501
dc.identifier.urihttps://doi.org/10.1097/HCR.0000000000000356
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/101074
dc.identifier.wosidWOS:000467165600011
dc.issue.numero3
dc.language.isoen
dc.pagina.final174
dc.pagina.inicio168
dc.revistaJournal of cardiopulmonary rehabilitation and prevention
dc.rightsacceso restringido
dc.subjectcardiac rehabilitation
dc.subjectcost-effectiveness
dc.subjecteconomic evaluation
dc.subjectSouth America
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleCost-Effectiveness of Exercise-Based Cardiac Rehabilitation in Chilean Patients Surviving Acute Coronary Syndrome
dc.typeartículo
dc.volumen39
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
Files
Collections
Artículos de revistas