Cost-effectiveness of physical fitness training for stroke survivors

Marissa Collins, Edward Clifton, Frederike van Wijck, Gillian Mead

Research output: Contribution to journalArticle

12 Downloads (Pure)

Abstract

Background Physical fitness is impaired after stroke, yet fitness training after stroke reduces disability. Several international guidelines recommend that fitness training be incorporated as part of stroke rehabilitation. However, information about cost-effectiveness is limited.

Methods A decision tree model was used to estimate the cost-effectiveness of a fitness programme for stroke survivors vs. relaxation (control group). This was based on a published randomised controlled trial, from which evidence about quality of life was used to estimate Quality Adjusted Life Years. Costs were based on the cost of the provision of group fitness classes within local community centres and a cost per Quality Adjusted Life Year was calculated.

Results The results of the base case analysis found an incremental cost per Quality Adjusted Life Year of £2,343.

Conclusions Physical fitness sessions after stroke are a cost-effective intervention for stroke survivors. This information will help make the case for the development of new services.
Original languageEnglish
Pages (from-to)62-68
JournalJournal of the Royal College of Physicians of Edinburgh
Volume48
Issue number1
DOIs
Publication statusPublished - 31 Mar 2018

Fingerprint

Physical Fitness
Cost-Benefit Analysis
Survivors
Stroke
Quality-Adjusted Life Years
Costs and Cost Analysis
Decision Trees
Randomized Controlled Trials
Quality of Life
Guidelines
Control Groups

Keywords

  • economic evaluation, exercise, fitness, rehabilitation, stroke

Cite this

Collins, M., Clifton, E., van Wijck, F., & Mead, G. (2018). Cost-effectiveness of physical fitness training for stroke survivors. Journal of the Royal College of Physicians of Edinburgh, 48(1), 62-68. https://doi.org/10.4997/JRCPE.2018.115
Collins, Marissa ; Clifton, Edward ; van Wijck, Frederike ; Mead, Gillian. / Cost-effectiveness of physical fitness training for stroke survivors. In: Journal of the Royal College of Physicians of Edinburgh. 2018 ; Vol. 48, No. 1. pp. 62-68.
@article{797720c01de047b890d495e4ef4d364d,
title = "Cost-effectiveness of physical fitness training for stroke survivors",
abstract = "Background Physical fitness is impaired after stroke, yet fitness training after stroke reduces disability. Several international guidelines recommend that fitness training be incorporated as part of stroke rehabilitation. However, information about cost-effectiveness is limited.Methods A decision tree model was used to estimate the cost-effectiveness of a fitness programme for stroke survivors vs. relaxation (control group). This was based on a published randomised controlled trial, from which evidence about quality of life was used to estimate Quality Adjusted Life Years. Costs were based on the cost of the provision of group fitness classes within local community centres and a cost per Quality Adjusted Life Year was calculated.Results The results of the base case analysis found an incremental cost per Quality Adjusted Life Year of £2,343.Conclusions Physical fitness sessions after stroke are a cost-effective intervention for stroke survivors. This information will help make the case for the development of new services.",
keywords = "economic evaluation, exercise, fitness, rehabilitation, stroke",
author = "Marissa Collins and Edward Clifton and {van Wijck}, Frederike and Gillian Mead",
note = "Acceptance requested 31/10/19 ET; author confirmed doesn't have this (via email 31/10/19) Record originally saved as EIP; moved to 'for validation' on 31/10/19 ET Publisher policy (Sherpa): only VoR permitted with CC-BY-NC, uploaded VoR with no embargo. ET Screenshot (attached) from journal webpage noting this is an OA journal: https://www.rcpe.ac.uk/college/journal-royal-college-physicians-edinburgh#further-information-for-contributors Applied Gold exception re journal policy (screenshot explains like CC-BY-NC terms). ET 10/12/19",
year = "2018",
month = "3",
day = "31",
doi = "10.4997/JRCPE.2018.115",
language = "English",
volume = "48",
pages = "62--68",
number = "1",

}

Collins, M, Clifton, E, van Wijck, F & Mead, G 2018, 'Cost-effectiveness of physical fitness training for stroke survivors', Journal of the Royal College of Physicians of Edinburgh, vol. 48, no. 1, pp. 62-68. https://doi.org/10.4997/JRCPE.2018.115

Cost-effectiveness of physical fitness training for stroke survivors. / Collins, Marissa; Clifton, Edward; van Wijck, Frederike; Mead, Gillian.

In: Journal of the Royal College of Physicians of Edinburgh, Vol. 48, No. 1, 31.03.2018, p. 62-68.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cost-effectiveness of physical fitness training for stroke survivors

AU - Collins, Marissa

AU - Clifton, Edward

AU - van Wijck, Frederike

AU - Mead, Gillian

N1 - Acceptance requested 31/10/19 ET; author confirmed doesn't have this (via email 31/10/19) Record originally saved as EIP; moved to 'for validation' on 31/10/19 ET Publisher policy (Sherpa): only VoR permitted with CC-BY-NC, uploaded VoR with no embargo. ET Screenshot (attached) from journal webpage noting this is an OA journal: https://www.rcpe.ac.uk/college/journal-royal-college-physicians-edinburgh#further-information-for-contributors Applied Gold exception re journal policy (screenshot explains like CC-BY-NC terms). ET 10/12/19

PY - 2018/3/31

Y1 - 2018/3/31

N2 - Background Physical fitness is impaired after stroke, yet fitness training after stroke reduces disability. Several international guidelines recommend that fitness training be incorporated as part of stroke rehabilitation. However, information about cost-effectiveness is limited.Methods A decision tree model was used to estimate the cost-effectiveness of a fitness programme for stroke survivors vs. relaxation (control group). This was based on a published randomised controlled trial, from which evidence about quality of life was used to estimate Quality Adjusted Life Years. Costs were based on the cost of the provision of group fitness classes within local community centres and a cost per Quality Adjusted Life Year was calculated.Results The results of the base case analysis found an incremental cost per Quality Adjusted Life Year of £2,343.Conclusions Physical fitness sessions after stroke are a cost-effective intervention for stroke survivors. This information will help make the case for the development of new services.

AB - Background Physical fitness is impaired after stroke, yet fitness training after stroke reduces disability. Several international guidelines recommend that fitness training be incorporated as part of stroke rehabilitation. However, information about cost-effectiveness is limited.Methods A decision tree model was used to estimate the cost-effectiveness of a fitness programme for stroke survivors vs. relaxation (control group). This was based on a published randomised controlled trial, from which evidence about quality of life was used to estimate Quality Adjusted Life Years. Costs were based on the cost of the provision of group fitness classes within local community centres and a cost per Quality Adjusted Life Year was calculated.Results The results of the base case analysis found an incremental cost per Quality Adjusted Life Year of £2,343.Conclusions Physical fitness sessions after stroke are a cost-effective intervention for stroke survivors. This information will help make the case for the development of new services.

KW - economic evaluation, exercise, fitness, rehabilitation, stroke

UR - https://www.rcpe.ac.uk/college/journal/cost-effectiveness-physical-fitness-training-stroke-survivors#text

U2 - 10.4997/JRCPE.2018.115

DO - 10.4997/JRCPE.2018.115

M3 - Article

VL - 48

SP - 62

EP - 68

IS - 1

ER -

Collins M, Clifton E, van Wijck F, Mead G. Cost-effectiveness of physical fitness training for stroke survivors. Journal of the Royal College of Physicians of Edinburgh. 2018 Mar 31;48(1):62-68. https://doi.org/10.4997/JRCPE.2018.115