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An economic evaluation of a self-management programme of activity, coping and education for patients with chronic obstructive pulmonary disease
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Dritsaki, Melina, Johnson-Warrington, V., Mitchell, K., Singh, S. and Rees, Karen (2016) An economic evaluation of a self-management programme of activity, coping and education for patients with chronic obstructive pulmonary disease. Chronic Respiratory Disease, 13 (1). pp. 48-56. doi:10.1177/1479972315619578 ISSN 1479-9723.
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Official URL: http://dx.doi.org/10.1177/1479972315619578
Abstract
The aim was to undertake a cost-utility analysis of a self-management programme of activity, coping and education (SPACE) for chronic obstructive pulmonary disease (COPD). The analysis was conducted alongside a six-month randomized controlled trial in 30 primary care settings. The economic analysis used data from 184 patients with confirmed diagnosis of COPD, forced expiratory volume in one second/forced vital capacity ratio <0.7 and with grade 2–5 on the Medical Research Council dyspnoea scale. Participants received either a self-management programme consisting of an education manual (SPACE for COPD) and consultation or usual care. Six-month costs were estimated from the National Health Service and Personal Social Services perspective and quality-adjusted life years (QALYs) were calculated based on patient responses at baseline and six months.
The mean difference in costs between usual care and SPACE FOR COPD programme was −£27.18 (95% confidence interval (CI); −£122.59 to £68.25) while mean difference in QALYs was −0.10 (95% CI; −0.17 to −0.02). The results suggest that the intervention is more costly and more effective than usual care. The probability of the intervention being cost-effective was 97% at a threshold of £20,000/QALY gained. We conclude that the SPACE FOR COPD programme is cost-effective compared to usual care.
Item Type: | Journal Article | ||||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Statistics and Epidemiology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Chronic Respiratory Disease | ||||||||
Publisher: | Sage Publications Ltd. | ||||||||
ISSN: | 1479-9723 | ||||||||
Official Date: | February 2016 | ||||||||
Dates: |
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Volume: | 13 | ||||||||
Number: | 1 | ||||||||
Page Range: | pp. 48-56 | ||||||||
DOI: | 10.1177/1479972315619578 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Restricted or Subscription Access |
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