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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
Published on: July 12, 2024
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Cost-Effectiveness of the Self-Care Management System for Heart Failure
Eisaku Nakane1, Takao Kato2, Nozomi Tanaka2
1Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital Osaka Japan.
Circulation Reports
|January 13, 2025
Summary
The self-care management system for heart failure (HF) is cost-effective, reducing hospitalizations and healthcare costs while improving quality-adjusted life-years (QALYs). This system offers a valuable, affordable treatment option for HF patients.
Area of Science:
- Cardiology
- Health Economics
- Medical Technology
Background:
- Previous research indicated that a self-care management system for heart failure (HF) reduces re-hospitalization rates.
- This study aimed to evaluate the economic viability of implementing this HF self-care management system.
Purpose of the Study:
- To estimate the cost-effectiveness of a self-care management system for heart failure (HF).
- To compare cardiovascular healthcare costs and calculate the incremental cost-effectiveness ratio (ICER) between system users and non-users.
Main Methods:
- Retrospective analysis of 569 HF patients, with 153 users and 153 propensity-score matched non-users.
- Quality-adjusted life-years (QALYs) were calculated using New York Heart Association class and quality of life scores every 3 months.
- Cardiovascular healthcare costs and total costs were compared between the two groups.
Main Results:
- The user group incurred lower total healthcare costs (¥129,797,016) compared to the non-user group (¥156,427,032).
- Hospitalizations were reduced in the user group (24 patients) versus the non-user group (43 patients).
- The self-care system use led to an increase in QALYs (0.653 to 0.686) and an ICER below zero, indicating cost-effectiveness.
Conclusions:
- The self-care management system for heart failure (HF) demonstrates significant cost-effectiveness.
- Implementation of the system is associated with improved patient outcomes (increased QALYs) and reduced healthcare expenditures.
- The system represents a valuable and economically sound treatment strategy for managing heart failure.
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