2. Summary of costs of exercise‐based rehabilitation and usual care.
| Author/year | Briffa 2005 | Hambrecht 2004 | Kovoor 20061 | Maddison 2014 | Marchionni 2003 | Oldridge 19912 | Yu 2004 |
| Follow‐up (months) | 12 | 12 | 12 | 6 | 14 | 12 | 24 |
| Year of costs (currency) | 1998 ($Aus) | NR | 1999 ($AUD) | NR (€; Euros) | 2000 ($USD) | 1991 ($USD) | 2003 ($USD) |
| Cost of rehabilitation | |||||||
| Mean cost/patient | $694 | NR | $394 | €127 | $5246 | $670 | NR |
| Costs considered | Details of costed elements not provided | NR | staff, assessments, counselling, education, patient travel | NR | NR | space, equipment, staff, literature resources, operating costs, parking, patients costs | NR |
| Total healthcare costs | |||||||
| Rehabilitation mean cost/patient | $4937 | $3708 ± 156 | NR | NR | $17 272 | NR | $15 292 |
| Usual care mean cost/patient | $4541 | $6086 ± 370 | NR | NR | $12 433 | NR | $15 707 |
| Difference mean/patient* | $395 | ‐$2378 | NR | NR | $4839 | $480 | ‐$415 |
| P value for cost difference | 0.74 | P < 0.001 | P > 0.05 (see below) | NR | NR | NR | P > 0.05 |
| Additional healthcare costs considered | hospitalisations, pharmaceuticals, tests, consultations, rehabilitation, patient expenses, ambulance | rehospitalisations, revascularisation, cycle ergometers, training facilities, and supervising staff | phone calls (P = 0.10); hospital admissions (P = 0.11); gated heart pool scan (P = 0.50); exercise stress test (P = 0.72); other diagnostics (P = 0.37); visits to general practitioner (P = 0.61), specialist doctor (P = 0.35), or health‐care professional (P = 0.31) | NR | NR | Service utilisation, physician costs, emergency costs, in‐patient days, allied health, other rehabilitation visits | hospitalisations; revascularisations; private clinic visit; cardiac clinic visits; public noncardiac visits; casualty visits; drugs |
| Cost‐effectiveness | |||||||
| Rehabilitation mean health care benefits | Utility‐Based Quality of life – Heart questionnaire: 0.026 (95% CI, 0.013 to 0.039) | NR | NR | NR | NR | NR | NR |
| Usual care mean health care benefit | Utility 0.010 (95% CI, −0.001 to 0.022) | NR | NR | NR | NR | NR | NR |
| Incremental mean health care benefit | Utility 0.013 (95% CI, NR), P = 0.38; +0.009 QALYS | NR | NR | NR | NR | 0.052 QALYS (95% CI, 0.007 to 0.1) | 0.06 QALYs |
| Incremental cost effectiveness ratio/patient | +$42,535 per QALY. Extensive sensitivity analyses reported | NR | NR | +€15,247 per QALY | NR | +$9,200 per QALY | ‐$650 per QALY |
1Cost data for this study is reported in Hall 2002
2 cost data for this study is reported in Oldridge 1993