Table 2.
Trial-based evaluations (n = 20 cost–utility analyses based on 18 trials)
| Study design | Study population | |||||||
|---|---|---|---|---|---|---|---|---|
| Author and year | Data source | Setting; perspective | Intervention vs. control | Discount rate | Sample size (n) | Age (mean) | Sex (males %) | NYHA†‡ (%) |
|
Agvall et al. (2014) [19] |
The benefits of using a heart failure management programme in Swedish primary health care trial | Sweden; health care system§ | Management program vs. usual care | NR | 160 | 75 | 69.4 |
I (6) II (59) III (36) |
|
Blomstrom et al. (2008) [11] |
The Cardiac Resynchronisation in Heart Failure trial (CARE-HF) | Europe; Denmark, Finland and Sweden; health care system | Pharmacological therapy (PT) with cardiac resynchronisation therapy vs. PT alone | 3% | 813 |
I 67* C 66 |
73.4 |
III (87) IV (13) |
|
Boyne et al. (2013) [20] |
Telemonitoring in Heart Failure trial (TEHAF) | The Netherlands; health care system | Telemonitoring vs. usual care | 0% | 382 | 71 | 59 |
II (57) III (40) IV (3) |
|
Calvert et al. (2005) [12] |
CARE-HF | Europe; UK health care system | Pharmacological therapy (PT) with cardiac resynchronisation therapy vs. PT alone | 3.5% | 813 |
I 67* C 66 |
73.4 |
III (87) IV (13) |
|
Capomolla et al. (2002) [15] |
Own trial | Italy; societal | Day-hospital management vs. usual care | 5% | 234 | 56 | 83.8 |
I-II (65) III-IV (35) |
|
Cui et al. (2013) [27] |
Testing the Effectiveness of Health Lines in Chronic Disease Management of Congestive Heart Failure trial (Health Lines) | Canada; health care system | Health Lines (I1) and Health Lines and in-house monitoring (I2) vs. standard treatment | 0% | 179 | 75 | 52 |
II (22) III (47) IV (31) |
|
Hansson et al. (2016) [16] |
Person-Centred Care in Patients with Chronic Heart Failure trial (PCC-HF) | Sweden; health care system | Person-centred vs. conventional care | 0% | 248 |
I 77.5 C 80.3 |
58.9 |
I (5) II (35) III (54) IV (7) |
|
Hebert et al. (2008) [21] |
Own trial | US; societal and payer | Nurse-managed disease management vs. usual care | NR | 406 | 59.4 | 54 |
I (18) II (22) III (14) IV (45) |
|
Maniadakis et al. (2011) [13] |
CARE-HF | Europe; Greek health care system | Pharmacological therapy (PT) with cardiac resynchronisation therapy vs. PT alone | 3% | 813 |
I 67* C 66 |
73.4 |
III (87) IV (13) |
|
Maru et al. (2015) [22] |
Which Heart Failure Intervention Is Most Cost-Effective & Consumer Friendly in Reducing Hospital Care trial (WHICH) | Australia; health care system | Home vs. clinic based care | 5% | 280 | 71 | 73 |
II/III (85) IV (15) |
|
Mejia et al. (2014) [23] |
Nurse Facilitated Self-management Support for People with Heart Failure and their Family Carers trial (SEMAPHFOR) | UK; National Health Service | Nurse facilitated cognitive behavioural self-management programme vs. usual care | 0% | 260 | 70.6 | 72 |
II (68) III (30) IV (2) |
|
Neumann et al. (2015) [24] |
Interdisciplinary Network for Heart Failure trial (INH) | Germany; societal | Nurse-led management programme vs. usual care | NR | 715 |
I 67.7 C 69.4 |
70.6 |
I (2) II (58) III (36) IV (4) |
|
Patel et al. (2008) [25] |
Own pilot trial | Sweden; health care system§ | Home vs. conventional care | NR | 31 |
I 77 C 78 |
67.7 |
II (3) III (94) IV (3) |
|
Postmus et al. (2016) [17] |
Coordinating Study Evaluating Outcomes of Advising and Counselling in Heart Failure trial (COACH) | The Netherlands; health services | Basic (I1) and intensive (I2) additional nurse support vs. usual care | NR | 1023 | 71 | 62 |
II (50) III (46) IV (4) |
|
Reed et al. (2010) [29] |
Heart Failure: a Controlled Trial Investigating Outcomes of Exercise Training trial (HF-ACTION) | US, Canada and France; societal | Exercise training plus usual care vs. usual care | 3% | 2331 |
I 59.2 C 59.3 |
71.6 |
II (63) III (36) IV (1) |
|
Reilly et al. (2015) [26] |
Quality HF-diabetes trial | US; health care services | Self-care vs. usual care | 0% | 134 | 57.4 | 88 |
II (42) III (50) IV (8) |
|
Sahlen et al. (2016) [18] |
Palliative Advanced Home Care and Heart Failure Care trial (PREFER) | Sweden; health services provider | Palliative advanced home and heart failure care vs. usual care | NR | 72 |
I 81.9 C 76.6 |
72.2 |
III (71) IV (29) |
|
Sánchez et al. (2010) [31] |
Own trial | Spain; hospital | Peritoneal dialysis vs. conservative therapy | NR | 17 | 64 | 65 |
III (59) IV (41) |
|
Sanders-van Wijk et al. (2013) [30] |
Intensified vs. Standard Medical Therapy in Elderly Patients with Congestive Heart Failure trial (TIME-CHF) | Switzerland and Germany; third-party payer | N-Terminal Pro-B-Type natriuretic-guided therapy vs. symptom-guided therapy | 0% | 467 | 76 | 66 |
II (27) III-IV (73) |
|
Zanaboni et al. (2013) [28] |
Evolution of Management Strategies of Heart Failure Patients with Implantable Defibrillators trial (EVOLVO) | Italy; health care system and patient | Remote monitoring vs. conventional in-person evaluations | NR | 200 |
I 66* C 69* |
78.5 |
I (12) II (70) III (19) |
I Intervention, C control, I1 intervention 1, I2 intervention 2, NR not reported
*Median
†Components may not add to 100 due to rounding
‡New York Heart Association classification (I to IV)
§Assumed as not explicitly reported in paper