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. 2022 Jun 8;9(2):e33489. doi: 10.2196/33489

Table 6.

Cost-effectiveness of digital health.

Study Population Design Intervention Comparator or comparators Findings



Description Sample size Description Sample size
Cuperus et al [88] Generalized osteoarthritis  RCTa  2 in-person group sessions+telephone monitoring by nurse 72 Multidisciplinary in-person group intervention led by PTb 75 No difference in quality-adjusted life years and total societal costs 
Kloek et al [92 Knee or hip osteoarthritis RCT  Website+in-person PT 108 Usual in-person PT 99 Lower intervention costs and medication costs for intervention vs comparator but no difference in total societal and health care costs 
Marsh et al [89,90] Post-KRc or HRd  RCT  Web-based platform to schedule patient visits  118 Usual protocol to schedule visits  111 Lower costs for intervention vs comparator 
Tousignant et al [91] Post-KR  RCT  Custom hardware with videoconferencing and remote-controlled cameras 97 In-person home-based PT 100 Lower costs for intervention vs comparator 
Fusco et al [93] Post-KR  Markov decision modeling  10 videoconferencing sessions and 10 in-person PT sessions e 20 in-person PT sessions High probability of the intervention group being cost-effective, particularly when transportation was included 
El Ashmawy et al [74] Post-KR or HR Retrospective study Remote joint replacement clinic follow-up at 1-year, 7-years, and every 3-years after in-person consultations at 2 weeks and 6-weeks 1749 N/Af N/A Estimated saving of £42,644 (US $53,439.93) per year with intervention

aRCT: randomized controlled trial.

bPT: physical therapy.

cKR: knee replacement.

dHR: hip replacement.

eNot available.

fN/A: not applicable.