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.