Cost-effectiveness of telemonitoring of diabetic foot ulcer patients

This study compared the cost-effectiveness of telemonitoring with standard monitoring for patients with diabetic foot ulcers. The economic evaluation was nested within a pragmatic randomised controlled trial. A total of 374 patients were randomised to either telemonitoring or standard monitoring. Te...

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Bibliographic Details
Published in:Health informatics journal 2018-09, Vol.24 (3), p.245-258
Main Authors: Fasterholdt, Iben, Gerstrøm, Marie, Rasmussen, Benjamin Schnack Brandt, Yderstræde, Knud Bonnet, Kidholm, Kristian, Pedersen, Kjeld Møller
Format: Article
Language:English
Subjects:
Clinical trials
Cost analysis
Diabetes
Leg ulcers
Patients
Telemedicine
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Summary:This study compared the cost-effectiveness of telemonitoring with standard monitoring for patients with diabetic foot ulcers. The economic evaluation was nested within a pragmatic randomised controlled trial. A total of 374 patients were randomised to either telemonitoring or standard monitoring. Telemonitoring consisted of two tele-consultations in the patient’s own home and one consultation at the outpatient clinic; standard monitoring consisted of three outpatient clinic consultations. Total healthcare costs were estimated over a 6-month period at individual patient level, from a healthcare sector perspective. The bootstrap method was used to calculate the incremental cost-effectiveness ratio, and one-way sensitivity analyses were performed. Telemonitoring costs were found to be €2039 less per patient compared to standard monitoring; however, this difference was not statistically significant. Amputation rate was similar in the two groups. In conclusion, a telemonitoring service in this form had similar costs and effects as standard monitoring.
ISSN:1460-4582
1741-2811
DOI:10.1177/1460458216663026