PittsburghV1, Main, Exploration, bibRecord, 004D63

Twelve-month cost-effectiveness of telephone-delivered collaborative care for treating depression following CABG surgery: a randomized controlled trial

Identifieur interne : 004D63 ( Main/Exploration ); précédent : 004D62; suivant : 004D64

Twelve-month cost-effectiveness of telephone-delivered collaborative care for treating depression following CABG surgery: a randomized controlled trial

Auteurs : Julie M. Donohue [États-Unis] ; Bea Herbeck Belnap [États-Unis] ; AIJU MEN [États-Unis] ; FANYIN HE [États-Unis] ; Mark S. Roberts [États-Unis] ; Herbert C. Schulberg [États-Unis] ; Charles F. Iii Reynolds [États-Unis] ; Bruce L. Rollman [États-Unis]

Source :

General hospital psychiatry [ 0163-8343 ] ; 2014.

RBID : Pascal:14-0239120

Descripteurs français

Pascal (Inist)
- Analyse coût efficacité, Téléphone, Coopération, Traitement, Etat dépressif, Essai thérapeutique contrôlé, Cardiopathie coronaire, Analyse avantage coût, Service santé, Santé mentale, Pontage coronarien.
Wicri :
- topic : Téléphone, Santé mentale.

English descriptors

KwdEn :
- Controlled therapeutic trial, Cooperation, Coronary artery bypass, Coronary heart disease, Cost benefit analysis, Cost efficiency analysis, Depression, Health service, Mental health, Telephone, Treatment.

Abstract

Objective: To determine the 12-month cost-effectiveness of a collaborative care (CC) program for treating depression following coronary artery bypass graft (CABC) surgery versus physicians' usual care (UC). Methods: We obtained 12 continuous months of Medicare and private medical insurance claims data on 189 patients who screened positive for depression following CABG surgery, met criteria for depression when reassessed by telephone 2 weeks following hospitalization (nine-item Patient Health Questionnaire ≥10) and were randomized to either an 8-month centralized, nurse-provided and telephone-delivered CC intervention for depression or to their physicians' UC. Results: At 12 months following randomization, CC patients had $2068 lower but statistically similar estimated median costs compared to UC (P= .30) and a variety of sensitivity analyses produced no significant changes. The incremental cost-effectiveness ratio of CC was -$9889 (-$11,940 to -$7838) per additional quality-adjusted life-year (QALY). and there was 90% probability it would be cost-effective at the willingness to pay threshold of $20.000 per additional QALY. A bootstrapped cost-effectiveness plane also demonstrated a 68% probability of CC "dominating" UC (more QALYs at lower cost). Conclusions: Centralized, nurse-provided and telephone-delivered CC for post-CABG depression is a quality-improving and cost-effective treatment that meets generally accepted criteria for high-value care.

Affiliations:

États-Unis

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Controlled therapeutic trial</term>
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<term>Cost benefit analysis</term>
<term>Cost efficiency analysis</term>
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<front><div type="abstract" xml:lang="en">Objective: To determine the 12-month cost-effectiveness of a collaborative care (CC) program for treating depression following coronary artery bypass graft (CABC) surgery versus physicians' usual care (UC). Methods: We obtained 12 continuous months of Medicare and private medical insurance claims data on 189 patients who screened positive for depression following CABG surgery, met criteria for depression when reassessed by telephone 2 weeks following hospitalization (nine-item Patient Health Questionnaire ≥10) and were randomized to either an 8-month centralized, nurse-provided and telephone-delivered CC intervention for depression or to their physicians' UC. Results: At 12 months following randomization, CC patients had $2068 lower but statistically similar estimated median costs compared to UC (P= .30) and a variety of sensitivity analyses produced no significant changes. The incremental cost-effectiveness ratio of CC was -$9889 (-$11,940 to -$7838) per additional quality-adjusted life-year (QALY). and there was 90% probability it would be cost-effective at the willingness to pay threshold of $20.000 per additional QALY. A bootstrapped cost-effectiveness plane also demonstrated a 68% probability of CC "dominating" UC (more QALYs at lower cost). Conclusions: Centralized, nurse-provided and telephone-delivered CC for post-CABG depression is a quality-improving and cost-effective treatment that meets generally accepted criteria for high-value care.</div>
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Twelve-month cost-effectiveness of telephone-delivered collaborative care for treating depression following CABG surgery: a randomized controlled trial

Twelve-month cost-effectiveness of telephone-delivered collaborative care for treating depression following CABG surgery: a randomized controlled trial

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri