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Cost-effectiveness of seven-days-per-week rehabilitation schedule for acute stroke patients

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Title: Cost-effectiveness of seven-days-per-week rehabilitation schedule for acute stroke patients
Authors: Morii, Yasuhiro Browse this author →KAKEN DB
Abiko, Kagari Browse this author
Osanai, Toshiya Browse this author →KAKEN DB
Takami, Jiro Browse this author
Tanikawa, Takumi Browse this author →KAKEN DB
Fujiwara, Kensuke Browse this author
Houkin, Kiyohiro Browse this author →KAKEN DB
Ogasawara, Katsuhiko Browse this author →KAKEN DB
Keywords: Acute stroke
Rehabilitation
Cost-effectiveness
Cost utility analysis
Issue Date: 1-Feb-2023
Publisher: BioMed Central
Journal Title: Cost Effectiveness and Resource Allocation
Volume: 21
Issue: 1
Start Page: 12
Publisher DOI: 10.1186/s12962-023-00421-3
PMID: 36726117
Abstract: BackgroundRehabilitation is an essential medical service for patients who have suffered acute stroke. Although the effectiveness of 7-days-per-week rehabilitation schedule has been studied in comparison with 5- or 6-days-per-week rehabilitation schedule, its cost-effectiveness has not been analyzed. In this research, to help formulate more cost-effective medical treatments for acute stroke patients, we analyzed the cost-effectiveness of 7-days-per-week rehabilitation for acute stroke from public health payer's perspective, and public healthcare and long-term care payer & apos;s perspective in Japan.MethodsCost-effectiveness of 7-days-per-week rehabilitation for acute stroke patients was analyzed based on the result from a previous study using a Japanese database examining the efficacy of 7-days-per-week rehabilitation. Cost utility analysis was conducted by comparing 7-days-per-week rehabilitation with 5- or 6-days-per-week rehabilitation, with its main outcome incremental cost-effectiveness ratio (ICER) calculated by dividing estimated incremental medical and long-term care costs by incremental quality-adjusted life years (QALY). The costs were estimated using the Japanese fee table and from published sources. The time horizon was 5 years, and Markov modeling was used for the analysis.ResultsThe ICER was $6339/QALY from public health payer's perspective, lower than 5,000,000 Yen/QALY (approximately US$37,913), which was the willingness-to-pay used for the cost-effectiveness evaluation in Japan. The 7-day-per-week rehabilitation was dominant from public healthcare and long-term care payer & apos;s perspective. The result of sensitivity analysis confirmed the results.ConclusionThe results indicated that 7-days-per-week rehabilitation for acute stroke rehabilitation was likely to be cost-effective.
Type: article
URI: http://hdl.handle.net/2115/88336
Appears in Collections:保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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