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

Morii, Yasuhiro; Abiko, Kagari; Osanai, Toshiya; Takami, Jiro; Tanikawa, Takumi; Fujiwara, Kensuke; Houkin, Kiyohiro; Ogasawara, Katsuhiko

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

Morii, Yasuhiro; Abiko, Kagari; Osanai, Toshiya et al.

Cost Effectiveness and Resource Allocation, 2023, 21(1), 12

Permalink : https://hdl.handle.net/2115/88336

このアイテムのアクセス数:317件（2026-08-13 08:57 集計）

閲覧可能ファイル

ファイル	フォーマット	サイズ	閲覧回数	説明
https://doi.org/10.1186/s12962-023-00421-3			13

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

アクセス権	open access
URI	https://hdl.handle.net/2115/88336
タイトル	Cost-effectiveness of seven-days-per-week rehabilitation schedule for acute stroke patients
著者	Morii, Yasuhiro ; Abiko, Kagari ; Osanai, Toshiya ; Takami, Jiro ; Tanikawa, Takumi ; Fujiwara, Kensuke ; Houkin, Kiyohiro ; Ogasawara, Katsuhiko
e-Rad_Researcher 70880574 著者名 Morii, Yasuhiro
著者名 Abiko, Kagari
e-Rad_Researcher 90622788 著者名 Osanai, Toshiya
著者名 Takami, Jiro
e-Rad_Researcher 40446539 著者名 Tanikawa, Takumi
著者名 Fujiwara, Kensuke
e-Rad_Researcher 90229146 著者名 Houkin, Kiyohiro
e-Rad_Researcher 90322859 著者名 Ogasawara, Katsuhiko
言語	英語
キーワード	Acute stroke
	Rehabilitation
	Cost-effectiveness
	Cost utility analysis
発行日	2023-02-01
出版者	BioMed Central
収録物名	Cost Effectiveness and Resource Allocation
巻(号)	21(1)
ページ	12
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
PISSN	1478-7547
関連情報	PMID 36726117
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1186/s12962-023-00421-3