A Bayesian Cost-Effectiveness Analysis of a Telemedicine-Based Strategy for the Management of Sleep Apnoea: A Multicentre Randomised Controlled Trial

Source: Isetta et al. 2015 - Pubmed ID: 26310452

Setting: Spain, Multi-center 8 hospitals

Study design:

RCT

 

Follow up: 6 months

Patient group:

Sample size:

Total: 139 (123)

IG: 69 (61)

CG: 70 (62)

 

Inclusion criteria:

  • Obstructive Sleep Apnea
  • Requiring CPAP treatment
Type of technology:

Videoconsultation

 

E-mail

 

Webpage

  • Questionnaires
  • Disease information
Intervention:

Tele-follow-up to CPAP use and interactive webpage for 6 months

Clinical effect/ Patient safety:

Clinical effect:

  • Compliance (h/day) →
  • Adherence (>4h/day)→
  • EuroQoL →
  • QALY →

 

Patient safety:

  • Similar side effects to CPAP between groups
Patient experiences/ Staff experiences:

Patient experiences:

  • Similar satisfaction reported
  • Reduced travelling time to the hospital

 

Staff experiences: NA

Costs and organization:

Investment:
Staff Resources

  • Education using website
  • Development of website material

 

Running:
Technical

  • Hosting of website

Staff resources

  • Data monitoring and feedback

 

Organization:  NA

 

Health care utilization:

  • Nurse visits↑
  • Costs →
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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)