Author | Simões, Valeria Alencar Linhares | |
Author | Mendes, Fernanda de Souza Nogueira Sardinha | |
Author | Avellar, Alexandre Monken | |
Author | Silva, Gilberto Marcelo Sperandio da | |
Author | Carneiro, Fernanda Martins | |
Author | Silva, Paula Simplicio da | |
Author | Mazzoli-Rocha, Flavia | |
Author | Silva, Rudson Santos | |
Author | Vieira, Marcelo Carvalho | |
Author | Costa, Celson Junio do Nascimento | |
Author | Sousa, Andrea Silvestre de | |
Author | Rosalino, Claudia Maria Valete | |
Author | Nobre, Patricia Fernandes da Silva | |
Author | Holanda, Marcelo Teixeira de | |
Author | Costa, Henrique Silveira | |
Author | Saraiva, Roberto Magalhaes | |
Author | Hasslocher-Moreno, Alejandro Marcel | |
Author | Castro, Rodolfo | |
Author | Mediano, Mauro Felippe Felix | |
Access date | 2022-10-16T14:06:22Z | |
Available date | 2022-10-16T14:06:22Z | |
Document date | 2022 | |
Citation | SIMÕES, Valeria Alencar Linhares et al. Cost-effectiveness of an exercise-based cardiovascular rehabilitation program in patients with chronic Chagas cardiomyopathy in Brazil: An analysis from the PEACH study. Tropical Medicine & International Health: TM & IH, v. 27, n. 7, p. 630-638, 2022. | en_US |
ISSN | 1365-3156 | en_US |
URI | https://www.arca.fiocruz.br/handle/icict/55166 | |
Language | eng | en_US |
Publisher | Wiley | en_US |
Rights | open access | en_US |
Title | Cost-effectiveness of an exercise-based cardiovascular rehabilitation program in patients with chronic Chagas cardiomyopathy in Brazil: an analysis from the PEACH study | en_US |
Type | Article | en_US |
DOI | 10.1111/tmi.13784 | |
Abstract | Objectives: The present study aimed to perform a cost-effectiveness analysis of an exercise-based cardiovascular rehabilitation (CR) program in patients with chronic Chagas cardiomyopathy (CCC). Methods: Cost-effectiveness analysis alongside a randomised clinical trial evaluating the effects of a 6-month exercise-based CR program. The intervention group underwent 3 weekly exercise sessions. The variation of peak oxygen consumption (VO2peak ) was used as a measurement of clinical outcome. Cost information from all healthcare expenses (examinations, healthcare visits, medication and hospitalisation) were obtained from the medical records in Brazilian reais (R$) and transformed into dollars using the purchasing power parity ($PPP). The longitudinal costs variation was evaluated through linear mixed models, represented by β coefficient, adjusted for the baseline values of the dependent variable. The cost-effectiveness evaluation was determined through an incremental cost-effectiveness ratio using the HEABS package (Stata 15.0). Results: The intervention group presented higher costs with healthcare visits (β = +3317.3; p < 0.001), hospitalisation (β = +2810.4; p = 0.02) and total cost (β = +6407.9; p < 0.001) after 3 months of follow-up. Costs related to healthcare visits (β = +2455.8; p < 0.001) and total cost (β = +4711.4; p < 0.001) remained higher in the intervention group after 6 months. The CR program showed an incremental cost-effectiveness ratio (ICER) of $PPP 1874.3 for each increase of 1.0 ml kg-1 min-1 of VO2peak. Conclusions: The CR program can be considered a cost-effective alternative and should be included as an intervention strategy in the care of patients with CCC. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Aloysio de Castro State Institute of Cardiology. Centre for Cardiology and Exercise. Rio de Janeiro, RJ, Brazil. | en_US |
Affilliation | National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Controle de Qualidade em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Federal University of Vales do Jequitinhonha e Mucuri. Faculty of Healthy and Biological Sciences. Department of Physical Therapy. Diamantina, MG, Brazil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil / Federal University of the State of Rio de Janeiro. Institute of Collective Health. Rio de Janeiro, RJ, Brazil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil. | en_US |
Subject | Chagas disease | en_US |
Subject | Cardiac rehabilitation program | en_US |
Subject | Chronic Chagas cardiomyopathy | en_US |
Subject | Cost-effectiveness analysis | en_US |