Economic evaluation of the utilization of telemedicine for patients with cardiovascular disease: a systematic review
Abstract
Cardiovascular disease is one of the major causes of mortality in the world, with high human and financial burdens on communities. Telemedicine is a tool for providing services for patients that are difficult to access or in need of immediate care. The aim of this study was to systematically review economic evaluation studies that compared telemedicine with usual care for cardiovascular patients. A systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and related articles published up to December 2018 were searched in different databases (PubMed, Embase, SCOPUS, Global Health, Google Scholar, Magiran, SID). The articles were selected based on inclusion and exclusion criteria. Consolidated health economic evaluation reporting standards statement checklist was used to qualitatively evaluate the papers. Overall, 20 articles were included in the study. The studies used quality-adjusted life years to measure outcomes. The highest and lowest values of Incremental Cost-effectiveness Ratio were $515,082 and $2099 that had been reported in the UK and New Zealand, respectively. Most of the items of the checklist were reported and the quality of most of the studies was excellent and very good. According to the results, telemedicine improves the clinical outcomes and results in considerable saving in costs. Utilizing telemedicine concurrent with the usual care for service delivery is more cost-effective. The reviewed studies had been conducted in high-income countries, hence, it is essential to be cautious when generalizing the results and applying them in health systems policymaking.
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Telemedicine solutions have the potential to be a cost-effective way of providing improved care to patients with cardiovascular disease.
“Telemedicine solutions have the potential to be a cost-effective way of providing improved care to patients with cardiovascular disease.15,16”
Cites
Husereau, D., Drummond, M., Petrou, S., Carswell, C., Moher, D., Greenberg, D., Augustovski, F., Briggs, A. H., Mauskopf, J., & Loder, E. (2013) · Value in Health · doi:10.1016/j.jval.2013.02.002 · Cited by 1,998 · see citing works
(2012) · RePEc: Research Papers in Economics · Cited by 1,951 · see citing works
Telemedicine Technology and Clinical Applications
Perednia, D. A. (1995) · JAMA · doi:10.1001/jama.1995.03520300057037 · Cited by 819 · see citing works
Economic burden of cardiovascular diseases in the enlarged European Union
Leal, J., Luengo-Fernández, R., Gray, A. M., Petersen, S., & Rayner, M. (2006) · European Heart Journal · doi:10.1093/eurheartj/ehi733 · Cited by 698 · see citing works
Henderson, C., Knapp, M., Fernandez, J.-L., Beecham, J., Hirani, S. P., Cartwright, M., Rixon, L., Beynon, M., Rogers, A., Bower, P., et al. (2013) · BMJ · doi:10.1136/bmj.f1035 · Cited by 364 · see citing works
Maddison, R., Pfaeffli, L., Whittaker, R., Stewart, R., Kerr, A., Jiang, Y., Kira, G., Leung, W., Dalleck, L., Carter, K., et al. (2015) · European Journal of Preventive Cardiology · doi:10.1177/2047487314535076 · Cited by 268 · see citing works
Kraal, J. J., Marle, M. E. V. D. A., Abu–Hanna, A., Stut, W. J. J., Peek, N. B., & Kemps, H. (2017) · European Journal of Preventive Cardiology · doi:10.1177/2047487317710803 · Cited by 249 · see citing works
An Introduction to Telemedicine
Chughtai, S. (2021) · Journal of Pakistan Society of Internal Medicine. · doi:10.70302/jpsim.v2i2.2140 · Cited by 225 · see citing works
Raatikainen, M. J. P., Uusimaa, P., van Ginneken, M. M. E., Janssen, J. P. G., & Linnaluoto, M. (2008) · Europace · doi:10.1093/europace/eun203 · Cited by 189 · see citing works
Frederix, I., Solmi, F., Piepoli, M. F., & Dendale, P. (2017) · European Journal of Preventive Cardiology · doi:10.1177/2047487317732274 · Cited by 172 · see citing works
Frederix, I., Hansen, D., Coninx, K., Vandervoort, P. M., Vandijck, D. M., Hens, N., Craenenbroeck, E. M. V., Driessche, N. V., & Dendale, P. (2015) · European Journal of Preventive Cardiology · doi:10.1177/2047487315602257 · Cited by 142 · see citing works
Rubinstein, A., Colantonio, L. D., Bardach, A., Caporale, J., Martí, S. G., Kopitowski, K. S., Alcaraz, A. O., Gibbons, L., Augustovski, F., & Pichón-Rivière, A. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-627 · Cited by 106 · see citing works
Kaambwa, B., Bryan, S., Jowett, S., Mant, J., Bray, E., Hobbs, F. R. R., Holder, R., Jones, M. I., Little, P., Williams, B., et al. (2014) · European Journal of Preventive Cardiology · doi:10.1177/2047487313501886 · Cited by 94 · see citing works
Cost‐Effectiveness of Remote Cardiac Monitoring With the CardioMEMS Heart Failure System
Schmier, J. K., Ong, K. L., & Fonarow, G. C. (2017) · Clinical Cardiology · doi:10.1002/clc.22696 · Cited by 92 · see citing works
Grustam, A. S., Severens, J., Massari, D. D., Buyukkaramikli, N., Koymans, R., & Vrijhoef, H. (2018) · Value in Health · doi:10.1016/j.jval.2017.11.011 · Cited by 89 · see citing works
Chen, M., Chun, H. S., Castro, I. D., Torfs, T., Lin, Q., Hoof, C. A. V., Wang, G., Lian, Y., & Helleputte, N. V. (2019) · IEEE Transactions on Biomedical Circuits and Systems · doi:10.1109/tbcas.2019.2895660 · Cited by 80 · see citing works
Zanaboni, P., Landolina, M., Marzegalli, M., Lunati, M., Perego, G. B., Guenzati, G., Curnis, A., Valsecchi, S., Borghetti, F., Borghi, G., et al. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2587 · Cited by 76 · see citing works
Keyserling, T. C., Sheridan, S., Draeger, L. B., Finkelstein, E. A., Gizlice, Z., Kruger, E., Johnston, L. F., Sloane, P. D., Samuel‐Hodge, C. D., Evenson, K. R., et al. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2014.1984 · Cited by 74 · see citing works
Stoddart, A., Hanley, J., Wild, S. H., Pagliari, C., Paterson, M., Lewis, S. C., Sheikh, A., Krishan, A., Padfield, P. L., & McKinstry, B. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-002681 · Cited by 71 · see citing works
Telemedicine in the National Health Service
Wootton, R. (1998) · Journal of the Royal Society of Medicine · doi:10.1177/014107689809101202 · Cited by 68 · see citing works
A systematic review of economic evaluations of population-based sodium reduction interventions
Hope, S. F., Webster, J. L., Trieu, K., Pillay, A. A., Ieremia, M., Bell, C., Snowdon, W., Neal, B. C., & Moodie, M. (2017) · PLoS ONE · doi:10.1371/journal.pone.0173600 · Cited by 65 · see citing works
Cost-effectiveness of telephonic disease management in heart failure.
Smith, B., Hughes-Cromwick, P., Forkner, E., & Galbreath, A. D. (2008) · PubMed · Cited by 62 · see citing works
Salisbury, C., O’Cathain, A., Thomas, C., Edwards, L., Gaunt, D., Dixon, P., Hollinghurst, S. P., Nicholl, J. P., Large, S., Yardley, L., et al. (2016) · BMJ · doi:10.1136/bmj.i2647 · Cited by 62 · see citing works
Boyne, J. J., van Asselt, A. D. I., Gorgels, A. P. M., Steuten, L., Weerd, G. D., Kragten, J. A., & Vrijhoef, H. J. (2013) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x13495478 · Cited by 61 · see citing works
Cowie, M., Simon, M., Klein, L., & Thokala, P. (2017) · European Journal of Heart Failure · doi:10.1002/ejhf.747 · Cited by 60 · see citing works
Cost-Utility Analysis of a Cardiac Telerehabilitation Program: The Teledialog Project
Kidholm, K., Rasmussen, M. K., Andreasen, J. J., Hansen, J., Nielsen, G. N., Spindler, H., & Dinesen, B. (2015) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2015.0194 · Cited by 50 · see citing works
Wade, V., & Stocks, N. (2016) · Heart Lung and Circulation · doi:10.1016/j.hlc.2016.10.013 · Cited by 40 · see citing works
Dixon, P., Hollinghurst, S. P., Edwards, L., Thomas, C., Gaunt, D., Foster, A., Large, S., Montgomery, A. A., & Salisbury, C. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-012352 · Cited by 39 · see citing works
Sohn, S., Helms, T. M., Pelleter, J. T., Müller, A., Kröttinger, A. I., & Schöffski, O. (2012) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2011.0134 · Cited by 37 · see citing works
Economic evaluation of home blood pressure telemonitoring: A randomized controlled trial
Madsen, L. B., Christiansen, T., Kirkegaard, P., & Pedersen, E. B. (2010) · Blood Pressure · doi:10.3109/08037051.2010.532306 · Cited by 36 · see citing works
Dixon, P., Hollinghurst, S. P., Ara, R., Edwards, L., Foster, A., & Salisbury, C. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-012355 · Cited by 23 · see citing works
Monahan, M., Jowett, S. M., Lovibond, K., Gill, P. S., Godwin, M. S., Greenfield, S., Hanley, J., Hobbs, R. F., Martin, U., Mant, J., et al. (2017) · Hypertension · doi:10.1161/hypertensionaha.117.10244 · Cited by 18 · see citing works
Cheng, Q., Church, J., Haas, M. R., Goodall, S., Sangster, J., & Furber, S. E. (2015) · Heart Lung and Circulation · doi:10.1016/j.hlc.2015.07.002 · Cited by 13 · see citing works
Cichosz, S. L., Ehlers, L. H., & Hejlesen, O. K. (2016) · Trials · doi:10.1186/s13063-016-1722-5 · Cited by 12 · see citing works
Dyck, W. V., Vértes, G., Palaniappan, M., et al. (2012) · Health Policy and Technology · doi:10.1016/j.hlpt.2012.07.002 · Cited by 7 · see citing works
Introduction to telemedicine. Second edition
Soede, M. (2007) · International Journal of Integrated Care · doi:10.5334/ijic.174 · Cited by 3 · see citing works
Cost–effectiveness of telehealth in the management of chronic conditions
Hailey, D. M., & Yu, P. (2013) · Journal of Comparative Effectiveness Research · doi:10.2217/cer.13.41 · Cited by 3 · see citing works
Cost-effectiveness modelling of telemonitoring after discharge from hospital with heart failure
Thokala, P., Baalbaki, H., Pandor, A., Stevens, J., & Brennan, A. (2013) · International Journal of Integrated Care · doi:10.5334/ijic.1440 · Cited by 2 · see citing works
Davarani, E. R., Iranpour, A., Khanjani, N., et al. (2016) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 2 · see citing works
Telemedicine in Cardiovascular Disease
Hsiao, C., Jui-Peng, T., Sung, K., Lee, P., Lo, C., Huang, W., Chang, W.-S., & Hung, C. (2017) · 內科學誌 · doi:10.6314/jimt.2017.28(3).03 · Cited by 1 · see citing works
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Skov, O., Johansen, J. B., Nielsen, J. C., Larroudé, C. E., Riahi, S., Melchior, T. M., Vinther, M., Skovbakke, S. J., Rottmann, N., Wiil, U. K., et al. (2023) · Europace · doi:10.1093/europace/euad253 · Cited by 10 · see citing works
“15,16 A recent meta-analysis found that web-based health interventions in cardiac patients have beneficial effects on depression.”
Background
- Authors
- Farabi, H., Rezapour, A., Jahangiri, R., Jafari, A., Rashki Kemmak, A., & Nikjoo, S.
- Affiliations
- Iran University of Medical Sciences (IR)
- Shiraz University of Medical Sciences (IR)
- Corresponding author
- Rezapour, Aziz
- Venue
- Heart Failure Reviews
- Published
- 2019-11-23
- Volume
- 25
- Issue
- 6
- Pages
- 1063-1075
- ISSN
- 1382-4147 (ISSN-L)
- 1573-7322
- OpenAlex
- W2990515057
- Cited by
- 41
- References
- 40
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 11 · 2023: 6 · 2022: 6 · 2021: 9 · 2020: 3
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Heart Failure Reviews (publishedVersion)
- PubMed (publishedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- telemedicine, cardiovascular disease, cost-effectiveness, usual care, quality-adjusted life years, health care costs, remote patient monitoring, health policy
- MeSH terms
- Cardiovascular Diseases, Cost-Benefit Analysis, Humans, Global Health, Telemedicine, Quality-Adjusted Life Years
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