Jacquelyn Marsh1, Jeffrey S Hoch2, Dianne Bryant1, Steven J MacDonald3, Douglas Naudie3, Richard McCalden3, James Howard3, Robert Bourne3, James McAuley3. 1. Faculty of Health Sciences, Elborn College, The University of Western Ontario, 1201 Western Road, London, ON N6G 1H1, Canada. E-mail address for J. Marsh: jmarsh2@uwo.ca. E-mail address for D. Bryant: dianne.bryant@uwo.ca. 2. Centre for Excellence in Economic Analysis and Research, St. Michael's Hospital, 30 Bond Street, Toronto, ON M5B 1W8, Canada. E-mail address: hochj@smh.ca. 3. London Health Sciences Centre, University Hospital, 339 Windermere Road, London, ON N6A 5A5, Canada. E-mail address for S.J. MacDonald: steven.macdonald@lhsc.on.ca. E-mail address for D. Naudie: douglas.naudie@lhsc.on.ca. E-mail address for R. McCalden: richard.mccalden@lhsc.on.ca. E-mail address for J. Howard: james.howard@lhsc.on.ca. E-mail address for R. Bourne: robert.bourne@lhsc.on.ca. E-mail address for J. McAuley: james.mcauley@lhsc.on.ca.
Abstract
BACKGROUND: We previously demonstrated the feasibility and clinical effectiveness of a web-based assessment following total hip or total knee arthroplasty. The purpose of the present study was to conduct an economic evaluation to compare a web-based assessment with in-person follow-up. METHODS:Patients who had undergone total joint arthroplasty at least twelve months previously were randomized to complete a web-based follow-up or visit the clinic for the usual follow-up. We recorded travel costs and time associated with each option. We followed patients for one year after the web-based or in-person follow-up evaluation and documented any resource use related to the joint arthroplasty. We conducted cost analyses from the health-care payer (Ontario Ministry of Health and Long-Term Care) and societal perspectives. All costs are presented in 2012 Canadian dollars. RESULTS: A total of 229 patients (118 in the web-based group, 111 in the usual-care group) completed the study. The mean cost of the assessment from the societal perspective was $98 per patient for the web-based assessment and $162 per patient for the usual method of in-person follow-up. The cost for the web-based assessment was significantly lower from the societal perspective (mean difference, $-64; 95% confidence interval [CI], $-79 to $-48; p < 0.01) and also from the health-care payer perspective (mean difference, $-27; 95% CI, $-29 to $-25; p < 0.01). CONCLUSIONS: The web-based follow-up assessment had a lower cost per patient compared with in-person follow-up from both societal and health-care payer perspectives.
RCT Entities:
BACKGROUND: We previously demonstrated the feasibility and clinical effectiveness of a web-based assessment following total hip or total knee arthroplasty. The purpose of the present study was to conduct an economic evaluation to compare a web-based assessment with in-person follow-up. METHODS:Patients who had undergone total joint arthroplasty at least twelve months previously were randomized to complete a web-based follow-up or visit the clinic for the usual follow-up. We recorded travel costs and time associated with each option. We followed patients for one year after the web-based or in-person follow-up evaluation and documented any resource use related to the joint arthroplasty. We conducted cost analyses from the health-care payer (Ontario Ministry of Health and Long-Term Care) and societal perspectives. All costs are presented in 2012 Canadian dollars. RESULTS: A total of 229 patients (118 in the web-based group, 111 in the usual-care group) completed the study. The mean cost of the assessment from the societal perspective was $98 per patient for the web-based assessment and $162 per patient for the usual method of in-person follow-up. The cost for the web-based assessment was significantly lower from the societal perspective (mean difference, $-64; 95% confidence interval [CI], $-79 to $-48; p < 0.01) and also from the health-care payer perspective (mean difference, $-27; 95% CI, $-29 to $-25; p < 0.01). CONCLUSIONS: The web-based follow-up assessment had a lower cost per patient compared with in-person follow-up from both societal and health-care payer perspectives.
Authors: Cort D Lawton; Stephanie Swensen-Buza; Jakob F Awender; Sridhar Pinnamaneni; Joseph D Lamplot; Warren K Young; Scott A Rodeo; Danyal H Nawabi; Samuel A Taylor; Joshua S Dines Journal: HSS J Date: 2021-02-21
Authors: Sara E Shaw; Deborah Cameron; Joseph Wherton; Lucas M Seuren; Shanti Vijayaraghavan; Satyajit Bhattacharya; Christine A'Court; Joanne Morris; Trisha Greenhalgh Journal: JMIR Res Protoc Date: 2018-07-31