Cost-Effectiveness of Cardiac Rehabilitation in Older Adults With Coronary Heart Disease.

ABSTRACT:

Purpose

While cardiac rehabilitation (CR) is recommended and effective following acute cardiac events, it remains underutilized, particularly in older adults. A study of 601 099 Medicare beneficiaries ≥65 yr hospitalized for coronary heart disease compared 5-yr mortality in users and nonusers of CR. Using instrumental variables (IV), CR improved mortality by 8.0% ( P < .001). A validation analysis based on 70 040 propensity-based (PB) matched pairs gave a similar gain (8.3%, P < .0001). The present cost-effectiveness analysis builds on these mortality results.

Methods

Using the framework of the Second Panel on Cost-Effectiveness Analysis, we calculated the incremental cost-effectiveness ratio (ICER) gained due to CR. We accessed the costs from this cohort, inflated to 2022 p

SUBMITTER: Shepard DS 

PROVIDER: S-EPMC10922540 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature