Clinical effectiveness and cost-effectiveness of ambulatory heart failure nurse-led services: an integrated review
Abstract Background Globally the burden of heart failure is rising. Hospitalisation is one of the main contributors to the burden of heart failure and unfortunately, the majority of heart failure patients will experience multiple hospitalisations over their lifetime. Considering the high health care...
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| Format: | Article |
| Language: | English |
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BMC
2022-02-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-022-02509-9 |
| _version_ | 1818988204665077760 |
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| author | Andrea Driscoll Lan Gao Jennifer J. Watts |
| author_facet | Andrea Driscoll Lan Gao Jennifer J. Watts |
| author_sort | Andrea Driscoll |
| collection | DOAJ |
| description | Abstract Background Globally the burden of heart failure is rising. Hospitalisation is one of the main contributors to the burden of heart failure and unfortunately, the majority of heart failure patients will experience multiple hospitalisations over their lifetime. Considering the high health care cost associated with heart failure, a review of economic evaluations of post-discharge heart failure services is warranted. Aim An integrated review of the economic evaluations of post-discharge nurse-led heart failure services for patients hospitalised with acute heart failure. Methods Electronic databases were searched using EBSCOHost: CINAHL complete, Medline complete, Embase, Scopus, EconLit, Global Health, and Health source (Consumer and Nursing/Academic) for published articles until 22nd June 2021. The searches focussed on papers that examined the cost-effectiveness of nurse-led clinics or telemonitoring involving nurses to follow-up patients after hospitalisation for acute heart failure. GRADE criteria and CHEERS checklist were used to determine the quality of the evidence and the quality of reporting of the economic evaluation. Results Out of 453 studies identified, eight studies were included: four in heart failure clinics and four in telemonitoring programs. Five of the articles were cost-effectiveness analyses, one a cost comparison and two studies involved economic modelling The GRADE criteria were rated as high in five studies. In which, four studies examined the cost-effectiveness of telemonitoring programs. Based on the CHEERS checklist for reporting quality of economic evaluations, the majority of economic evaluations were rated between 86 and 96%. All the studies found the intervention to be cost-effective compared to usual care with Incremental Cost Effectiveness Ratios ranging from $18 259 (Canadian dollars)/life year gained to €40,321 per Quality Adjusted Life Years gained. Conclusion Nurse-led heart failure clinics and telemonitoring programs were found to be cost-effective. Certainly, this review has shown that heart failure clinics and telemonitoring programs do represent value for money with their greatest impact and cost savings through reducing rehospitalisations. |
| first_indexed | 2024-12-20T19:18:52Z |
| format | Article |
| id | doaj.art-f4d14502ff6d48ec8903115903944121 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-20T19:18:52Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-f4d14502ff6d48ec89031159039441212022-12-21T19:29:04ZengBMCBMC Cardiovascular Disorders1471-22612022-02-0122111110.1186/s12872-022-02509-9Clinical effectiveness and cost-effectiveness of ambulatory heart failure nurse-led services: an integrated reviewAndrea Driscoll0Lan Gao1Jennifer J. Watts2School of Nursing and Midwifery, Deakin UniversitySchool of Health Economics, Deakin UniversitySchool of Health Economics, Deakin UniversityAbstract Background Globally the burden of heart failure is rising. Hospitalisation is one of the main contributors to the burden of heart failure and unfortunately, the majority of heart failure patients will experience multiple hospitalisations over their lifetime. Considering the high health care cost associated with heart failure, a review of economic evaluations of post-discharge heart failure services is warranted. Aim An integrated review of the economic evaluations of post-discharge nurse-led heart failure services for patients hospitalised with acute heart failure. Methods Electronic databases were searched using EBSCOHost: CINAHL complete, Medline complete, Embase, Scopus, EconLit, Global Health, and Health source (Consumer and Nursing/Academic) for published articles until 22nd June 2021. The searches focussed on papers that examined the cost-effectiveness of nurse-led clinics or telemonitoring involving nurses to follow-up patients after hospitalisation for acute heart failure. GRADE criteria and CHEERS checklist were used to determine the quality of the evidence and the quality of reporting of the economic evaluation. Results Out of 453 studies identified, eight studies were included: four in heart failure clinics and four in telemonitoring programs. Five of the articles were cost-effectiveness analyses, one a cost comparison and two studies involved economic modelling The GRADE criteria were rated as high in five studies. In which, four studies examined the cost-effectiveness of telemonitoring programs. Based on the CHEERS checklist for reporting quality of economic evaluations, the majority of economic evaluations were rated between 86 and 96%. All the studies found the intervention to be cost-effective compared to usual care with Incremental Cost Effectiveness Ratios ranging from $18 259 (Canadian dollars)/life year gained to €40,321 per Quality Adjusted Life Years gained. Conclusion Nurse-led heart failure clinics and telemonitoring programs were found to be cost-effective. Certainly, this review has shown that heart failure clinics and telemonitoring programs do represent value for money with their greatest impact and cost savings through reducing rehospitalisations.https://doi.org/10.1186/s12872-022-02509-9Economic evaluationCost-effectivenessHeart failureNursingClinicsRemote monitoring |
| spellingShingle | Andrea Driscoll Lan Gao Jennifer J. Watts Clinical effectiveness and cost-effectiveness of ambulatory heart failure nurse-led services: an integrated review BMC Cardiovascular Disorders Economic evaluation Cost-effectiveness Heart failure Nursing Clinics Remote monitoring |
| title | Clinical effectiveness and cost-effectiveness of ambulatory heart failure nurse-led services: an integrated review |
| title_full | Clinical effectiveness and cost-effectiveness of ambulatory heart failure nurse-led services: an integrated review |
| title_fullStr | Clinical effectiveness and cost-effectiveness of ambulatory heart failure nurse-led services: an integrated review |
| title_full_unstemmed | Clinical effectiveness and cost-effectiveness of ambulatory heart failure nurse-led services: an integrated review |
| title_short | Clinical effectiveness and cost-effectiveness of ambulatory heart failure nurse-led services: an integrated review |
| title_sort | clinical effectiveness and cost effectiveness of ambulatory heart failure nurse led services an integrated review |
| topic | Economic evaluation Cost-effectiveness Heart failure Nursing Clinics Remote monitoring |
| url | https://doi.org/10.1186/s12872-022-02509-9 |
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