Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Li, Fuzhong ; Harmer, Peter
Li, Fuzhong ; Harmer, Peter Less -
Description:
Introduction

Exercise is effective in reducing falls in people with Parkinson disease. However, information on the cost effectiveness of this approach is lacking. We conducted a cost-effectiveness analysis of Tai Ji Quan for reducing falls among patients with mild-to-moderate Parkinson disease.

Methods

We used data from a previous intervention trial to analyze resource use costs related to intervention delivery and number of falls observed during a 9-month study period. Cost effectiveness was estimated via incremental cost-effectiveness ratio (ICER) in which Tai Ji Quan was compared with 2 alternative interventions (Resistance training and Stretching) on the primary outcome of per fall prevented and the secondary outcome of per participant quality-adjusted life years (QALY) gained. We also conducted subgroup and sensitivity analyses.

Results

Tai Ji Quan was more effective than either Resistance training or Stretching; it had the lowest cost and was the most effective in improving primary and secondary outcomes. Compared with Stretching, Tai Ji Quan cost an average of $175 less for each additional fall prevented and produced a substantial improvement in QALY gained at a lower cost. Results from subgroup and sensitivity analyses showed no variation in cost-effectiveness estimates. However, sensitivity analyses demonstrated a much lower ICER ($27) when only intervention costs were considered.

Conclusion

Tai Ji Quan represents a cost-effective strategy for optimizing spending to prevent falls and maximize health gains in people with Parkinson disease. While these results are promising, they warrant further validation.


Subjects:
[+]
Accidental Falls Adult Aged Aged, 80 And Over Community Health Services Cost-Benefit Analysis Follow-Up Studies Health Promotion Health Status Humans Middle Aged Muscle Stretching Exercises Parkinson Disease Patient Acceptance Of Health Care Postural Balance Quality-Adjusted Life Years Resistance Training Self Report Sensitivity And Specificity Surveys And Questionnaires Tai Ji Treatment Outcome
Source:
Prev Chronic Dis. 12.
Pubmed ID:
26226067
Pubmed Central ID:
PMC4523116
Document Type:
Journal Article
Funding:
AG045094/AG/NIA NIH HHS/United States ; NS047130/NS/NINDS NIH HHS/United States
AG045094/AG/NIA NIH HHS/United States ; NS047130/NS/NINDS NIH HHS/United States Less -
Place as Subject:
Oregon
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:579b334428edad0e85b1dcfb66e8f03ceb0dff77454f0d57c5a9b86748850f4d
Download URL:
https://stacks.cdc.gov/view/cdc/34220/cdc_34220_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-12-E120.nxml	txt

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