Economic Evaluation of a Tai Ji Quan Intervention to Reduce Falls in People With Parkinson Disease, Oregon, 2008–2011

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Li, Fuzhong ; Harmer, Peter
• 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
  More +
• Source:
  Prev Chronic Dis. 12.
• DOI:
  http://dx.doi.org/10.5888/pcd12.140413
• ISSN:
  1545-1151
• 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
• Place as Subject:
  Oregon
• Volume:
  12
• Download URL:
  https://stacks.cdc.gov/view/cdc/34220/cdc_34220_DS1.pdf
• File Type:
  [PDF - 302.95 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:4058a61ca7be3f4c203bc769cffac56478c366055adaad6827eb6a763d8e87fba79ec553fbfb5d14cb5c2f451c6cebcee53faafdf4bc26af6484f82461548e36