Kruse M, Zwisler AD, Brnnum-Hansen H, Madsen M; Health Technology Assessment International. Meeting (1st : 2004 : Krakow, Poland).
Proc One HTA Health Technol Assess Int Meet 1st 2004 Krakow Pol. 2004; 1: 85.
National Institute of Public Health, Copenhagen, Denmark.
BACKGROUND: Based on international evidence and clinical experiences the Danish guidelines on Cardiac Rehabilitation (CR) were published in 1997. However, Danish scientific experience on CR is sparse, and it is not acknowledged whether international evidence on CR can be applied to the Danish health care system within the modern therapeutic era of cardiology. In addition, it is unknown whether CR is recommendable from a Health Technology Assessment Perspective. This presentation introduces the DANREHAB programme of CR and outlines the main aspects of the HTA of the DANREHAB. METHOD: Patients with Congestive Heart Failure, ischaemic heart disease, or 3 or more classical risk factors were randomised to outpatient CR or usual care using central randomisation. Intervention: The CR-programme included: 1) exercise training, 2) education, 3) psychosocial support, 4) dietary counselling, 5) smoking cessation, 6) pharmacological risk factor management and 7) check-up by physician. The programme lasted for 12 months; 6 weeks of intensive CR followed by systematic follow-up visits at 3, 6 and 12 months. Information on follow-up and treatment in the usual care group was collected correspondingly. The study group included 770 patients over a period of 35 months. HTA The HTA compares the CR intervention with usual care, applying a comprehensive assessment along four lines of analysis: (1) Effect of the technology on mortality, reinfarct, readmission, life style and risk factors, (2) Economics: cost-benefit analysis and cost-utility analysis, (3) Organisation: experience based assessment including cultural aspects, and (4) The patient perspective: patient attendance, health related quality of life and patient contentment.
Publication Types:
Keywords:
- Coronary Disease
- Costs and Cost Analysis
- Denmark
- Evaluation Studies
- Exercise
- Exercise Therapy
- Health
- Health Behavior
- Heart Failure
- Humans
- Life Style
- Myocardial Ischemia
- Risk Factors
- Smoking Cessation
- Technology Assessment, Biomedical
- economics
- methods
- nursing
- rehabilitation
- surgery
- hsrmtgs
UI: 103140716
From Meeting Abstracts