Key result
A nurse-led integrated care approach for atrial fibrillation was dominant over usual care, yielding 0.009 QALY gains and saving €1109 per patient.
Why the study?
Does a nurse-led integrated care approach improve cost-effectiveness compared to usual care in patients with atrial fibrillation?
Population
712 patients with atrial fibrillation at the Maastricht University Medical Centre, The Netherlands
Comparison
Nurse-led integrated chronic care approach vs Usual care
Design
RCT, Randomized allocation to nurse-led care or usual care
Authors
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Supports adoption of nurse-led integrated AF care; reinforces randomized evidence for cost-effective models.
RCT (n=712)
No
Does a nurse-led integrated care approach improve cost-effectiveness compared to usual care in patients with atrial fibrillation?
Effect estimate: 0.009 QALY gains, reduced cost of €1109 per patient
A nurse-led integrated care approach for atrial fibrillation is a dominant strategy, improving survival and quality of life while reducing costs compared to usual care.
Hendriks et al. (2013) conducted an RCT in atrial fibrillation (n=712). Nurse-led integrated chronic care approach vs. Usual care was evaluated on Cost per life-year and cost per quality-adjusted life-year (QALY) (0.009 QALY gains, reduced cost of €1109 per patient). A nurse-led integrated care approach for atrial fibrillation was dominant over usual care, yielding 0.009 QALY gains and saving €1109 per patient.
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