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Table 2 Key economic findings

From: Costing of physical activity programmes in primary prevention: a review of the literature

Type of econ. analysis

Author (year of publication)

Key economic findings (costs as reported in studies)

Reported costs (or costs per effectiveness-outcome) converted to 2008 EUROS

CUA

Chen et al. (2008) [34]

ICER: USD15,103/QALY gained

[No year of intervention]

 

Munro et al. (2004) [23]

(1) ICER: EUR17,172/QALY gained;

(2) CE: EUR4,739-EUR32,533/QALY

(1) EUR18,364

(2) EUR5,068-EUR34,791

CEA

Elley et al. (2004) [20]

(1) Monthly CER: NZD11/kcal/kg/day;

(2) ICER: NZD1,756 converted sedentary adult to an active state in 12 months

(1) EUR 8

(2) EUR1,268

 

Stevens et al. (1998) [22]

(1) GBP623/one sedentary person doing more PA;

(2) GBP2,498/moving someone who is active but below min. level

[No year of intervention]

 

Robertson et al. (2001a) [27]

(1) ICER: NZD1,803/fall prevented;

(2) NZD7,471/injurious fall prevented (cost saving for people older than 80 years)

(1) EUR1,423

(2) EUR5,898

 

Robertson et al. (2001b) [26]

(1) ICER: NZD1,519/fall prevented;

(2) NZD3,404/injurious fall prevented (exercise programme only more cost-effective for those over 80 years)

(1) EUR1,202

(2) EUR2,694

 

Robertson et al. (2001c) [25]

(1) ICER: NZD314/fall prevented (1 year); NZD265/fall prevented (2 years);

(2) NZD457/injurious fall prevented (1 year); NZD426/injurious fall prevented (2 years)

(1) EUR261; EUR220

(2) EUR379; EUR353

 

Proper et al. (2004) [21]

CER without (with) imputation of effect data:

(1) EUR5 (EUR3)/extra energy expenditure (kcal/day);

(2) EUR235 (EUR46)/beat per minute decrease in submaximal heart rate;

(3) total net costs (9 months): EUR305;

(4) benefits from sick leave reduction (1 year later): EUR635

(1) EUR6 (EUR3)

(2) EUR267 (EUR52)

(3) EUR346

(4) EUR721; [Apy 2000]

 

Shephard (1992) [35]

(1) Programme benefits/worker/year (participation rate of 20%): CAD679;

(2) ROI: CAD7;

(3) long-term cost-benefit: CAD5 to 1

(1) EUR757

(2) EUR8

(3) EUR5 to 1

 

Sevick et al. (2000) [36]

(1) Lifestyle intervention (24 months): USD20/additional kcal/kg/day per month

(2) Structured intervention (24 months): USD71/additional kcal/kg/day per month (different outcomes)

(1) EUR23

(2) EUR81; [Apy 1998]

 

Finkelstein et al. (2002) [24]

(1) IC of EI per person: USD191;

(2) ICER: USD637/1% point additional decrease in 10-year probability of CHD for EI compared with MI;

(3) nearly USD5,000/LYG (n.sig.)

(1) EUR226

(2) EUR753

(3) EUR5,911; [Apy 1996]

 

Dzator et al. (2004) [19]

1-year follow-up: Average incremental costs/unit change in outcome variables:

(1) high intervention: AUD460;

(2) low intervention: AUD459;

(3) control: AUD462 (different outcomes)

[No year of intervention]

 

The Writing Group (2001) [43]

(1) For 2 years: IC/participant of assistance intervention: USD500;

(2) IC of counselling intervention/participant: USD1,100

(1) EUR591

(2) EUR1,300; [Apy 1996]

other Econ. Analysis

Ackermann et al. (2003) [33]

(1) Increase in annual healthcare costs: USD642 (IG) and USD1,175 (CG);

(2) Savings in annual healthcare costs: USD533

(1) EUR735 and EUR1,345

(2) EUR610; [Apy 1998]

 

Ackermann et al. (2008) [28]

Adjusted total healthcare costs (after 2 years): USD1,186 lower

EUR1,115

 

Baun et al. (1986) [32]

(1) Healthcare costs: USD553 (participants) and USD1,146 (controls);

(2) Healthcare savings: USD593

(1) EUR921and EUR1,908

(2) EUR987

 

Shephard (1982) [31]

Savings per employee/year: CAD84.50 (ICER n.s.)

-

 

Shephard et al. (1983) [30]

Decrease in body fat related to increased hospital utilisation and medical care costs in men and women (no $ values reported) (different outcomes)

[no $ values reported]

  1. Abbreviations: apy: assumed price year; CAD: Canadian dollars; CE: cost-effectiveness; CEA: cost-effectiveness analysis; CER: cost-effectiveness ratio; CHD: cardiovascular heart disease; CG: control group; CUA: cost-utility analysis; Econ.: economic; EI: enhanced intervention; EUR: Euro; GBP: Great Britain Pound; ICER: incremental cost-effectiveness ratio; IG: intervention group; kcal: kilocalorie; LYG: life years gained; MI: minimum intervention; min: minimum; n.s.: not stated; NZD: New Zealand Dollars; PA: physical activity; QALY: quality-adjusted life year; ROI: return on investment; kg: kilogram; USD: US dollars.