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Table 4 Descriptive characteristics of included studies

From: The cost-effectiveness of exercise-based cardiac rehabilitation: a systematic review of the characteristics and methodological quality of published literature

Author

(Year)

Study Design

(time horizon)

Perspective

Setting

Location

Sample Size

Males (%)

Cases/

Controls

Mean Age

Cases/

Controls

Target Population

Subgroups

Co-morbidity

Comparators

Levin et al.

(1991) [13]

Economic study of a 2-group non- randomized design (5 years)

Societal

Hospital-based

Sweden

305

84.4/84.8

57.3/57.2

MI patients

None

Not reported

Comprehensive CR vs standard care

Oldridge

et al. (1993) [4]

Economic evaluation of a 2-group RCT (12 months)

Healthcare system + Patient

Not reported

Canada

201

88/89

52.9/52.7

AMI patients with mild to moderate depression or anxiety

None

Not reported

CR vs usual care

Ades et al.

(1997) [16]

Retrospective economic evaluation on published data from randomized trials (15 years)

Patient or Payer

Majority hospital-based

USA

NA

100a

Majority <65a

AMI patients

None

Not reported

CR vs no CR

Carlson et al.

(2000) [18]

Economic evaluation of a 2-group RCT (6 months)

Insurer

Rehabilitation centre

USA

80

81.6/83.3

59/59

Low risk cardiac patients

None

Not reported

Traditional vs Modified protocol

Hall et al.

(2002) [15]

Economic evaluation of a 2-group RCT (12 months)

Healthcare system + Patient

Hospital-based

Australia

142

59/56

56/56

AMI patients

None

Not reported

REHAB vs ERNA (Early return to normal activities)

Southard et al. (2003) [9]

2-group RCT (6 months)

Healthcare

system

Home-based

(internet)

USA

104

68/82

61.8/62.8

Cardiovascular disease patients

None

Not reported

Home-based (internet) CR vs usual care

Yu et al.

(2004) [19]

Economic evaluation of a prospective 2-group RCT (24 months)

Provider + Patient

Rehabilitation centre

Hong Kong

269

76/75

64/64

AMI or PCI patients

None

Not reported

CRPP vs conventional therapy

Briffa et al.

(2005) [12]

Economic evaluation of an open RCT (12 months)

Healthcare system

Hospital-based

Australia

113

71.9/75

61.9/60.8

AMI or recovery from unstable angina

None

285 out of 2712 (11%) patients ineligible due to comorbidity

Comprehensive CR vs conventional care

Reid et al.

(2005) [17]

Economic evaluation of a 2-group RCT (24 months)

Healthcare

system

Rehabilitation Centre

Canada

392

85/84

58/58

CAD (AMI, PCI, CABG and angina) patients.

None

Co-morbid conditions that may impair progress were addressed (i.e. depression, musculoskeletal/respiratory problems).

CR (3-month) vs CR (12-month)

Jolly et al.

(2007) [11]

Economic evaluation of a 2-group RCT (24 months)

Societal

Hospital-based

UK

525

77.2/76.0

60.3/61.8

MI or revascularization (PTCA/CABG) patients (within 12 weeks)

None

219 out of 1997 (11%) patients ineligible due to comorbidity

Some patients adapted program to suit their co-morbidities.

Home vs Hospital

Taylor et al.

(2007) [10]

Economic evaluation of a 2-group RCT (9 months)

Healthcare system + Patient

Hospital-based

UK

104

NR

NR

AMI patients

None

Patients with a major co-morbidity were excluded.

Home vs Hospital

Dendale et al. (2008) [14]

Retrospective economic evaluation of a non-randomised clinical trial (4.5 years)

Healthcare

Payer

Hospital-based

Belgium

213

75.9/66.3

58.6/64.8

PCI patients

None

Patients with life-threatening or symptomatic co-morbidities were excluded.

CR vs no CR

Huang et al.

(2008) [21]

Retrospective economic evaluation based on the United States Renal Data System (42 months)

Insurer

Not reported

USA

4324

72a

Majority >65a

ESRD (CABG) patients

Age, gender, number of cardiovascular conditions, diagnosis of chronic obstructive pulmonary disease, race, Medicaid coverage, higher serum albumin, primary diagnosis of diabetes, AMI before CABG and propensity for CR

Documented the number of existing cardiovascular conditions at initiation of dialysis.

CR vs no CR

Papadakis et al. (2008) [2]

Economic evaluation of a 2-group RCT (24 months)

Healthcare system

Rehabilitation Centre

Canada

392

84.5/89.3

58.4/58.4

CAD (MI,PCI,CABG and angina) patients

Cardiac risk level, risk of disease progression, reason for referral and sex.

Not reported

CR (3-month) vs CR (12-month)

Spronk et al. (2008) [20]

Economic evaluation and modelling of CR strategies (Lifetime)

Societal

Not reported

USA

NA

100a

64a

CAD (MI) patients.

None

Not reported

CR only vs revascularisation before CR or after CR failure

  1. RCT = randomised controlled trial, MI/AMI = acute myocardial infarction, PCI/PCTA = percutaneous coronary intervention, ESRD = end stage renal disease, CABG = coronary artery bypass grafting, CR =cardiac rehabilitation aFor modelling and cohort studies, single figures given reflect the demographic characteristics of the overall study population, where in remaining trials these statistics are given for each intervention arm