Cost‐Effectiveness of Telehealth‐Delivered Exercise and Dietary Weight Loss Programs for Knee Osteoarthritis Within a Twelve‐Month Randomized Trial
Authors' conclusion
Telehealth-delivered programs targeting exercise with dietary intervention for people with knee osteoarthritis who have overweight/obesity are likely to be cost-effective, particularly if potential long-term gains from weight loss and work productivity are realized.
Study context
- Population
- People with knee OA aged 45–80 years with BMI 28–40 kg/m²
- Participants
- 415 people
- Comparison
- Telehealth exercise, and telehealth exercise plus ketogenic very low calorie diet, vs education control
- Exercisen = 172
- Diet plus exercisen = 175
- Controln = 67reference
- Primary endpoint
- Quality-adjusted life years (QALYs) and health system costs (2020 Australian dollars)
- Follow-up
- 12 months
Methodological details3-arm, parallel, 12-month, telehealth-delivered
- 3-arm
- Parallel
- 12-month
- Telehealth-delivered
Primary result
As reported in the abstract
Cost-effectiveness (cost per QALY) and probability of being cost-effective
Cost per QALY
$45,500 per QALY
Diet plus exercise vs Education control · 88% confident cost-effective
Cost per QALY
$67,600 per QALY
Exercise vs Education control · 53% confident cost-effective
Cost per QALY
$21,100 per QALY
Diet plus exercise vs Exercise · 86% confident cost-effective
Further findings
Pain and function (clinical trial)
- Greater improvements in pain and function compared to information only
Original publication
Cost‐Effectiveness of Telehealth‐Delivered Exercise and Dietary Weight Loss Programs for Knee Osteoarthritis Within a Twelve‐Month Randomized Trial. Arthritis Care Res (Hoboken). Published 20 January 2023. doi:10. 1002/ acr. 25022
Composed by AI from the published abstract and checked against it. How Briefs are made →