Osteoarthritis

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 Economic evaluation within a randomised controlled 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 →

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