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COST-EFFECTIVENESS OF INTERVENTIONS BASED ON PHYSICAL ACTIVITY IN THE TREATMENT OF CHRONIC CONDITIONS: A SYSTEMATIC LITERATURE REVIEW

Published online by Cambridge University Press:  09 October 2018

Marlène Guillon ,
Lise Rochaix  and
Jean-Claude K. Dupont
Marlène Guillon
Affiliation:
Université Clermont Auvergne, CNRS, CERDI and Hospinnomics – PSE – École d’économie de Paris, Assistance publique Hôpitaux de [email protected]
Lise Rochaix
Affiliation:
Université Paris 1 and Hospinnomics - PSE - École d’économie de Paris, Assistance publique Hôpitaux de Paris
Jean-Claude K. Dupont
Affiliation:
Hospinnomics - PSE - École d’économie de Paris, Assistance publique Hôpitaux de Paris
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Abstract

Objectives:

The aim of this study is to review evidence on the cost-effectiveness of exercise-based interventions in the treatment of chronic conditions a decade after the publication of Roine et al. in 2009 (Roine E, Roine RP, Räsänen P, et al. Int J Technol Assess Health Care. 2009;25:427–454).

Methods:

We carried out a review of published articles in PUBMED and JSTOR between January 1, 2008, and December 31, 2016. Full economic evaluations of exercise programs targeting patients with a chronic condition were eligible for inclusion. Data on program, design, and economic characteristics were extracted using a predefined extraction form. The quality of the economic evaluations was appraised using the adjusted Consensus Health Economic Criteria List.

Results:

A total of 426 articles were identified and thirty-seven studies were selected. Eleven studies dealt with musculoskeletal and rheumatologic disorders, ten with cardiovascular diseases, six with neurological disorders, three with mental illnesses, three with cancers, and four with diabetes, respiratory diseases, or pelvic organ prolapse. In total, 60 percent of exercise programs were dominant or cost-effective. For musculoskeletal and rheumatologic disorders, 72 percent of programs were dominant or cost-effective while this was the case for 57 percent of programs for cardiovascular diseases using a nonsurgical comparator.

Conclusions:

There is clear evidence in favor of exercise-based programs for the treatment of musculoskeletal and rheumatologic disorders and, to a lesser extent, for the treatment of cardiovascular diseases. More research is needed to evaluate the cost-effectiveness of physical activity in the treatment of neurological disorders, mental illnesses, cancers, respiratory diseases, and diabetes/obesity.

Keywords

ExerciseCost-benefit analysisChronic diseaseReview
Type
Assessment
Information
International Journal of Technology Assessment in Health Care , Volume 34 , Issue 5 , 2018 , pp. 481 - 497
Copyright
Copyright © Cambridge University Press 2018 

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