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• W3156703546 abstract "Purpose: To evaluate the cost-utility and cost-effectiveness of the Dr. Bart app compared to usual care in people with knee/hip OA, applying a health care payer perspective. Methods: This economic evaluation was conducted alongside a 6-month randomized controlled trial, involving 427 participants. The dr. Bart app is a stand-alone eHealth application which invites users to select pre-formulated goals (i.e. “tiny habits”) and triggers to a healthier lifestyle. Self-reported outcome measures were health care costs, quality-adjusted life years (QALYs) according to the EuroQol (EQ-5D-3L), and the EuroQol Visual Analogue Scale (QALY-VAS), and five subscales of KOOS/HOOS. Missing data were multiply imputed and bootstrapping was used to estimate statistical uncertainty. Results: Mean age of participants was 62.1(SD 7.3) years, with the majority being female(72%) (Table 1). Health care costs were lower for the intervention group(€-22 (95% CI: -36; -3)) (Table 2). For QALY and QALY-VAS, the probability of the dr. Bart app being cost-effective compared to usual care was 0.71 and 0.67 at a willingness to pay(WTP) of €10.000 and 0.64 and 0.56 at WTP €80.000, respectively. For symptoms, pain, and ADL, the probability that dr. Bart app was cost-effective was >0.82 and for activities and quality of life <0.40, regardless of WTPs. Conclusions: This economic evaluation showed that costs were lower for the dr. Bart app group compared to usual care. Given the non-invasive character of the intervention and the moderate probability of being cost-effective for the majority of outcomes, the dr. Bart app has the potential to serve as a tool to provide education and goal setting regarding OA and its treatment options.Table 1Baseline characteristicsDr. Bart group (n=214)Control group (n=213)Age, Years; mean(SD)62.1 (7.7)62.1 (7.0)Female, n(%)147 (68.7)159 (74.7)BMI, kg/m2; mean (SD)27.8 (5.1)27.3 (4.8)Main OA-location, knee; n(%)157 (73.4)156 (73.2) Open table in a new tab Table 2Estimated treatment effects over 6 months.Health care costs, €-22 (-36; -3)N/AN/AQALY0.00 (-0.00; 0.01)0.710.64QALY-VAS0.00 (-0.00; 0.00)0.670.56KOOS/HOOS-Symptoms2.6 (-0.8; 5.8)0.930.93-Pain3.0 (-0.2; 6.1)0.970.97-ADL1.9 (-2.3; 6.1)0.820.82-Activities-0.7 (-5.1; 3.8)0.370.37-Quality of life-0.7 (-4.8; 3.2)0.360.36*Control group serving as reference category. Open table in a new tab *Control group serving as reference category." @default.
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• W3156703546 date "2021-04-01" @default.
• W3156703546 modified "2023-09-23" @default.
• W3156703546 title "Economic evaluation of the Dr. Bart app in people with knee and/or hip osteoarthritis" @default.
• W3156703546 doi "https://doi.org/10.1016/j.joca.2021.02.501" @default.
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