Kato G, Doi T, Arai H, Shimada H. Cost-effectiveness Analysis of Combined Physical and Cognitive Exercises Programs Designed for Preventing Dementia among Community-dwelling Healthy Young-old Adults.
Phys Ther Res 2022;
25:56-67. [PMID:
36118786 PMCID:
PMC9437929 DOI:
10.1298/ptr.e10153]
[Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2021] [Accepted: 03/28/2022] [Indexed: 09/27/2023]
Abstract
OBJECTIVE
This study aims to estimate the cost-effectiveness of combined physical and cognitive programs designed to prevent community-dwelling healthy young-old adults from developing dementia.
METHODS
The analysis was conducted from a public healthcare and long-term care payer's perspective. Quality-adjusted life years (QALYs) and expenses for health services and long-term care services were described in terms of effectiveness and cost, respectively. A thousand community-dwelling healthy adults aged 65 years were generated through simulation and analyzed. The incremental cost-effectiveness ratio (ICER) of adults with preventive program intervention compared to those with nonintervention was simulated with a 10-year cycle Markov model. The data sources for the parameters to build the Markov models were selected with priority given to higher levels of evidence. The threshold for assessing cost-effectiveness was set as less than 5,000,000 Japanese yen/QALY.
RESULTS
The ICER was estimated as -5,740,083 Japanese yen (US$-57,400)/QALY.
CONCLUSION
A program targeting community-dwelling healthy young-old adults could be cost-effective.
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