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SOCIETAL BURDEN OF STROKE REHABILITATION: COSTS AND HEALTH OUTCOMES AFTER ADMISSION TO STROKE REHABILITATION

OBJECTIVE: To estimate societal costs and changes in health-related quality of life in stroke patients, up to one year after start of medical specialist rehabilitation. DESIGN: Observational. PATIENTS: Consecutive patients who received medical specialist rehabilitation in the Stroke Cohort Out-comes...

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Autores principales: VAN MEIJEREN-PONT, Winke, TAMMINGA, Sietske J., GOOSSENS, Paulien H., GROENEVELD, Iris F., ARWERT, Henk, MEESTERS, Jorit J. L., RAMBARAN MISHRE, Radha, VLIET VLIELAND, Thea P. M., VAN DEN HOUT, Wilbert B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Foundation for Rehabilitation Information 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8814873/
https://www.ncbi.nlm.nih.gov/pubmed/33856036
http://dx.doi.org/10.2340/16501977-2829
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author VAN MEIJEREN-PONT, Winke
TAMMINGA, Sietske J.
GOOSSENS, Paulien H.
GROENEVELD, Iris F.
ARWERT, Henk
MEESTERS, Jorit J. L.
RAMBARAN MISHRE, Radha
VLIET VLIELAND, Thea P. M.
VAN DEN HOUT, Wilbert B.
author_facet VAN MEIJEREN-PONT, Winke
TAMMINGA, Sietske J.
GOOSSENS, Paulien H.
GROENEVELD, Iris F.
ARWERT, Henk
MEESTERS, Jorit J. L.
RAMBARAN MISHRE, Radha
VLIET VLIELAND, Thea P. M.
VAN DEN HOUT, Wilbert B.
author_sort VAN MEIJEREN-PONT, Winke
collection PubMed
description OBJECTIVE: To estimate societal costs and changes in health-related quality of life in stroke patients, up to one year after start of medical specialist rehabilitation. DESIGN: Observational. PATIENTS: Consecutive patients who received medical specialist rehabilitation in the Stroke Cohort Out-comes of REhabilitation (SCORE) study. METHODS: Participants completed questionnaires on health-related quality of life (EuroQol EQ-5D-3L), absenteeism, out-of-pocket costs and healthcare use at start and end of rehabilitation and 6 and 12 months after start. Clinical characteristics and rehabilitation costs were extracted from the medical and financial records, respectively. RESULTS: From 2014 to 2016 a total of 313 stroke patients completed the study. Mean age was 59 (standard deviation (SD) 12) years, 185 (59%) were male, and 244 (78%) inpatients. Mean costs for inpatient and outpatient rehabilitation were US$70,601 and US$27,473, respectively. For inpatients, utility (an expression of quality of life) increased significantly between baseline and 6 months (EQ-5D-3L 0.66–0.73, p = 0.01; visual analogue scale 0.77–0.82, p < 0.001) and between baseline and 12 months (visual analogue scale 0.77–0.81, p < 0.001). CONCLUSION: One-year societal costs from after the start of rehabilitation in stroke patients were considerable. Future research should also include costs prior to rehabilitation. For inpatients, health-related quality of life, expressed in terms of utility, improved significantly over time.
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spelling pubmed-88148732022-02-08 SOCIETAL BURDEN OF STROKE REHABILITATION: COSTS AND HEALTH OUTCOMES AFTER ADMISSION TO STROKE REHABILITATION VAN MEIJEREN-PONT, Winke TAMMINGA, Sietske J. GOOSSENS, Paulien H. GROENEVELD, Iris F. ARWERT, Henk MEESTERS, Jorit J. L. RAMBARAN MISHRE, Radha VLIET VLIELAND, Thea P. M. VAN DEN HOUT, Wilbert B. J Rehabil Med Original Report OBJECTIVE: To estimate societal costs and changes in health-related quality of life in stroke patients, up to one year after start of medical specialist rehabilitation. DESIGN: Observational. PATIENTS: Consecutive patients who received medical specialist rehabilitation in the Stroke Cohort Out-comes of REhabilitation (SCORE) study. METHODS: Participants completed questionnaires on health-related quality of life (EuroQol EQ-5D-3L), absenteeism, out-of-pocket costs and healthcare use at start and end of rehabilitation and 6 and 12 months after start. Clinical characteristics and rehabilitation costs were extracted from the medical and financial records, respectively. RESULTS: From 2014 to 2016 a total of 313 stroke patients completed the study. Mean age was 59 (standard deviation (SD) 12) years, 185 (59%) were male, and 244 (78%) inpatients. Mean costs for inpatient and outpatient rehabilitation were US$70,601 and US$27,473, respectively. For inpatients, utility (an expression of quality of life) increased significantly between baseline and 6 months (EQ-5D-3L 0.66–0.73, p = 0.01; visual analogue scale 0.77–0.82, p < 0.001) and between baseline and 12 months (visual analogue scale 0.77–0.81, p < 0.001). CONCLUSION: One-year societal costs from after the start of rehabilitation in stroke patients were considerable. Future research should also include costs prior to rehabilitation. For inpatients, health-related quality of life, expressed in terms of utility, improved significantly over time. Foundation for Rehabilitation Information 2021-04-15 /pmc/articles/PMC8814873/ /pubmed/33856036 http://dx.doi.org/10.2340/16501977-2829 Text en © 2021 Journal of Rehabilitation Medicine https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Report
VAN MEIJEREN-PONT, Winke
TAMMINGA, Sietske J.
GOOSSENS, Paulien H.
GROENEVELD, Iris F.
ARWERT, Henk
MEESTERS, Jorit J. L.
RAMBARAN MISHRE, Radha
VLIET VLIELAND, Thea P. M.
VAN DEN HOUT, Wilbert B.
SOCIETAL BURDEN OF STROKE REHABILITATION: COSTS AND HEALTH OUTCOMES AFTER ADMISSION TO STROKE REHABILITATION
title SOCIETAL BURDEN OF STROKE REHABILITATION: COSTS AND HEALTH OUTCOMES AFTER ADMISSION TO STROKE REHABILITATION
title_full SOCIETAL BURDEN OF STROKE REHABILITATION: COSTS AND HEALTH OUTCOMES AFTER ADMISSION TO STROKE REHABILITATION
title_fullStr SOCIETAL BURDEN OF STROKE REHABILITATION: COSTS AND HEALTH OUTCOMES AFTER ADMISSION TO STROKE REHABILITATION
title_full_unstemmed SOCIETAL BURDEN OF STROKE REHABILITATION: COSTS AND HEALTH OUTCOMES AFTER ADMISSION TO STROKE REHABILITATION
title_short SOCIETAL BURDEN OF STROKE REHABILITATION: COSTS AND HEALTH OUTCOMES AFTER ADMISSION TO STROKE REHABILITATION
title_sort societal burden of stroke rehabilitation: costs and health outcomes after admission to stroke rehabilitation
topic Original Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8814873/
https://www.ncbi.nlm.nih.gov/pubmed/33856036
http://dx.doi.org/10.2340/16501977-2829
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