TY - JOUR
T1 - Societal burden of stroke rehabilitation: Costs and health outcomes after admission to stroke rehabilitation
AU - van Meijeren-Pont, Winke
AU - Tamminga, Sietske J.
AU - Goossens, Paulien H.
AU - Groeneveld, Iris F.
AU - Arwert, Henk
AU - Meesters, Jorit J. L.
AU - Mishre, Radha Rambaran
AU - Vlieland, Thea P. M.
AU - van den Hout, Wilbert B.
N1 - Funding Information: Funding. This work was supported by the Stichting Kwaliteitsgelden Medisch Specialisten. Publisher Copyright: © 2021 Foundation for Rehabilitation Information. All rights reserved. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/6/2
Y1 - 2021/6/2
N2 - 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 Outcomes 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.
AB - 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 Outcomes 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.
KW - cost analysis
KW - health-related quality of life
KW - rehabilitation
KW - stroke
KW - utility
UR - http://www.scopus.com/inward/record.url?scp=85107711856&partnerID=8YFLogxK
U2 - https://doi.org/10.2340/16501977-2829
DO - https://doi.org/10.2340/16501977-2829
M3 - Article
C2 - 33856036
SN - 1650-1977
VL - 53
SP - jrm00201
JO - Journal of rehabilitation medicine
JF - Journal of rehabilitation medicine
IS - 6
M1 - jrm00201
ER -