Cost-effectiveness of patient navigation programs for stroke patients-A systematic review.

<h4>Objective</h4>Stroke remains a leading cause of premature death, impairment and reduced quality of life. Its aftercare is performed by numerous different health care service providers, resulting in a high need for coordination. Personally delivered patient navigation (PN) is a promis...

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Autores principales:	Benjamin Kass, Christina Dornquast, Andreas Meisel, Christine Holmberg, Nina Rieckmann, Thomas Reinhold
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5045e93b43d64116b7f993a2043b2f4d
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spelling	oai:doaj.org-article:5045e93b43d64116b7f993a2043b2f4d2021-12-02T20:13:40ZCost-effectiveness of patient navigation programs for stroke patients-A systematic review.1932-620310.1371/journal.pone.0258582https://doaj.org/article/5045e93b43d64116b7f993a2043b2f4d2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258582https://doaj.org/toc/1932-6203<h4>Objective</h4>Stroke remains a leading cause of premature death, impairment and reduced quality of life. Its aftercare is performed by numerous different health care service providers, resulting in a high need for coordination. Personally delivered patient navigation (PN) is a promising approach for managing pathways through health care systems and for improving patient outcomes. Although PN in stroke care is evolving, no summarized information on its cost-effectiveness in stroke survivors is available. Hence, the aim of this systematic review is to analyze the level of evidence on the cost-effectiveness of PN for stroke survivors.<h4>Methods</h4>A systematic literature search without time limitations was carried out in PubMed, EMBASE, CENTRAL, CINAHL as well as PsycINFO and supplemented by a manual search. Randomized controlled trials published prior to April 2020 in English or German were considered eligible if any results regarding the cost-effectiveness of PN for stroke survivors were reported. The review was conducted according to PRISMA guidelines. Quality of included studies was assessed with the RoB2 tool. Main study characteristics and cost-effectiveness results were summarized and discussed.<h4>Results</h4>The search identified 1442 records, and two studies met the inclusion criteria. Quality of included studies was rated moderate and high. Programs, settings and cost-effectiveness results were heterogeneous, with one study showing a 90% probability of being cost-effective at a willingness to pay of $25600 per QALY (health/social care perspective) and the other showing similar QALYs and higher costs.<h4>Conclusions</h4>Since only two studies were eligible, this review reveals a large gap in knowledge regarding the cost-effectiveness of PN for stroke survivors. Furthermore, no conclusive statement about the cost-effectiveness can be made. Future attempts to evaluate PN for stroke survivors are necessary and should also involve cost-effectiveness issues.Benjamin KassChristina DornquastAndreas MeiselChristine HolmbergNina RieckmannThomas ReinholdPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258582 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Benjamin Kass Christina Dornquast Andreas Meisel Christine Holmberg Nina Rieckmann Thomas Reinhold Cost-effectiveness of patient navigation programs for stroke patients-A systematic review.
description	<h4>Objective</h4>Stroke remains a leading cause of premature death, impairment and reduced quality of life. Its aftercare is performed by numerous different health care service providers, resulting in a high need for coordination. Personally delivered patient navigation (PN) is a promising approach for managing pathways through health care systems and for improving patient outcomes. Although PN in stroke care is evolving, no summarized information on its cost-effectiveness in stroke survivors is available. Hence, the aim of this systematic review is to analyze the level of evidence on the cost-effectiveness of PN for stroke survivors.<h4>Methods</h4>A systematic literature search without time limitations was carried out in PubMed, EMBASE, CENTRAL, CINAHL as well as PsycINFO and supplemented by a manual search. Randomized controlled trials published prior to April 2020 in English or German were considered eligible if any results regarding the cost-effectiveness of PN for stroke survivors were reported. The review was conducted according to PRISMA guidelines. Quality of included studies was assessed with the RoB2 tool. Main study characteristics and cost-effectiveness results were summarized and discussed.<h4>Results</h4>The search identified 1442 records, and two studies met the inclusion criteria. Quality of included studies was rated moderate and high. Programs, settings and cost-effectiveness results were heterogeneous, with one study showing a 90% probability of being cost-effective at a willingness to pay of $25600 per QALY (health/social care perspective) and the other showing similar QALYs and higher costs.<h4>Conclusions</h4>Since only two studies were eligible, this review reveals a large gap in knowledge regarding the cost-effectiveness of PN for stroke survivors. Furthermore, no conclusive statement about the cost-effectiveness can be made. Future attempts to evaluate PN for stroke survivors are necessary and should also involve cost-effectiveness issues.
format	article
author	Benjamin Kass Christina Dornquast Andreas Meisel Christine Holmberg Nina Rieckmann Thomas Reinhold
author_facet	Benjamin Kass Christina Dornquast Andreas Meisel Christine Holmberg Nina Rieckmann Thomas Reinhold
author_sort	Benjamin Kass
title	Cost-effectiveness of patient navigation programs for stroke patients-A systematic review.
title_short	Cost-effectiveness of patient navigation programs for stroke patients-A systematic review.
title_full	Cost-effectiveness of patient navigation programs for stroke patients-A systematic review.
title_fullStr	Cost-effectiveness of patient navigation programs for stroke patients-A systematic review.
title_full_unstemmed	Cost-effectiveness of patient navigation programs for stroke patients-A systematic review.
title_sort	cost-effectiveness of patient navigation programs for stroke patients-a systematic review.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/5045e93b43d64116b7f993a2043b2f4d
work_keys_str_mv	AT benjaminkass costeffectivenessofpatientnavigationprogramsforstrokepatientsasystematicreview AT christinadornquast costeffectivenessofpatientnavigationprogramsforstrokepatientsasystematicreview AT andreasmeisel costeffectivenessofpatientnavigationprogramsforstrokepatientsasystematicreview AT christineholmberg costeffectivenessofpatientnavigationprogramsforstrokepatientsasystematicreview AT ninarieckmann costeffectivenessofpatientnavigationprogramsforstrokepatientsasystematicreview AT thomasreinhold costeffectivenessofpatientnavigationprogramsforstrokepatientsasystematicreview
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Cost-effectiveness of patient navigation programs for stroke patients-A systematic review.

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