An economic evaluation of a self-management programme of activity, coping and education for patients with chronic obstructive pulmonary disease. (February 2016)

• Record Type: Journal Article
• Authors: Dritsaki, Melina; Johnson-Warrington, Vicki; Mitchell, Katy; Singh, Sally; Rees, Karen
• Is Part Of: Chronic respiratory disease. Volume 13:Number 1(2016)
• Page Start: 48
• Page End: 56
• Publication Date: 2016-02
• Subjects: COPD -- cost-effectiveness analysis -- cost-utility analysis -- RCT -- self-management -- education; Respiratory organs -- Diseases -- Periodicals; 616.2005
• DOI: 10.1177/1479972315619578
• Languages: English
• ISSNs: 1479-9723

Abstract

The aim was to undertake a cost-utility analysis of a self-management programme of activity, coping and education (SPACE) for chronic obstructive pulmonary disease (COPD). The analysis was conducted alongside a six-month randomized controlled trial in 30 primary care settings. The economic analysis used data from 184 patients with confirmed diagnosis of COPD, forced expiratory volume in one second/forced vital capacity ratio <0.7 and with grade 2–5 on the Medical Research Council dyspnoea scale. Participants received either a self-management programme consisting of an education manual (SPACE for COPD) and consultation or usual care. Six-month costs were estimated from the National Health Service and Personal Social Services perspective and quality-adjusted life years (QALYs) were calculated based on patient responses at baseline and six months. The mean difference in costs between usual care and SPACE FOR COPD programme was −£27.18 (95% confidence interval (CI); −£122.59 to £68.25) while mean difference in QALYs was −0.10 (95% CI; −0.17 to −0.02). The results suggest that the intervention is more costly and more effective than usual care. The probability of the intervention being cost-effective was 97% at a threshold of £20, 000/QALY gained. We conclude that the SPACE FOR COPD programme is cost-effective compared to usual care.