Cost and cost-effectiveness of mHealth interventions for the prevention and control of type 2 diabetes mellitus: A systematic review. (April 2020)

• Record Type: Journal Article
• Authors: Rinaldi, Giulia; Hijazi, Alexa; Haghparast-Bidgoli, Hassan
• Is Part Of: Diabetes research and clinical practice. Volume 162(2020)
• Publication Date: 2020-04
• Subjects: Economic evaluation -- mHealth -- Diabetes -- Telemedicine; Diabetes -- Periodicals; Diabetes Mellitus -- Periodicals; 616.462
• DOI: 10.1016/j.diabres.2020.108084
• Languages: English
• ISSNs: 0168-8227

Abstract

Highlights: A pre specified protocol was registered on the Prospective Register of Systematic Reviews. To the best of our knowledge this is the first systematic review on this topic. The quality of evidence was assessed using the CHEERS checklist. The majority of studies identified were partial economic evaluations. There was difficulty in comparing results due to study heterogeneity. Abstract: The prevalence of type 2 diabetes mellitus continues to rise and simultaneously technology has contributed to the growth of MHealth interventions for its prevention, monitoring and management. This systematic review aimed to summarize and evaluate the quality of the published evidence on cost and cost-effectiveness of mHealth interventions for T2DM. A systematic literature search of PubMed, EMBASE, and Web of Science was conducted for papers up to end of April 2019. We included all partial or full economic evaluations providing cost or cost-effectiveness results for mHealth interventions targeting individuals diagnosed with, or at risk of, type 2 diabetes mellitus. Twenty-three studies met the inclusion criteria. Intervention cost varied substantially based on the type and numbers or combination of technologies used, ranging from 1.8 INT $ to 10101.1 INT $ per patient per year. The studies which presented cost effectiveness results demonstrated highly cost-effective interventions, with cost per QALY gained ranging from 0.4 to 62.5 percent of GDP per capita of the country. The quality of partial economic evaluations was on average lower than that of full economic evaluations. Cost of mHealth interventions varied substantially based on type and combination of technology used, however, where cost-effectiveness results were reported, the intervention was cost-effective. PROSPERO registration number: CRD42019123476; Registered: 27/01/2019.