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Abstract Rehabilitation technologies offer promising opportunities for interventions for patients with motor disabilities However their use in routine care remains limited due to their high cost and persistent doubts about their cost-effectiveness Providing solid evidence of the economic efficiency of rehabilitation technologies would help dispel these doubts in order to better take advantage of these technologies In this context this systematic review aimed to examine the cost-effectiveness of rehabilitation interventions based on the use of digital technologies In total 660 articles published between 2011 and 2021 were identified of which eleven studies met all the inclusion criteria Of these eleven studies seven proved to be cost-effective while four were not Four studies used cost-utility analyses CUAs and seven used cost-minimization analyses CMAs The majority ten studies focused on the rehabilitation of the upper and or lower limbs after a stroke while only one study examined the rehabilitation of the lower limbs after knee arthroplasty Regarding the evaluated devices seven studies analyzed the cost-effectiveness of robotic rehabilitation and four analyzed rehabilitation with virtual reality The assessment of the quality of the included studies using the CHEERS Consolidated Health Economic Evaluation Reporting Standards suggested that the quality was related to the economic analysis method all studies that adopted a cost-utility analysis obtained a high quality score above 80 while the quality scores of the cost-minimization analyses were average with the highest score obtained by a CMA being 72 The average quality score of all the articles was 75 ranging between 52 and 100 Of the four studies with a considering score two concluded that there was equivalence between the intervention and conventional care in terms of cost-effectiveness one concluded that the intervention dominated while the last one concluded that usual care dominated This suggests that even considering the quality of the included studies rehabilitation interventions based on digital technologies remain cost-effective they improved health outcomes and quality of life for patients with motor disorders while also allowing cost savings

Publication search with Cost-effectiveness analysis Disability Rehabilitation technologies QALY Systematic review as keyword

Economic analysis of digital motor rehabilitation technologies: a systematic review

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with Cost-effectiveness analysis Disability Rehabilitation technologies QALY Systematic review as keyword