{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T23:32:11Z","timestamp":1790379131722,"version":"4.1.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T00:00:00Z","timestamp":1606089600000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>This systematic review aims to assess the cost-effectiveness of cardiac telerehabilitation in comparison with centre-based cardiac rehabilitation (CR). Evidence of cost-effectiveness is an important step towards implementation and reimbursement of telerehabilitation services. Electronic databases were searched for economic evaluations of telerehabilitation programmes. Only randomized controlled trials (RCTs) published in English were eligible for inclusion. Study quality and risk of bias were assessed using the Consensus Health Economic Criteria (CHEC) list. A total of eight economic evaluations met the review inclusion criteria. The total sample size consisted of 751 patients ranging from a minimum of 46 patients to a maximum of 162 patients per study. Maximal follow-up was 5 years. A total of seven of the eight included studies demonstrated that telerehabilitation could lead to similar or lower long-term costs and are thus as cost-effective as traditional centre-based CR. There is significant heterogeneity between all included telerehabilitation interventions in duration, used technology, cost included and follow-up. Based on these small short duration trials, telerehabilitation may be as cost-effective as traditional centre-based approaches. However, more assessments of the value for money of telerehabilitation in larger and longer RCTs are needed both in high- as low-income countries.<\/jats:p>","DOI":"10.1093\/ehjdh\/ztaa005","type":"journal-article","created":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T13:10:55Z","timestamp":1606137055000},"page":"20-29","source":"Crossref","is-referenced-by-count":51,"title":["Cost-effectiveness of cardiac telerehabilitation in coronary artery disease and heart failure patients: systematic review of randomized controlled trials"],"prefix":"10.1093","volume":"1","author":[{"given":"Martijn","family":"Scherrenberg","sequence":"first","affiliation":[{"name":"UHasselt\u2014Hasselt University, Faculty of Medicine and Life Sciences , Agoralaan, 3590 Diepenbeek, Belgium"},{"name":"Department of Cardiology, Jessa Hospital , Stadsomvaart 11, Hasselt 3500, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten","family":"Falter","sequence":"additional","affiliation":[{"name":"UHasselt\u2014Hasselt University, Faculty of Medicine and Life Sciences , Agoralaan, 3590 Diepenbeek, Belgium"},{"name":"Department of Cardiology, Jessa Hospital , Stadsomvaart 11, Hasselt 3500, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0821-4559","authenticated-orcid":false,"given":"Paul","family":"Dendale","sequence":"additional","affiliation":[{"name":"UHasselt\u2014Hasselt University, Faculty of Medicine and Life Sciences , Agoralaan, 3590 Diepenbeek, Belgium"},{"name":"Department of Cardiology, Jessa Hospital , Stadsomvaart 11, Hasselt 3500, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,11,23]]},"reference":[{"key":"2022111811233277300_ztaa005-B1","volume-title":"European Cardiovascular Disease Statistics 2017","author":"Wilkins","year":"2017"},{"key":"2022111811233277300_ztaa005-B2"},{"key":"2022111811233277300_ztaa005-B3","author":"Piepoli","journal-title":"Eur Heart J"},{"key":"2022111811233277300_ztaa005-B4","doi-asserted-by":"crossref","first-page":"1756","DOI":"10.1177\/2047487320905719","volume":"27","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811233277300_ztaa005-B5","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1136\/heartjnl-2017-312809","article-title":"Cost-effectiveness of cardiac rehabilitation: a systematic review","volume":"104","author":"Shields","year":"2018","journal-title":"Heart"},{"key":"2022111811233277300_ztaa005-B6","doi-asserted-by":"crossref","first-page":"63","DOI":"10.15420\/cfr.2015:26:1","article-title":"Cardiac rehabilitation in patients with heart failure: new perspectives in exercise training","volume":"2","author":"Volterrani","year":"2016","journal-title":"Card Fail Rev"},{"key":"2022111811233277300_ztaa005-B7","article-title":"Secondary prevention through comprehensive cardiovascular rehabilitation: from knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology","author":"Ambrosetti","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811233277300_ztaa005-B8","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1177\/2047487318825350","article-title":"Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: results from the European Society of cardiology ESC-EORP EUROASPIRE V registry","volume":"26","author":"Kotseva","year":"2019","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811233277300_ztaa005-B9","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1177\/1357633X14562732","article-title":"A review of telerehabilitation for cardiac patients","volume":"21","author":"Frederix","year":"2015","journal-title":"J Telemed Telecare"},{"key":"2022111811233277300_ztaa005-B10","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1177\/1741826711409326","article-title":"Participating in cardiac rehabilitation: a systematic review and meta-synthesis of qualitative data","volume":"19","author":"Neubeck","year":"2012","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811233277300_ztaa005-B11","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811233277300_ztaa005-B12","first-page":"CD007130","article-title":"Home-based versus centre-based cardiac rehabilitation","volume":"1","author":"Taylor","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"2022111811233277300_ztaa005-B13","doi-asserted-by":"crossref","first-page":"e185","DOI":"10.2196\/jmir.4799","article-title":"Medium-term effectiveness of a comprehensive internet-based and patient-specific telerehabilitation program with text messaging support for cardiac patients: randomized controlled trial","volume":"17","author":"Frederix","year":"2015","journal-title":"J Med Internet Res"},{"key":"2022111811233277300_ztaa005-B14","doi-asserted-by":"crossref","first-page":"1708","DOI":"10.1177\/2047487317732274","article-title":"Cardiac telerehabilitation: a novel cost-efficient care delivery strategy that can induce long-term health benefits","volume":"24","author":"Frederix","year":"2017","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811233277300_ztaa005-B15","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1136\/heartjnl-2018-313189","article-title":"Effects and costs of real-time cardiac telerehabilitation: randomised controlled non-inferiority trial","volume":"105","author":"Maddison","year":"2019","journal-title":"Heart"},{"key":"2022111811233277300_ztaa005-B16","doi-asserted-by":"crossref","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"6","author":"Moher","year":"2009","journal-title":"PLoS Med"},{"key":"2022111811233277300_ztaa005-B17","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1017\/S0266462305050324","article-title":"Criteria list for assessment of methodological quality of economic evaluations: Consensus on Health Economic Criteria","volume":"21","author":"Evers","year":"2005","journal-title":"Int J Technol Assess Health Care"},{"key":"2022111811233277300_ztaa005-B18","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1177\/2047487315602257","article-title":"Effect of comprehensive cardiac telerehabilitation on one-year cardiovascular rehospitalization rate, medical costs and quality of life: a cost-effectiveness analysis","volume":"23","author":"Frederix","year":"2016","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811233277300_ztaa005-B19","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1177\/1357633X14552376","article-title":"The costs and benefits of technology-enabled, home-based cardiac rehabilitation measured in a randomised controlled trial","volume":"20","author":"Whittaker","year":"2014","journal-title":"J Telemed Telecare"},{"key":"2022111811233277300_ztaa005-B20","doi-asserted-by":"crossref","first-page":"1795","DOI":"10.1016\/j.hlc.2018.11.010","article-title":"Cost-utility analysis of home-based telerehabilitation compared with centre-based rehabilitation in patients with heart failure","volume":"28","author":"Hwang","year":"2019","journal-title":"Heart Lung Circ"},{"key":"2022111811233277300_ztaa005-B21","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1089\/tmj.2015.0194","article-title":"Cost-utility analysis of a cardiac telerehabilitation program: the teledialog project","volume":"22","author":"Kidholm","year":"2016","journal-title":"Telemed J E Health"},{"key":"2022111811233277300_ztaa005-B22","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1177\/2047487317710803","article-title":"Clinical and cost-effectiveness of home-based cardiac rehabilitation compared to conventional, centre-based cardiac rehabilitation: Results of the FIT@Home study","volume":"24","author":"Kraal","year":"2017","journal-title":"Eur J Prev Cardiol"},{"key":"2022111811233277300_ztaa005-B23","first-page":"76","article-title":"Home- versus hospital-based exercise training in heart failure: an economic analysis","volume":"21","author":"Cowie","year":"2014","journal-title":"Br J Cardiol"},{"key":"2022111811233277300_ztaa005-B24","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.ijcard.2019.09.060","article-title":"High-intensity interval training for patients with coronary artery disease: Finding the optimal balance","volume":"298","author":"Keech","year":"2020","journal-title":"Int J Cardiol"},{"key":"2022111811233277300_ztaa005-B25","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/j.jacc.2014.06.1151","article-title":"Global burden of cardiovascular disease: time to implement feasible strategies and to monitor results","volume":"64","author":"Fuster","year":"2014","journal-title":"J Am Coll Cardiol"}],"container-title":["European Heart Journal - Digital Health"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjdh\/advance-article-pdf\/doi\/10.1093\/ehjdh\/ztaa005\/34463775\/ztaa005.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjdh\/article-pdf\/1\/1\/20\/47115962\/ztaa005.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjdh\/article-pdf\/1\/1\/20\/47115962\/ztaa005.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T11:26:02Z","timestamp":1668770762000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjdh\/article\/1\/1\/20\/5998643"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,1]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,11,23]]},"published-print":{"date-parts":[[2020,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjdh\/ztaa005","relation":{},"ISSN":["2634-3916"],"issn-type":[{"value":"2634-3916","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,11]]},"published":{"date-parts":[[2020,11,1]]}}}