title: [Cost Effectiveness of Aftercare in the Cardiovascular Rehabilitation: A Five Years Follow-up Analysis].
abstract: OBJECTIVE
  In Germany, the rehabilitative approaches towards patients with coronary artery events are not adequately sustainable despite the high costs. Both sustainability and cost effectiveness are the subjects of this 5-year analysis.
  
  
  METHODS
  The study was initiated in 2004. One year recruiting phase was followed by 3 years aftercare with telephone as an intervention. This unicentric randomised controlled trial included 600 patients of rehabilitative aftercare (intervention group [IG] 271; control group [CG] 329). Data on (i) mortality, (ii) duration of retirement, (iii) type of retirement and (iv) status of retirement were obtained from the German Retirement Insurance.The analyses for cost-effectiveness are conducted for the intention-to-treat (ITT) approach. The general assessment basis of retirements (partial and full disability pensions) are average values for the year 2013 (year of the measurement).
  
  
  RESULTS
  On the reporting date (31.12.2013), the values of the IG in part (early) retirement and full (early) retirement are higher than the CG (1.5 and 2.7%, n. s. and 7.4 and 13.4%, respectively n. s.). The same applies for mortality (8.1 and 9.4%, respectively n. s.).The savings through lower pension payments amount to € 1.55 million for the adjusted ITT approach. From this, € 130 080, which represents the cost of the aftercare (intervention), must be deducted.
  
  
  CONCLUSIONS
  The results of the 5-year follow-up show that a part of pension payment could be reduced. The evidence of cost effectiveness, independently of the methodological approach, is strong. The saving potential is reached by half in both approaches.
authors: Department für Humanmedizin, Institut für Allgemeinmedizin und Familienmedizin, Universität Witten/Herdecke, Witten.
authors: M
authors: M
authors: Redaèlli
authors: Institut für Gesundheitsökonimie und Klinische Epidemiologie, Universität zu Köln.
authors: D
authors: D
authors: Simic
authors: Department für Humanmedizin, Institut für Allgemeinmedizin und Familienmedizin, Universität Witten/Herdecke, Witten.
authors: R
authors: R
authors: Burtscher
authors: Department für Humanmedizin, Institut für Allgemeinmedizin und Familienmedizin, Universität Witten/Herdecke, Witten.
authors: J
authors: J
authors: Mahmoodzad
authors: Klinik Roderbirken, Deutsche Rentenversicherung Rheinland, Leichlingen.
authors: B
authors: B
authors: Schwitalla
authors: Klinik Roderbirken, Deutsche Rentenversicherung Rheinland, Leichlingen.
authors: M
authors: M
authors: Kohlmeyer
authors: Klinik Roderbirken, Deutsche Rentenversicherung Rheinland, Leichlingen.
authors: W
authors: W
authors: Mayer-Berger
mesh_terms: D000359:Aftercare / Q000191:economics* / Q000706:statistics & numerical data; D003324:Coronary Artery Disease / Q000191:economics* / Q000401:mortality / Q000534:rehabilitation*; D003362:Cost-Benefit Analysis / Q000191:economics; D005260:Female; D005500:Follow-Up Studies; D005858:Germany / Q000453:epidemiology; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010415:Pensions / Q000706:statistics & numerical data*; D015995:Prevalence; D012046:Rehabilitation / Q000191:economics* / Q000706:statistics & numerical data; D015996:Survival Rate; D016896:Treatment Outcome