Abstract:
PURPOSE OF THE STUDY:to examine the costs and cost-effectiveness of 'second-generation' telecare, in addition to standard support and care that could include 'first-generation' forms of telecare, compared with standard support and care that could include 'first-generation' forms of telecare. DESIGN AND METHODS:a pragmatic cluster-randomised controlled trial with nested economic evaluation. A total of 2,600 people with social care needs participated in a trial of community-based telecare in three English local authority areas. In the Whole Systems Demonstrator Telecare Questionnaire Study, 550 participants were randomised to intervention and 639 to control. Participants who were offered the telecare intervention received a package of equipment and monitoring services for 12 months, additional to their standard health and social care services. The control group received usual health and social care. PRIMARY OUTCOME MEASURE:incremental cost per quality-adjusted life year (QALY) gained. The analyses took a health and social care perspective. RESULTS:cost per additional QALY was £297,000. Cost-effectiveness acceptability curves indicated that the probability of cost-effectiveness at a willingness-to-pay of £30,000 per QALY gained was only 16%. Sensitivity analyses combining variations in equipment price and support cost parameters yielded a cost-effectiveness ratio of £161,000 per QALY. IMPLICATIONS:while QALY gain in the intervention group was similar to that for controls, social and health services costs were higher. Second-generation telecare did not appear to be a cost-effective addition to usual care, assuming a commonly accepted willingness to pay for QALYs. TRIAL REGISTRATION NUMBER:ISRCTN 43002091.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Henderson C,Knapp M,Fernández JL,Beecham J,Hirani SP,Beynon M,Cartwright M,Rixon L,Doll H,Bower P,Steventon A,Rogers A,Fitzpatrick R,Barlow J,Bardsley M,Newman SPdoi
10.1093/ageing/afu067subject
Has Abstractpub_date
2014-11-01 00:00:00pages
794-800issue
6eissn
0002-0729issn
1468-2834pii
afu067journal_volume
43pub_type
杂志文章,多中心研究,随机对照试验相关文献
AGE AND AGEING文献大全abstract:BACKGROUND:delirium is under-recognised in comparison to other common and serious acute disorders. A 2006 survey of UK junior doctors (not undertaking specialist training) identified poor knowledge of the diagnostic criteria and treatment of delirium. We hypothesised that increased prominence accorded to delirium in th...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afw066
更新日期:2016-07-01 00:00:00
abstract::To determine whether medication use differs by cognitive status among community dwelling elderly, a survey was made of a stratified random sample of 4110 black and white participants, aged 65 or older from the Duke Established Populations for Epidemiologic Studies of the Elderly in five adjacent urban and rural counti...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/25.3.190
更新日期:1996-05-01 00:00:00
abstract::Sleep disordered breathing (SDB) may be associated with cognitive dysfunction in non-demented elderly people. A random sample of 96 retirement village residents were given both neuropsychological assessment and overnight sleep monitoring with a portable microprocessor based system (Vitalog PMS-8). Respiratory disturba...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/21.2.121
更新日期:1992-03-01 00:00:00
abstract:BACKGROUND:in some current policy discussions concerning long-term care, the emphasis has been almost solely on the costs of care. This dialogue must be replaced with a discussion of value, which emphasizes both the costs of care and quality of care. While the Resident Assessment Instrument (RAI) was originally designe...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/26.suppl_2.77
更新日期:1997-09-01 00:00:00
abstract::Sway has been measured by Wright's Ataxiameter in 151 frail elderly and five young subjects, and compared with various sensory modalities. There is a close relationship between increased sway and impaired vibration sense in the legs. No correlations emerged with proprioception but this may reflect the imprecision of t...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/11.1.1
更新日期:1982-02-01 00:00:00
abstract::The Rivermead ADL scale was developed for assessing activities of daily living in stroke patients but was not validated for elderly subjects. This study was designed to validate the scale for patients aged over 64 years. A series of 150 stroke patients was assessed on the scale, of whom 103 were aged over 64 years. Th...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/19.1.19
更新日期:1990-01-01 00:00:00
abstract::Explicit criteria, such as the STOPP/START criteria, are increasingly used both in clinical practice and in research to identify potentially inappropriate prescribing in older people. In an article on the STOPP/START criteria version 2, O'Mahony et al have pointed out the advantages of developing computerised criteria...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afw114
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:physical and mental health are important risk factors for cardiovascular disease (CVD) incidence and death among postmenopausal women. The objective of this study was to assess whether changes in physical and mental health were associated with CVD incidence and death. METHODS:in the Women's Health Initiativ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afy213
更新日期:2019-05-01 00:00:00
abstract::Previous work has shown persistent elevations in plasma cortisol concentration following upper femur fracture in elderly people. To investigate this phenomenon further, we measured plasma cortisol and adrenocorticotrophin (ACTH) and performed overnight dexamethasone suppression tests in carefully characterized patient...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/19.5.304
更新日期:1990-09-01 00:00:00
abstract:OBJECTIVES:to describe gender differences in levels of, and longitudinal changes in, habitual physical activity among older people. DESIGN:longitudinal study. PARTICIPANTS:sub-groups of survivors (with sample sizes dependent on the availability of complete datasets, ranging from 303-344) assessed on three occasions: ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/27.suppl_3.24
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND:two common anti-diabetic treatments used are sitagliptin and sulphonylureas however evidence examining their comparative effectiveness in older people is limited. OBJECTIVE:to evaluate effectiveness of sitagliptin vs sulphonylureas when added to metformin in older (aged ≥75) vs younger people (18-75). DESI...
journal_title:Age and ageing
pub_type: 杂志文章,多中心研究
doi:10.1093/ageing/afz078
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:dysphagia is common in acute stroke. Accurate detection of the presence or absence of aspiration by bedside swallowing assessment is difficult without objective methods, tending to over-diagnose aspiration. As a result, some patients suffer restricted oral intake unnecessarily. OBJECTIVE:we examined the pre...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/29.6.495
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:The risk/benefit ratio of warfarin therapy changes in the over 75s, when haemorrhagic side-effects become more common. These may not always be reported in the literature. CASE REPORT:A woman of 80 years, on long-term warfarin therapy presented with an acute dissecting thoracic aortic aneurysm; on investigat...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh015
更新日期:2004-03-01 00:00:00
abstract:Background:harmful alcohol consumption is reported to be increasing in older people. To intervene and reduce associated risks, evidence currently available needs to be identified. Methods:two systematic reviews in older populations (55+ years): (1) Interventions to prevent or reduce excessive alcohol consumption; (2) ...
journal_title:Age and ageing
pub_type: 杂志文章,meta分析
doi:10.1093/ageing/afx132
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Studies have shown strong associations between disability, social support and depressive symptoms in older people; but socio-economic effects are less clear and little is known about the role of health locus of control. OBJECTIVE:To examine the roles of physical health, disability, social support, socio-eco...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afg087
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:chronic knee pain is still considered a fairly benign disease by many, an 'unavoidable' consequence of ageing. This passive acceptance may be unnecessarily exposing older people to disability and serious co-morbidity. The aim of this study was to determine the disease burden associated with chronic knee pain...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/aft188
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVES:the absolute number of notifications for tuberculosis in older people appears to have increased in Scotland. To determine if these trends are present elsewhere in the UK, we have reviewed notifications in Leeds with particular reference to non-pulmonary disease, Asian subcontinent groups and older people. M...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/29.4.319
更新日期:2000-07-01 00:00:00
abstract::A straight abdominal radiograph can be used in the elderly to indicate a loaded colon. Two groups of patients were identified using radiology, one with faeces-filled caeca and the other with gas-filled caeca. Gastro-intestinal transit time measurements and breath methane analysis, an indicator of colonic bacterial act...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/12.2.105
更新日期:1983-05-01 00:00:00
abstract::There have so far been no reported studies of localization of urinary tract infection (UTI) in elderly women. The site of infection, renal or bladder, in significant urinary tract infection in 50 elderly women (mean age 80) admitted acutely to a geriatric unit was determined by the Fairley bladder washout method. Of t...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/12.4.317
更新日期:1983-11-01 00:00:00
abstract:OBJECTIVE:(i) to describe the general practitioner utilisation of health assessments, management plans, coordination of team care arrangements and medication review item numbers within 6 months of an aged care eligibility assessment for home care packages (HCP) and (ii) investigate the impact of health assessments on t...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa091
更新日期:2021-01-08 00:00:00
abstract::This study describes a survey of 256 informal carers and elderly people they support, and examines the impact of the caring role upon quality of life. Carers reported that many aspects of their physical and mental health as well as their social and family lives were affected by their caring. For many the caring activi...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/21.6.421
更新日期:1992-11-01 00:00:00
abstract:BACKGROUND:cranberry juice is often given to older people in hospital to prevent urinary tract infection (UTI), although there is little evidence to support its use. OBJECTIVE:to assess whether cranberry juice ingestion is effective in reducing UTIs in older people in hospital. DESIGN:randomised, placebo-controlled, ...
journal_title:Age and ageing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/ageing/afi101
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:cataract is a leading cause of reversible vision impairment and may increase falls in older adults. OBJECTIVE:to assess the risk of an injury due to a fall among adults aged 60+, 2 years before first-eye cataract surgery, between first-eye surgery and second-eye surgery and 2 years after second-eye surgery....
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/aft177
更新日期:2014-05-01 00:00:00
abstract:METHOD:We investigated the association of total serum cholesterol concentrations and subsequent overall and coronary mortality in 304 patients aged > or =65 discharged from hospital after acute myocardial infarction. RESULTS:There was no association between total cholesterol concentrations and mortality due to either ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/28.3.313
更新日期:1999-05-01 00:00:00
abstract:UNLABELLED:Delirium is one of the foremost unmet medical needs in healthcare. It affects one in eight hospitalised patients and is associated with multiple adverse outcomes including increased length of stay, new institutionalisation, and considerable patient distress. Recent studies also show that delirium strongly pr...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/aft148
更新日期:2013-11-01 00:00:00
abstract::The overactive bladder is the commonest underlying bladder disorder causing urinary incontinence in elderly people. Management of the condition relies upon a holistic assessment of the problem, lifestyle adjustment, behavioural management and drug therapy. The majority of currently available drugs rely on their anti-m...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/31.4.241
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:antipsychotics are widely used in assisted living (AL facilities). Even more, the prescription of these drugs is gradually increasing since the availability of second-generation atypical antipsychotics. More knowledge is needed on prescription reasons to understand this increasing prevalence. METHODS:cross-...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afr032
更新日期:2011-05-01 00:00:00
abstract::Acute appendicitis in elderly patients has not been studied extensively in the United Kingdom. Studies were performed prior to the regular use of broad spectrum antibiotics and tended to include younger patients. We studied retrospectively all elderly patients (n = 30, mean age = 72 years) who presented in the years 1...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/16.4.256
更新日期:1987-07-01 00:00:00
abstract::This invited article is drawn from the content of the Marjory Warren Lecture given by John Gladman at the British Geriatrics Society Spring Meeting in 2018, entitled 'The Meaning of Life Expectancy'. ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afy130
更新日期:2019-01-01 00:00:00
abstract::We measured calcium regulating hormones and bone mineral density (BMD) in 66 men (aged 24-88 years). Vitamin D (1,25(OH)2D) does not vary with age, parathyroid hormone (PTH) increases after the age of 65 (p < 0.01) together with a parallel increase in urinary (r = 0.46, p < 0.05) and nephrogenic cAMP (r = 0.63, p < 0....
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/23.2.127
更新日期:1994-03-01 00:00:00