Cost-Effectiveness of a Cardiac Rehabilitation Program Specifically Designed for Patients With Obesity Within the OPTICARE XL Randomized Controlled Trial

L. A. Visser, I. den Uijl*, W. K. Redekop, M. Sunamura, M. Lenzen, E. Boersma, R. W.M. Brouwers, H. M.C. Kemps, H. J.G. van den Berg-Emons, N. ter Hoeve

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Objective: To assess the cost-effectiveness of a cardiac rehabilitation (CR) program specifically designed for cardiac patients with obesity vs standard CR. Design: Cost-effectiveness analysis based on observations in a randomized controlled trial. Setting: Three regional CR centers in the Netherlands. Participants: Cardiac patients (N=201) with obesity (BMI≥30 kg/m2) referred to CR. Interventions: Participants were randomized to a CR program specifically designed for patients with obesity (OPTICARE XL; N=102) or standard CR. OPTICARE XL included aerobic and strength exercise and behavioral coaching on diet and physical activity during 12 weeks, followed by a 9-month after-care program with “booster” educational sessions. Standard CR consisted of a 6- to 12-week aerobic exercise program, supplemented with cardiovascular lifestyle education. Main Outcome Measures: An economic evaluation, with an 18-month time horizon, in terms of quality-adjusted life years (QALYs) and costs from the societal perspective was performed. Costs were reported in 2020 Euros, discounted at a 4% annual rate, and health effects were discounted at a 1.5% annual rate. Results: OPTICARE XL CR and standard CR resulted in comparable health gain per patient (0.958 vs 0.965 QALYs, respectively; P=.96). Overall, OPTICARE XL CR saved costs (-€4542) compared with the standard CR group. The direct costs for OPTICARE XL CR were higher than for standard CR (€10,712 vs €9951), whereas indirect costs were lower (€51,789 vs €57,092), but these differences were not significant. Conclusions: This economic evaluation showed no differences between OPTICARE XL CR and standard CR in health effects and costs in cardiac patients with obesity.

Original languageEnglish
Pages (from-to)855-862
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Issue number6
Early online date1 Mar 2023
Publication statusPublished - Jun 2023

Bibliographical note

Funding Information:
This research was funded by the Dutch Organisation for Health Research and Development (ZonMw, Grant number 843001792 ) and Capri Cardiac Rehabilitation.

Publisher Copyright:
© 2023 The Authors


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