An economic evaluation of a self-management programme of activity, coping and education for patients with chronic obstructive pulmonary disease

摘要

The aim was to undertake a cost-utility analysis of a self-management programme of activity, coping and education (SPACE) for chronic obstructive pulmonary disease (COPD). The analysis was conducted alongside a six-month randomized controlled trial in 30 primary care settings. The economic analysis used data from 184 patients with confirmed diagnosis of COPD, forced expiratory volume in one second/forced vital capacity ratio The mean difference in costs between usual care and SPACE FOR COPD programme was ?￡27.18 (95% confidence interval (CI); ?￡122.59 to ￡68.25) while mean difference in QALYs was ?0.10 (95% CI; ?0.17 to ?0.02). The results suggest that the intervention is more costly and more effective than usual care. The probability of the intervention being cost-effective was 97% at a threshold of ￡20,000/QALY gained. We conclude that the SPACE FOR COPD programme is cost-effective compared to usual care.