All articles published by MDPI are made immediately available worldwide under an open access license. No specialpermission is required to reuse all or part of the article published by MDPI, including figures and tables. Forarticles published under an open access Creative Common CC BY license, any part of the article may be reused withoutpermission provided that the original article is clearly cited. For more information, please refer tohttps://www.mdpi.com/openaccess.
Feature papers represent the most advanced research with significant potential for high impact in the field. A FeaturePaper should be a substantial original Article that involves several techniques or approaches, provides an outlook forfuture research directions and describes possible research applications.
Feature papers are submitted upon individual invitation or recommendation by the scientific editors and must receivepositive feedback from the reviewers.
Editor’s Choice articles are based on recommendations by the scientific editors of MDPI journals from around the world.Editors select a small number of articles recently published in the journal that they believe will be particularlyinteresting to readers, or important in the respective research area. The aim is to provide a snapshot of some of themost exciting work published in the various research areas of the journal.
Original Submission Date Received: .
- Journals
- Active Journals
- Find a Journal
- Proceedings Series
- Topics
- Information
- For Authors
- For Reviewers
- For Editors
- For Librarians
- For Publishers
- For Societies
- For Conference Organizers
- Open Access Policy
- Institutional Open Access Program
- Special Issues Guidelines
- Editorial Process
- Research and Publication Ethics
- Article Processing Charges
- Awards
- Testimonials
- Author Services
- Initiatives
- Sciforum
- MDPI Books
- Preprints.org
- Scilit
- SciProfiles
- Encyclopedia
- JAMS
- Proceedings Series
- About
- Overview
- Contact
- Careers
- News
- Press
- Blog
Sign In / Sign UpSubmit
Journals
Healthcare
Volume 12
Issue 11
10.3390/healthcare12111157
Submit to this JournalReview for this JournalPropose a Special Issue
►Article Menu
Article Menu
- Academic Editor
Nikolaos Kontodimopoulos
- Subscribe SciFeed
- Related Info Link
- More by Authors Links
- Table of Contents
announcementHelpformat_quoteCitequestion_answerDiscuss in SciProfiles
thumb_up...Endorsetextsms...CommentNeed Help?
Support
Find support for a specific problem in the support section of our website.
Get Support
Feedback
Please let us know what you think of our products and services.
Give Feedback
Information
Visit our dedicated information section to learn more about MDPI.
Get Information
JSmol Viewer
first_page
settings
Order Article Reprints
Font Type:
ArialGeorgiaVerdana
Font Size:
AaAaAa
Line Spacing:
Column Width:
Background:
This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Open AccessArticle
by Juliane A. Duevel SciProfilesScilitPreprints.orgGoogle Scholar Sebastian Gruhn SciProfilesScilitPreprints.orgGoogle Scholar John Grosser SciProfilesScilitPreprints.orgGoogle Scholar Svenja Elkenkamp SciProfilesScilitPreprints.orgGoogle Scholar Wolfgang Greiner SciProfilesScilitPreprints.orgGoogle ScholarJuliane A. Duevel
Sebastian Gruhn
John Grosser
,
Svenja Elkenkamp
Wolfgang Greiner
AG 5—Health Economy and Healthcare Management, Faculty of Public Health, Bielefeld University, 33615 Bielefeld, Germany
*
Author to whom correspondence should be addressed.
Healthcare 2024, 12(11), 1157; https://doi.org/10.3390/healthcare12111157
Submission received: 22 April 2024/Revised: 21 May 2024/Accepted: 5 June 2024/Published: 6 June 2024
(This article belongs to the Special Issue Healthcare Management and Health Economics)
Abstract
Strokes remain a leading cause of death and disability worldwide. The STROKE OWL study evaluated a novel case management approach for patients with stroke (modified Rankin Scale 0–4) or transient ischemic attack (TIA) who received support across healthcare settings and secondary prevention training from case managers for one year. The primary aim of this quasi-experimental study was a reduction in stroke recurrence. Here, we report the results of a health economic analysis of the STROKE OWL study, conducted in accordance with CHEERS guidelines. The calculations were based on claims data of cooperating statutory health insurance companies. In addition to a regression analysis for cost comparison, the incremental cost-effectiveness ratio was determined, and a probabilistic sensitivity analysis was carried out. In total, 1167 patients per group were included in the analysis. The intervention group incurred 32.3% higher direct costs (p < 0.001) than the control group. With a difference of EUR 1384.78 (95% CI: [1.2384–1.4143], p < 0.0001) and a 5.32% increase in hazards for the intervention group (HR = 1.0532, 95% CI: [0.7869–1.4096], p = 0.7274) resulting in an ICER of EUR 260.30, we found that the case management intervention dominated in the total stroke population, even for an arbitrarily high willingness to pay. In the TIA subgroup, however, the intervention was cost-effective even for a low willingness to pay. Our results are limited by small samples for both TIA and severe stroke patients and by claims data heterogeneity for some cost components, which had to be excluded from the analysis. Future research should investigate the cost-effectiveness of case management interventions for both severe stroke and TIA populations using appropriate data.
Keywords: stroke; transient ischemic attack; TIA; cost-effectiveness analysis; ICER; resource use; claims data
Share and Cite
MDPI and ACS Style
Duevel, J.A.; Gruhn, S.; Grosser, J.; Elkenkamp, S.; Greiner, W.Secondary Prevention via Case Managers in Stroke Patients: A Cost-Effectiveness Analysis of Claims Data from German Statutory Health Insurance Providers. Healthcare 2024, 12, 1157.https://doi.org/10.3390/healthcare12111157
AMA Style
Duevel JA, Gruhn S, Grosser J, Elkenkamp S, Greiner W.Secondary Prevention via Case Managers in Stroke Patients: A Cost-Effectiveness Analysis of Claims Data from German Statutory Health Insurance Providers. Healthcare. 2024; 12(11):1157.https://doi.org/10.3390/healthcare12111157
Chicago/Turabian Style
Duevel, Juliane A., Sebastian Gruhn, John Grosser, Svenja Elkenkamp, and Wolfgang Greiner.2024. "Secondary Prevention via Case Managers in Stroke Patients: A Cost-Effectiveness Analysis of Claims Data from German Statutory Health Insurance Providers" Healthcare 12, no. 11: 1157.https://doi.org/10.3390/healthcare12111157
Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.
Article Metrics
Cite
Export citation file:BibTeX |EndNote |RIS
MDPI and ACS Style
Duevel, J.A.; Gruhn, S.; Grosser, J.; Elkenkamp, S.; Greiner, W.Secondary Prevention via Case Managers in Stroke Patients: A Cost-Effectiveness Analysis of Claims Data from German Statutory Health Insurance Providers. Healthcare 2024, 12, 1157.https://doi.org/10.3390/healthcare12111157
AMA Style
Duevel JA, Gruhn S, Grosser J, Elkenkamp S, Greiner W.Secondary Prevention via Case Managers in Stroke Patients: A Cost-Effectiveness Analysis of Claims Data from German Statutory Health Insurance Providers. Healthcare. 2024; 12(11):1157.https://doi.org/10.3390/healthcare12111157
Chicago/Turabian Style
Duevel, Juliane A., Sebastian Gruhn, John Grosser, Svenja Elkenkamp, and Wolfgang Greiner.2024. "Secondary Prevention via Case Managers in Stroke Patients: A Cost-Effectiveness Analysis of Claims Data from German Statutory Health Insurance Providers" Healthcare 12, no. 11: 1157.https://doi.org/10.3390/healthcare12111157
Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.
Healthcare,EISSN 2227-9032,Published by MDPI
RSSContent Alert
Further Information
Article Processing ChargesPay an InvoiceOpen Access PolicyContact MDPIJobs at MDPI
Guidelines
For AuthorsFor ReviewersFor EditorsFor LibrariansFor PublishersFor SocietiesFor Conference Organizers
MDPI Initiatives
SciforumMDPI BooksPreprints.orgScilitSciProfilesEncyclopediaJAMSProceedings Series
© 1996-2024 MDPI (Basel, Switzerland) unless otherwise stated
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solelythose of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/orthe editor(s) disclaim responsibility for any injury to people or property resulting from any ideas,methods, instructions or products referred to in the content.
Terms and ConditionsPrivacy Policy