Cost-Effectiveness Analysis of Adding Telerehabilitation to Standard Care for Ankle Sprains Compared with Standard Care Alone
Background: Ankle sprain (AS) is a common musculoskeletal injury. While telerehabilitation is an effective treatment for various musculoskeletal conditions, evidence on its cost-effectiveness for AS is lacking. Methods: A cost-effectiveness study was conducted through a 4-week randomized controlled...
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Mary Ann Liebert
2025-01-01
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| Series: | Telemedicine Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/tmr.2025.0010 |
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| author | Juan Figueroa-García Víctor Marcial Granados-García Juan Carlos H. Hernández-Rivera David Rojano-Mejía |
| author_facet | Juan Figueroa-García Víctor Marcial Granados-García Juan Carlos H. Hernández-Rivera David Rojano-Mejía |
| author_sort | Juan Figueroa-García |
| collection | DOAJ |
| description | Background: Ankle sprain (AS) is a common musculoskeletal injury. While telerehabilitation is an effective treatment for various musculoskeletal conditions, evidence on its cost-effectiveness for AS is lacking. Methods: A cost-effectiveness study was conducted through a 4-week randomized controlled trial in individuals with AS. The control group (n = 41) received standard care, while the intervention group (n = 41) received standard care plus asynchronous telerehabilitation. Effectiveness was measured using the Foot and Ankle Ability Measure (FAAM) with subscales for daily living (FAAM-ADL) and sports activities (FAAM-sports). The economic evaluation used the Mexican health system’s official price list, including work incapacity costs, updated to 2024 (U.S. dollars). A one-way sensitivity analysis was also performed. Results: At 4 weeks, the intervention group showed a gain of 78 points in functionality for FAAM-ADL and 80.2 points for FAAM-sports, while the control group scored 69.1 and 61.6, respectively. When the costs of work incapacity were considered, the incremental cost-effectiveness ratio (ICER) of adding telerehabilitation per point gained in FAAM-ADL functionality was US$ −14.4 and US$ −8.5 for FAAM-sports. When work incapacity costs were excluded, the ICER was US$ −0.7 and US$ −0.4, respectively. Conclusions: Adding telerehabilitation to standard care for AS was cost-saving, achieving greater effectiveness at a lower cost. This is more evident when direct costs are considered together with the costs of work incapacity. |
| format | Article |
| id | doaj-art-9fa184aa02834dc9a897f8cfe70d1ead |
| institution | OA Journals |
| issn | 2692-4366 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Telemedicine Reports |
| spelling | doaj-art-9fa184aa02834dc9a897f8cfe70d1ead2025-08-20T02:31:31ZengMary Ann LiebertTelemedicine Reports2692-43662025-01-016112012710.1089/tmr.2025.0010Cost-Effectiveness Analysis of Adding Telerehabilitation to Standard Care for Ankle Sprains Compared with Standard Care AloneJuan Figueroa-García0Víctor Marcial Granados-García1Juan Carlos H. Hernández-Rivera2David Rojano-Mejía3Unidad de Medicina Familiar N. 26, Órgano de Operación Administrativa Desconcentrada de la Ciudad de México Sur, Instituto Mexicano del Seguro Social, Ciudad de México, México.Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Instituto Mexicano del Seguro Social, Ciudad de México, México.Unidad de Investigación Médica en Enfermedades Nefrológicas, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.Coordinación de Investigación en Salud, Instituto Mexicano del Seguro Social, Ciudad de México, México.Background: Ankle sprain (AS) is a common musculoskeletal injury. While telerehabilitation is an effective treatment for various musculoskeletal conditions, evidence on its cost-effectiveness for AS is lacking. Methods: A cost-effectiveness study was conducted through a 4-week randomized controlled trial in individuals with AS. The control group (n = 41) received standard care, while the intervention group (n = 41) received standard care plus asynchronous telerehabilitation. Effectiveness was measured using the Foot and Ankle Ability Measure (FAAM) with subscales for daily living (FAAM-ADL) and sports activities (FAAM-sports). The economic evaluation used the Mexican health system’s official price list, including work incapacity costs, updated to 2024 (U.S. dollars). A one-way sensitivity analysis was also performed. Results: At 4 weeks, the intervention group showed a gain of 78 points in functionality for FAAM-ADL and 80.2 points for FAAM-sports, while the control group scored 69.1 and 61.6, respectively. When the costs of work incapacity were considered, the incremental cost-effectiveness ratio (ICER) of adding telerehabilitation per point gained in FAAM-ADL functionality was US$ −14.4 and US$ −8.5 for FAAM-sports. When work incapacity costs were excluded, the ICER was US$ −0.7 and US$ −0.4, respectively. Conclusions: Adding telerehabilitation to standard care for AS was cost-saving, achieving greater effectiveness at a lower cost. This is more evident when direct costs are considered together with the costs of work incapacity.https://www.liebertpub.com/doi/10.1089/tmr.2025.0010cost-effectivenesstelerehabilitationtelehealthankle sprainrehabilitationclinical trial |
| spellingShingle | Juan Figueroa-García Víctor Marcial Granados-García Juan Carlos H. Hernández-Rivera David Rojano-Mejía Cost-Effectiveness Analysis of Adding Telerehabilitation to Standard Care for Ankle Sprains Compared with Standard Care Alone Telemedicine Reports cost-effectiveness telerehabilitation telehealth ankle sprain rehabilitation clinical trial |
| title | Cost-Effectiveness Analysis of Adding Telerehabilitation to Standard Care for Ankle Sprains Compared with Standard Care Alone |
| title_full | Cost-Effectiveness Analysis of Adding Telerehabilitation to Standard Care for Ankle Sprains Compared with Standard Care Alone |
| title_fullStr | Cost-Effectiveness Analysis of Adding Telerehabilitation to Standard Care for Ankle Sprains Compared with Standard Care Alone |
| title_full_unstemmed | Cost-Effectiveness Analysis of Adding Telerehabilitation to Standard Care for Ankle Sprains Compared with Standard Care Alone |
| title_short | Cost-Effectiveness Analysis of Adding Telerehabilitation to Standard Care for Ankle Sprains Compared with Standard Care Alone |
| title_sort | cost effectiveness analysis of adding telerehabilitation to standard care for ankle sprains compared with standard care alone |
| topic | cost-effectiveness telerehabilitation telehealth ankle sprain rehabilitation clinical trial |
| url | https://www.liebertpub.com/doi/10.1089/tmr.2025.0010 |
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