Early economic evaluation of the digital gait analysis system for fall prevention–Preliminary analysis of the GaitSmart system

Zanghelini, Fernando, Xydopoulos, Georgios, Fordham, Richard ORCID: https://orcid.org/0000-0002-5520-6255, Rodgers, Geraldine and Khanal, Saval ORCID: https://orcid.org/0000-0001-5201-0612 (2024) Early economic evaluation of the digital gait analysis system for fall prevention–Preliminary analysis of the GaitSmart system. Aging Medicine, 7 (1). pp. 74-83. ISSN 2475-0360

[thumbnail of Aging Medicine - 2024 - Zanghelini - Early economic evaluation of the digital gait analysis system for fall prevention]
Preview
PDF (Aging Medicine - 2024 - Zanghelini - Early economic evaluation of the digital gait analysis system for fall prevention) - Published Version
Available under License Creative Commons Attribution.

Download (739kB) | Preview

Abstract

Objective: To develop an early economics evaluation (EEE) to assess the cost-effectiveness of the GS in reducing the RoF and FoF. Methods: A cost-effectiveness analysis (CEA) with a return on investment (RoI) estimation was performed. CEA used the most relevant parameters, such as increased gait speed and decreased FoF, to estimate the reduction in the RoF, the impact on health care resources used and financial implications for the National Health System in the United Kingdom. Outcomes were measured as incremental cost-effectiveness ratio per quality-adjusted life years (QALYs) gained based on the reduction of the RoF and FoF. Uncertainties around the main parameters used were evaluated by probabilistic sensitivity analysis. Results: The CEA results showed that the GS is a dominant strategy over the standard of care to improve the movements of older persons who have suffered a fall or are afraid of falling (incremental QALYs based on FoF = 0.77 and QALYs based on RoF = 1.07, cost of FoF = -£4479.57 and cost of RoF = -£2901.79). By implementing the GS, the ROI results suggest that every pound invested in the GS could result in cost savings of £1.85/patient based on the RoF reduction and £11.16/patient based on the FoF reduction. The probability of being cost saving based on the number of iterations were 79.4 percent (based on FoF) and 100 percent (based on RoF). Conclusion: The EEE supports the main hypothesis that the GS is an effective intervention to avoid falls and is potentially cost saving.

Item Type: Article
Uncontrolled Keywords: cost-effectiveness analysis,early economic evaluation,feasibility analysis,gaitsmart,return on investment,ageing,geriatrics and gerontology ,/dk/atira/pure/subjectarea/asjc/1300/1302
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Health Economics
Faculty of Medicine and Health Sciences > Research Centres > Population Health
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 04 Mar 2024 18:38
Last Modified: 03 Dec 2024 01:33
URI: https://ueaeprints.uea.ac.uk/id/eprint/94555
DOI: 10.1002/agm2.12290

Downloads

Downloads per month over past year

Actions (login required)

View Item View Item