ReDIRECT/平衡加体重管理计划缓解新冠长期症状的成本效益。
Cost-effectiveness of the ReDIRECT/counterweight-plus weight management programme to alleviate symptoms of long COVID.
作者信息
Fraser Heather L, Haag Laura, Brosnahan Naomi, McConnachie Alex, Richardson Janice, Haig Caroline E, Ibbotson Tracy, Ormerod Jane, O'Donnell Catherine A, Lean Michael E J, Sattar Naveed, Blane David N, Combet Emilie, McIntosh Emma
机构信息
Health Economics and Health Technology Assessment, School of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Human Nutrition, School of Medicine, Dentistry & Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
出版信息
Nat Commun. 2025 Jul 1;16(1):5592. doi: 10.1038/s41467-025-59909-6.
Long-term effects of COVID-19 infection, termed Long COVID (LC), are associated with reduced quality of life. Symptoms associated with overweight/obesity overlap with and may aggravate those of LC. This paper reports the economic evaluation alongside the ReDIRECT Trial, which evaluated the impact of an evidence-based, remotely-delivered weight management programme on self-reported symptoms of LC in those living with overweight/obesity in the United Kingdom. Recruited participants (n = 234) were randomly allocated to the intervention group (weight management) or control group (usual care). Incremental costs and Quality-Adjusted Life Years (QALYs) were calculated using intervention cost, healthcare resource use and EQ-5D-5L data collected at baseline, three and 6 months. In this work, we show that the ReDIRECT intervention is likely cost-effective in improving LC symptoms from an NHS/PSS perspective, compared to usual care (Incremental Cost-Effectiveness Ratio of £14,754/QALY). Adopting a broader societal perspective, the intervention becomes potentially cost saving compared to usual care.
新冠病毒感染的长期影响,即所谓的“长新冠”(LC),与生活质量下降有关。与超重/肥胖相关的症状与长新冠症状重叠,且可能会加重长新冠症状。本文报告了与ReDIRECT试验同步进行的经济评估,该试验评估了一项基于证据的远程体重管理计划对英国超重/肥胖人群自我报告的长新冠症状的影响。招募的参与者(n = 234)被随机分配到干预组(体重管理)或对照组(常规护理)。使用在基线、3个月和6个月时收集的干预成本、医疗资源使用情况和EQ-5D-5L数据计算增量成本和质量调整生命年(QALY)。在这项研究中,我们表明,从英国国家医疗服务体系/公共卫生服务的角度来看,与常规护理相比,ReDIRECT干预在改善长新冠症状方面可能具有成本效益(增量成本效益比为14,754英镑/QALY)。从更广泛的社会角度来看,与常规护理相比,该干预可能会节省成本。