INTRODUCTION: Information regarding cost-effectiveness of community-based exercise programmes in @entity1030 is scarce. Therefore, we have investigated whether a community-based exercise programme is a cost-effective component of self-management for @entity1 with @entity1030 after 2 years of follow-up. METHODS: All included @entity1030 @entity1 participated in four self-management sessions. Additionally, @entity1 in the @entity5786 -active group participated in an 11-month community-based exercise programme led by physiotherapists. @entity1 trained 3 times/week for 6 months and two times/week during the subsequent 5 months. In both periods, one of these weekly training sessions was home-based (unsupervised). No formal physiotherapy sessions were offered to @entity5786 -active @entity1 in the second year. A decision analytical model with a 24-month perspective was used to evaluate cost-effectiveness. Incremental cost-effectiveness ratios (ICER) were calculated and cost-effectiveness planes were created. RESULTS: Data of 77 @entity1 participating in the exercise programme and 76 @entity1 in the control group were analysed. The ICER for an additional @entity1 prevented from deteriorating at least 47.5 meters on the ISWT was    6257. The ICER for an additional @entity1 with a clinically relevant improvement (>=  500 steps/day) in physical activity was    1564, and the ICER for an additional quality-adjusted life year (QALY) was    10 950. CONCLUSION: Due to a lack of maintenance of beneficial effects on our primary outcome exercise capacity after 2 years of follow-up and higher costs of the programme, the community-based exercise programme cannot be considered cost-effective compared to self-management programmes only. Nevertheless, the ICERs for the secondary outcomes physical activity and QALY are generally considered acceptable.

Cost-Effectiveness of a Community-Based Exercise Programme in XXXX Self-Management.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity5786 :: ('11316', 'Gene') :: ['COPE'] @entity1030 :: ('MESH:D029424', 'Disease') :: ['COPD']
@entity1030 :: (MESH:D029424,Disease) :: ['COPD']
