Adherence
The cost-saving benefits of intensive lifestyle intervention are not evident in patients with a pre-existing history of cardiovascular disease, who may actually incur higher outpatient costs.
If you have type 2 diabetes and a history of heart disease, a lifestyle intervention might not save you money on healthcare bills in the long run, as outpatient costs may increase. However, it still reduces hospital stays. The primary benefit for this group may be health improvement rather than economic savings.
these were not evident among individuals with a history of cardiovascular disease... For those with a history of cardiovascular disease, ILI was associated with greater per-participant average annual outpatient costs of $592 ($286–$889).
Why this rating
Derived from the same large RCT, with statistically significant interaction tests.
Source
Impact of an Intensive Lifestyle Intervention on Use and Cost of Medical Services Among Overweight and Obese Adults With Type 2 Diabetes: The Action for Health in Diabetes
Mark A. Espeland et al. · Diabetes Care · 2014
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