Cost-utility analysis of a three-month exercise programme vs usual care following multidisciplinary rehabilitation for chronic low back pain.

Détails

ID Serval
serval:BIB_BB58ECD1732E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Cost-utility analysis of a three-month exercise programme vs usual care following multidisciplinary rehabilitation for chronic low back pain.
Périodique
Journal of rehabilitation medicine
Auteur(s)
Henchoz Y., Pinget C., Wasserfallen J.B., Paillex R., de Goumoëns P., Norberg M., Kai-Lik So A.
ISSN
1651-2081 (Electronic)
ISSN-L
1650-1977
Statut éditorial
Publié
Date de publication
10/2010
Peer-reviewed
Oui
Volume
42
Numéro
9
Pages
846-852
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Résumé
To assess the cost-utility of an exercise programme vs usual care after functional multidisciplinary rehabilitation in patients with chronic low back pain.
Cost-utility analysis alongside a randomized controlled trial.
A total of 105 patients with chronic low back pain.
Chronic low back pain patients completing a 3-week functional multidisciplinary rehabilitation were randomized to either a 3-month exercise programme (n = 56) or usual care (n = 49). The exercise programme consisted of 24 training sessions during 12 weeks. At the end of functional multidisciplinary rehabilitation and at 1-year follow-up quality of life was measured with the SF-36 questionnaire, converted into utilities and transformed into quality--adjusted life years. Direct and indirect monthly costs were measured using cost diaries. The incremental cost-effectiveness ratio was calculated as the incremental cost of the exercise programme divided by the difference in quality-adjusted life years between both groups.
Quality of life improved significantly at 1-year follow-up in both groups. Similarly, both groups significantly reduced total monthly costs over time. No significant difference was observed between groups. The incremental cost-effectiveness ratio was 79,270 euros.
Adding an exercise programme after functional multidisciplinary rehabilitation compared with usual care does not offer significant long-term benefits in quality of life and direct and indirect costs.

Mots-clé
Adolescent, Adult, Chronic Disease, Cost of Illness, Cost-Benefit Analysis, Exercise Therapy/economics, Exercise Therapy/methods, Female, Follow-Up Studies, Health Care Costs, Humans, Low Back Pain/economics, Low Back Pain/rehabilitation, Male, Middle Aged, Quality-Adjusted Life Years, Surveys and Questionnaires, Switzerland, Treatment Outcome, Young Adult
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/10/2010 9:15
Dernière modification de la notice
20/08/2019 16:29
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