Cost-utility of exercise therapy in patients with hip osteoarthritis in primary care

被引：24

作者：

Tan, S. S. ^{[1
,2
,3
]}

Teirlinck, C. H. ^{[4
]}

Dekker, J. ^{[5
,6
]}

Goossens, L. M. A. ^{[1
,2
]}

Bohnen, A. M. ^{[4
]}

Verhaar, J. A. N. ^{[7
]}

van Es, P. P. ^{[4
]}

Koes, B. W. ^{[4
]}

Bierma-Zeinstra, S. M. A. ^{[4
,7
]}

Luijsterburg, P. A. J. ^{[4
]}

Koopmanschap, M. A. ^{[1
,2
]}

机构：

[1] Erasmus Univ, Inst Med Technol Assessment, POB 1738, NL-3000 DR Rotterdam, Netherlands

[2] Erasmus Univ, Inst Hlth Policy & Management, POB 1738, NL-3000 DR Rotterdam, Netherlands

[3] Erasmus MC Univ, Med Ctr, Dept Rehabil Med, Rotterdam, Netherlands

[4] Erasmus MC Univ, Med Ctr, Dept Gen Practice, Rotterdam, Netherlands

[5] Vrije Univ Amsterdam, Med Ctr, Dept Rehabil Med, Amsterdam, Netherlands

[6] Vrije Univ Amsterdam, Med Ctr, EMGO Inst Hlth & Care Res, Amsterdam, Netherlands

[7] Erasmus MC Univ, Med Ctr, Dept Orthopaed, Rotterdam, Netherlands

来源：

OSTEOARTHRITIS AND CARTILAGE | 2016年 / 24卷 / 04期

关键词：

Exercise therapy; Osteoarthritis of the hip; Cost effectiveness; Physiotherapy; Cost analysis; RANDOMIZED CONTROLLED-TRIAL; ECONOMIC-EVALUATION; KNEE; VALIDATION; PROGRAM; UPDATE; ADULTS; PAIN;

D O I：

10.1016/j.joca.2015.11.010

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Objective: To determine the cost-effectiveness (CE) of exercise therapy (intervention group) compared to 'general practitioner (GP) care' (control group) in patients with hip osteoarthritis (OA) in primary care. Method: This cost-utility analysis was conducted with 120 GPs in the Netherlands from the societal and healthcare perspective. Data on direct medical costs, productivity costs and quality of life (QoL) was collected using standardised questionnaires which were sent to the patients at baseline and at 6, 13, 26, 39 and 52 weeks follow-up. All costs were based on Euro 2011 cost data. Results: A total of 203 patients were included. The annual direct medical costs per patient were significantly lower for the intervention group ((sic) 1233) compared to the control group ((sic) 1331). The average annual societal costs per patient were lower in the intervention group ((sic) 2634 vs (sic) 3241). Productivity costs were higher than direct medical costs. There was a very small adjusted difference in QoL of 0.006 in favour of the control group (95% CI: -0.04 to +0.02). Conclusion: Our study revealed that exercise therapy is probably cost saving, without the risk of noteworthy negative health effects. (C) 2015 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

引用

页码：581 / 588

页数：8

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