Randomized trail of a brief physiotherapy intervention compared with usual physiotherapy for neck pain patients: Cost-effectiveness analysis

Manca, A. and Epstein, D.M. and Torgerson, D.J. and Moffett, J.A.K. and Coulton, S. and Farrin, A. (2006) Randomized trail of a brief physiotherapy intervention compared with usual physiotherapy for neck pain patients: Cost-effectiveness analysis. International Journal of Technology Assessment in Health Care, 22 (1). pp. 67-75. ISSN 0266-4623. (The full text of this publication is not available from this repository)

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Official URL
http://dx.doi.org/10.1017/S0266462306050859

Abstract

Objectives: To assess the cost-effectiveness of brief physiotherapy intervention versus usual physiotherapy management in patients with neck pain of musculoskeletal origin in the community setting. Methods: A cost-effectiveness analysis was conducted alongside a multicenter pragmatic randomized controlled clinical trial. Individuals 18 years of age and older with neck pain of more than 2 weeks were recruited from physiotherapy departments with referrals from general practitioners (GPs) in the East Yorkshire and North Lincolnshire regions in the United Kingdom. A total of 139 patients were allocated to the brief intervention, and 129 to the usual physiotherapy. Resource use data were prospectively collected on the number of physiotherapy sessions, hospital stay, specialist, and GP visits. Quality-adjusted life years (QALYs) were estimated using EQ-5D data collected at baseline, 3 and 12 months from the start of the treatment. The economic evaluation was conducted from the U.K. National Health System perspective. Results: On average, brief intervention produced lower costs (£−68; 95 percent confidence interval [CI], £−103 to £−35) and marginally lower QALYs (−0.001; 95 percent CI, −0.030 to 0.028) compared with usual physiotherapy, resulting in an incremental cost per QALY of £68,000 for usual physiotherapy. These results are sensitive to patients' treatment preferences. Conclusions: Usual physiotherapy may not be good value for money for the average individual in this trial but could be a cost-effective strategy for those who are indifferent toward which treatment they receive.

Item Type: Article
Additional information: Times Cited: 7
Uncontrolled keywords: Neck-pain physical therapy; Randomized controlled trial; Economics; Quality of life; Cost-effectiveness analysis
Subjects: H Social Sciences > HG Finance
R Medicine > RA Public aspects of medicine
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 22 Jun 2011 10:25
Last Modified: 29 May 2012 09:29
Resource URI: http://kar.kent.ac.uk/id/eprint/27954 (The current URI for this page, for reference purposes)
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