How do the costs of physical therapy and arthroscopic partial meniscectomy compare?:A trial-based economic evaluation of two treatments in patients with meniscal tears alongside the ESCAPE study
| Autor: | van de Graaf, Victor A, van Dongen, Johanna M, Willigenburg, Nienke W, Noorduyn, Julia C A, Butter, Ise K, de Gast, Arthur, Saris, Daniel B F, van Tulder, Maurits W, Poolman, Rudolf W, Kerkhoffs, G. M. M. J., Peters, Rolf W. |
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| Přispěvatelé: | AMS - Musculoskeletal Health, APH - Health Behaviors & Chronic Diseases, Health Economics and Health Technology Assessment, AMS - Rehabilitation & Development, Neuromechanics, Faculty of Behavioural and Movement Sciences, APH - Societal Participation & Health, APH - Methodology, AMS - Sports & Work, Other Research, Orthopedic Surgery and Sports Medicine, AMS - Restoration & Development, Surgery, AMS - Sports |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Knee function
Adult Male medicine.medical_specialty economic evaluation Cost-Benefit Analysis Meniscal tears knee Physical Therapy Sports Therapy and Rehabilitation Equivalence Trials as Topic law.invention 03 medical and health sciences Arthroscopy 0302 clinical medicine Randomized controlled trial Quality of life Willingness to pay law Medicine Humans Orthopedics and Sports Medicine In patient physical therapy 030212 general & internal medicine Trial registration Physical Therapy Modalities Aged Meniscectomy Original Research business.industry 030229 sport sciences General Medicine Health Care Costs Middle Aged Tibial Meniscus Injuries Economic evaluation Physical therapy arthroscopic partial meniscectomy Female business randomised controlled trial Follow-Up Studies |
| Zdroj: | ESCAPE Research Group 2020, ' How do the costs of physical therapy and arthroscopic partial meniscectomy compare? A trial-based economic evaluation of two treatments in patients with meniscal tears alongside the ESCAPE study ', British Journal of Sports Medicine, vol. 54, no. 9, pp. 538-546 . https://doi.org/10.1136/bjsports-2018-100065 British Journal of Sports Medicine British Journal of Sports Medicine, 54(9), 538-546. BMJ Publishing Group British journal of sports medicine, 54(9), 538-546. BMJ Publishing Group |
| ISSN: | 1473-0480 0306-3674 |
| Popis: | ObjectivesTo examine whether physical therapy (PT) is cost-effective compared with arthroscopic partial meniscectomy (APM) in patients with a non-obstructive meniscal tear, we performed a full trial-based economic evaluation from a societal perspective. In a secondary analysis—this paper—we examined whether PT is non-inferior to APM.MethodsWe recruited patients aged 45–70 years with a non-obstructive meniscal tear in nine Dutch hospitals. Resource use was measured using web-based questionnaires. Measures of effectiveness included knee function using the International Knee Documentation Committee (IKDC) and quality-adjusted life-years (QALYs). Follow-up was 24 months. Uncertainty was assessed using bootstrapping techniques. The non-inferiority margins for societal costs, the IKDC and QALYs, were €670, 8 points and 0.057 points, respectively.ResultsWe randomly assigned 321 patients to PT (n=162) or APM (n=159). PT was associated with significantly lower costs after 24 months compared with APM (−€1803; 95% CI −€3008 to −€838). The probability of PT being cost-effective compared with APM was 1.00 at a willingness to pay of €0/unit of effect for the IKDC (knee function) and QALYs (quality of life) and decreased with increasing values of willingness to pay. The probability that PT is non-inferior to APM was 0.97 for all non-inferiority margins for the IKDC and 0.89 for QALYs.ConclusionsThe probability of PT being cost-effective compared with APM was relatively high at reasonable values of willingness to pay for the IKDC and QALYs. Also, PT had a relatively high probability of being non-inferior to APM for both outcomes. This warrants further deimplementation of APM in patients with non-obstructive meniscal tears.Trial registration numbersNCT01850719 and NTR3908. |
| Databáze: | OpenAIRE |
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