Cost-effectiveness of treatments for non-osteoarthritic knee pain conditions: A systematic review

Autor: Martin Bach Jensen, Tamana Afzali, Lars Holger Ehlers, Mia Vicki Fangel, Michael Skovdal Rathleff, Anne Sig Vestergaard
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Critical Care and Emergency Medicine
Anterior cruciate ligament reconstruction
Knee Joint
Cost effectiveness
Economics
medicine.medical_treatment
Knees
Cost-Benefit Analysis
Social Sciences
Meniscus (anatomy)
Cochrane Library
0302 clinical medicine
Medicine and Health Sciences
Musculoskeletal System
Trauma Medicine
non-osteoarthritic
030222 orthopedics
Multidisciplinary
musculoskeletal system
Arthralgia
medicine.anatomical_structure
Legs
Medicine
medicine.symptom
Anatomy
Traumatic Injury
Patellofemoral pain syndrome
Research Article
medicine.medical_specialty
Anterior cruciate ligament
Science
Cost-Effectiveness Analysis
Trauma Surgery
Surgical and Invasive Medical Procedures
03 medical and health sciences
Health Economics
Musculoskeletal System Procedures
medicine
Humans
Anterior Cruciate Ligament Reconstruction
business.industry
Biology and Life Sciences
030229 sport sciences
medicine.disease
ACL injury
Economic Analysis
Health Care
Knee pain
Knee Pain
Body Limbs
Physical therapy
Systematic Review
business
Zdroj: Abubaker, T A, Fangel, M V, Vestergaard, A S, Rathleff, M S, Ehlers, L H & Jensen, M B 2018, ' Cost-effectiveness of treatments for non-osteoarthritic knee pain conditions : A systematic review ', P L o S One, vol. 13, no. 12, e0209240 . https://doi.org/10.1371/journal.pone.0209240
PLoS ONE, Vol 13, Iss 12, p e0209240 (2018)
PLoS ONE
Abubaker, T A, Fangel, M V, Vestergaard, A S, Rathleff, M S, Ehlers, L H & Jensen, M B 2018, ' Cost-effectiveness of treatments for non-osteoarthritic knee pain conditions : A systematic review ', Den årlige konference om Sundhed i Muskler og Led, Aalborg, Denmark, 07/06/2018 .
Popis: Introduction Knee pain is common in adolescents and adults and is associated with an increased risk of developing knee osteoarthritis. The aim of this systematic review was to gather and appraise the cost-effectiveness of treatment approaches for non-osteoarthritic knee pain conditions. Method A systematic review was conducted according to the PRISMA guidelines and registered on PROSPERO (CRD42016050683). The literature search was done in MEDLINE via PubMed, EMBASE, The Cochrane Library, and the National Health Service Economic Evaluation Database. Study selection was carried out by two independent reviewers and data were extracted using a customized extraction form. Study quality was assessed using the Consensus on Health Economic Criteria list. Results Fifteen studies were included. The majority regarded the treatment of anterior cruciate ligament (ACL) injuries, but we also identified studies evaluating other knee pain conditions such as meniscus injuries, cartilage defects, and patellofemoral pain syndrome. Study interventions were categorized as surgical or non-surgical interventions. The surgical interventions included ACL reconstruction, chondrocyte implantation, meniscus scaffold procedure, meniscal allograft transplantation, partial meniscectomy, microfracture, and different types of autografts and allografts. The non-surgical management consisted of physical therapy, rehabilitation, exercise, counselling, bracing, and advice. In general, for ACL injuries surgical management alone or in combination with rehabilitation appeared to be cost-effective. The quality of the economic evaluations was of moderate to high quality. Conclusion There was insufficient evidence to give a firm overview of cost-effective interventions for non-osteoarthritic knee pain, but surgical treatment of acute ACL injury appeared cost-effective. There is very little data regarding the cost-effectiveness of non-surgical interventions for non-traumatic knee conditions.
Databáze: OpenAIRE
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