Cost-minimisation analysis of three conservative treatment programmes in 180 patients sick-listed for acute low-back pain
| Autor: | Gunnar Németh, Thanassis Seferlis, Lars H. Lindholm |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cost Control Total cost Cost-Benefit Analysis law.invention Indirect costs Randomized controlled trial law Outcome Assessment Health Care Health care Humans Medicine Prospective Studies Prospective cohort study health care economics and organizations Sweden Cost–benefit analysis business.industry Public Health Environmental and Occupational Health Health Care Costs Middle Aged Clinical trial Acute Disease Physical therapy Female Sick Leave Manual therapy business Low Back Pain |
| Zdroj: | Scandinavian Journal of Primary Health Care. 18:53-57 |
| ISSN: | 1502-7724 0281-3432 |
| DOI: | 10.1080/02813430050202578 |
| Popis: | To perform a cost-minimization analysis of three conservative treatment regimes for acute low-back pain (LBP).A prospective randomized clinical trial. Patients were assigned at random to one of three treatment programmes: General Practitioner Programme (GPP-) controls, Manual Therapy Programme (MTP) or Intensive Training Programme (ITP).Primary care and physiotherapists in Stockholm, Sweden.180 patients sick-listed for acute LBP.Direct, indirect and total costs for three treatment programmes.The direct costs for treatment were lowest in the GPP group -- 2744 Swedish crowns (SEK) per patient. More patients in the MTP and ITP underwent operations for disk hernia and radiological investigations than in the GPP. Indirect costs, defined as sick-leave for LBP represent about 90% of the total cost.With respect to total costs, the findings were similar between the three treatment programmes. The GPP had the lowest direct costs. It is not possible to conclude which treatment programme is to be recommended as a least cost alternative. The strong effect of indirect costs on the total cost stresses that further studies should focus on methods of shortening sick-leave. |
| Databáze: | OpenAIRE |
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