dc.contributor.author | Hurley, MV | en_US |
dc.contributor.author | Walsh, NE | en_US |
dc.contributor.author | Mitchell, HL | en_US |
dc.contributor.author | Pimm, TJ | en_US |
dc.contributor.author | Williamson, E | en_US |
dc.contributor.author | Jones, RH | en_US |
dc.contributor.author | Reeves, BC | en_US |
dc.contributor.author | Dieppe, PA | en_US |
dc.contributor.author | Patel, A | en_US |
dc.date.accessioned | 2016-11-14T14:21:12Z | |
dc.date.issued | 2007-10-15 | en_US |
dc.date.submitted | 2016-09-20T08:57:40.936Z | |
dc.identifier.issn | 0004-3591 | en_US |
dc.identifier.uri | http://qmro.qmul.ac.uk/xmlui/handle/123456789/17622 | |
dc.description.abstract | OBJECTIVE: To conduct an economic evaluation of the Enabling Self-Management and Coping with Arthritic Knee Pain through Exercise (ESCAPE-knee pain) program. METHODS: Alongside a clinical trial, we estimated the costs of usual primary care and participation in ESCAPE-knee pain delivered to individuals (Indiv-rehab) or groups of 8 participants (Grp-rehab). Information on resource use and informal care received was collected during face-to-face interviews. Cost-effectiveness and cost-utility were assessed from between-group differences in costs, function (primary clinical outcome), and quality-adjusted life years (QALYs). Cost-effectiveness acceptability curves were constructed to represent uncertainty around cost-effectiveness. RESULTS: Rehabilitation (regardless of whether Indiv-rehab or Grp-rehab) cost 224 pounds (95% confidence interval [95% CI] 184 pounds, 262 pounds) more per person than usual primary care. The probability of rehabilitation being more cost-effective than usual primary care was 90% if decision makers were willing to pay 1,900 pounds for improvements in functioning. Indiv-rehab cost 314 pounds/person and Grp-rehab 125 pounds/person. Indiv-rehab cost 189 pounds (95% CI 168 pounds, 208 pounds) more per person than Grp-rehab. The probability of Indiv-rehab being more cost-effective than Grp-rehab increased as willingness to pay (WTP) increased, reaching 50% probability at WTP 5,500 pounds. The lack of differences in QALYs across the arms led to lower probabilities of cost-effectiveness based on this outcome. CONCLUSION: Provision of ESCAPE-knee pain had small cost implications, but it was more likely to be cost-effective in improving function than usual primary care. Group rehabilitation reduces costs without compromising clinical effectiveness, increasing probability of cost-effectiveness. | en_US |
dc.format.extent | 1220 - 1229 | en_US |
dc.language | eng | en_US |
dc.relation.ispartof | Arthritis Rheum | en_US |
dc.subject | Adaptation, Psychological | en_US |
dc.subject | Aged | en_US |
dc.subject | Aged, 80 and over | en_US |
dc.subject | Chronic Disease | en_US |
dc.subject | Cost-Benefit Analysis | en_US |
dc.subject | Costs and Cost Analysis | en_US |
dc.subject | Exercise Therapy | en_US |
dc.subject | Female | en_US |
dc.subject | Humans | en_US |
dc.subject | Male | en_US |
dc.subject | Middle Aged | en_US |
dc.subject | Osteoarthritis, Knee | en_US |
dc.subject | Pain | en_US |
dc.subject | Primary Health Care | en_US |
dc.subject | Quality-Adjusted Life Years | en_US |
dc.subject | Self Care | en_US |
dc.subject | United Kingdom | en_US |
dc.title | Economic evaluation of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain. | en_US |
dc.type | Article | |
dc.identifier.doi | 10.1002/art.23011 | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/17907207 | en_US |
pubs.issue | 7 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published | en_US |
pubs.volume | 57 | en_US |