The cost-effectiveness of different approaches to exercise and corticosteroid injection for subacromial pain (impingement) syndrome
نویسندگان
چکیده
Abstract Objectives To determine whether physiotherapist-led exercise intervention and US-guided subacromial CS injection is cost-effective when compared with standard advice leaflet unguided in patients pain (impingement) syndrome. Methods An incremental cost–utility analysis using patient responses to the five-level EuroQoL-5D (EQ-5D-5L) questionnaire was undertaken from a healthcare perspective alongside 2 × factorial randomized trial 256 participants over 12-month follow-up period. Uncertainty explored through use of cost-effectiveness acceptability curves. Results The indicated that associated an cost £155.99 (95% CI 69.02, 241.93) 0.031 −0.01, 0.07) additional quality-adjusted life-years (QALYs), ratio (ICER) £5031 per QALY gained 85% chance being at threshold £20 000 leaflet. £15.89 −59.36, 109.86) 0.024 −0.02, QALYs, ICER £662 83% injection. Conclusion Physiotherapist-led leaflet, Clinical registration ISRCTN, http://www.isrctn.com, ISRCTN42399123
منابع مشابه
Cost-effectiveness of exercise therapy after corticosteroid injection for moderate to severe shoulder pain due to subacromial impingement syndrome: a trial-based analysis.
OBJECTIVE To perform a cost-effectiveness analysis of subacromial corticosteroid injection combined with exercise compared with exercise alone in patients with moderate to severe shoulder pain from subacromial impingement syndrome. METHODS A within-trial cost-effectiveness analysis with 232 patients randomized to physiotherapy-led injection combined with exercise (n = 115) or exercise alone (...
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This open-access article is published and distributed under the Creative Commons Attribution NonCommercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article witho...
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ژورنال
عنوان ژورنال: Rheumatology
سال: 2021
ISSN: ['1462-0324', '1462-0332']
DOI: https://doi.org/10.1093/rheumatology/keaa903