Cost-effectiveness of multidisciplinary treatment in sick-listed patients with upper extremity musculoskeletal disorders: a randomized, controlled trial with one-year follow-up

Meijer, Eline; Sluiter, Judith K.; Heyma, Arjan; Sadiraj, Klarita; Frings‐Dresen, Monique H. W.

doi:10.1007/s00420-006-0098-3

Cited by 47 publications

(17 citation statements)

References 30 publications

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“…Since a pandemic is only expected to last about three months, the friction method and HCM would be expected to give similar results. We have used the HCM here because of the short time horizon [16]. …”

Section: Methodsmentioning

confidence: 99%

Estimating the costs of school closure for mitigating an influenza pandemic

Adams²,

2008

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Section: Methodsmentioning

confidence: 99%

Estimating the costs of school closure for mitigating an influenza pandemic

Adams²,

2008

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“…One cost-effectiveness study [12] has been done among WRULD-patients with chronic complaints and one study is still running [13]. The study of Meijer (2006) shows that there is no difference in cost-effectiveness between two groups which were treated by multidisciplinary intervention respectively usual care.…”

Section: Discussionmentioning

confidence: 99%

“…The same goes for cost-effectiveness studies [12,13] in which the quality of life rarely was used as an outcome measure in musculoskeletal disorders [14]. …”

Section: Introductionmentioning

confidence: 99%

Cost-effectiveness of postural exercise therapy versus physiotherapy in computer screen-workers with early non-specific work-related upper limb disorders (WRULD); a randomized controlled trial

Eijsden

Gerhards

Bie

et al. 2009

Trials

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BackgroundExercise therapies generate substantial costs in computer workers with non-specific work-related upper limb disorders (WRULD).AimsTo study if postural exercise therapy is cost-effective compared to regular physiotherapy in screen-workers with early complaints, both from health care and societal perspective.MethodsProspective randomized trial including cost-effectiveness analysis; one year follow-up. Participants: Eighty-eight screen-workers with early non-specific WRULD; six drop-outs. Interventions: A ten week postural exercise program versus regular physiotherapy. Outcome measures: Effectiveness measures: Pain: visual analogous scale (VAS), self-perceived WRULD (yes/no). Functional outcome: Disabilities of Arm, Shoulder and Hand- Dutch Language Version (DASH-DLV). Quality of life outcome: EQ-5D.Economic measures: health care costs including patient and family costs and productivity costs resulting in societal costs. Cost-effectiveness measures: health care costs and societal costs related to the effectiveness measures. Outcome measures were assessed at baseline; three, six and twelve months after baseline.ResultsAt baseline both groups were comparable for baseline characteristics except scores on the Pain Catastrophizing Scale and comparable for costs. No significant differences between the groups concerning effectiveness at one year follow-up were found. Effectiveness scores slightly improved over time. After one year 55% of participants were free of complaints. After one year the postural exercise group had higher mean total health care costs, but lower productivity costs compared to the physiotherapy group. Mean societal costs after one year (therefore) were in favor of postural exercise therapy [- €622; 95% CI -2087; +590)]. After one year, only self- perceived WRULD seemed to result in acceptable cost-effectiveness of the postural exercise strategy over physiotherapy; however the probability of acceptable cost-effectiveness did not exceed 60%.Considering societal costs related to QALYs, postural exercise therapy had a probability of over 80% to be cost-effective over a wide range of cost-effectiveness ceiling ratios; however based on a marginal QALY-difference of 0.1 over a 12 month time frame.ConclusionAlthough our trial failed to find significant differences in VAS, QALYs and ICERs based on VAS and QALYs at one-year follow-up, CEACs suggest that postural exercise therapy according to Mensendieck/Cesar has a higher probability of being cost-effective compared to regular physiotherapy; however further research is required.Trial registrationISRCTN 15872455

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“…Una de las principales limitaciones del análisis de los artículos incluidos es que son descriptivos, no se ven resultados consolidados por actividad económica o en tablas de síntesis; además, los estimadores obtenidos no se enmarcaron dentro de intervalos de confianza que permitieran inferir la precisión de estos estimadores, dey esto da cuenta la presente revisión en la que se encontraron solo dos estudios Fowler [58] y Meijer y colaboradores [60]. Se hicieron muchos estudios con fuentes secundarias tomando datos de reclamaciones y ausentismo.…”

Section: Discusión Y Conclusionesunclassified

Los costos de la enfermedad laboral: revisión de literatura

Riaño-Casallas

Palencia-Sánchez

2015

Rev. Fac. Nac. Salud Pública

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Objetivo: identificar el estado de desarrollo de la investigación sobre los costos de la enfermedad laboral que ha sido publicada en la literatura durante la última década en el mundo. Metodología: se realizó una búsqueda sistemática de literatura, altamente sensible, con el objetivo de identificar publicaciones que se adaptaran a los criterios de inclusión predefinidos por los autores. Se consultaron bases de datos como Pubmed, Ebsco, Lilacs, Online Wiley, Embase y Springer. El periodo de tiempo consultado fue 2000-2013. Resultados: Se incluyeron 54 artículos, de los cuales el mayor porcentaje están escritos en inglés, la mayoría fue producto de investigaciones realizadas en Estados Unidos. La metodología utilizada principalmente por los autores de los artículos fue del tipo de estudios de carga y costos de la enfermedad. Los costos incluidos en estas publicaciones fueron directos e indirectos en su mayoría y la perspectiva predominante fue la de tipo social. Conclusiones: Las economías más avanzadas del mundo son las que en su mayoría realizan este tipo de investigaciones, balance que resalta la importancia de realizar estos estudios para economías de países en desarrollo. Con respecto al lenguaje de publicación solamente se encontraron publicaciones en español realizadas en España, de ahí que sea necesario adelantar más estudios de este tipo en Latinoamérica.

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Cost-effectiveness of multidisciplinary treatment in sick-listed patients with upper extremity musculoskeletal disorders: a randomized, controlled trial with one-year follow-up

Abstract: Multidisciplinary treatment affects individuals positively, but shows no significant difference in (cost-) effectiveness on the societal level as compared to usual care.

Cited by 47 publications

References 30 publications

Estimating the costs of school closure for mitigating an influenza pandemic

Estimating the costs of school closure for mitigating an influenza pandemic

Cost-effectiveness of postural exercise therapy versus physiotherapy in computer screen-workers with early non-specific work-related upper limb disorders (WRULD); a randomized controlled trial

Los costos de la enfermedad laboral: revisión de literatura

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