Cost-effectiveness of a blended physiotherapy intervention compared to usual physiotherapy in patients with hip and/or knee osteoarthritis: a cluster randomized controlled trial

BMC Public Health
Corelien J J KloekCindy Veenhof

Abstract

Blended physiotherapy, in which physiotherapy sessions and an online application are integrated, might support patients in taking an active role in the management of their chronic condition and may reduce disease related costs. The aim of this study was to evaluate the cost-effectiveness of a blended physiotherapy intervention (e-Exercise) compared to usual physiotherapy in patients with osteoarthritis of hip and/or knee, from the societal as well as the healthcare perspective. This economic evaluation was conducted alongside a 12-month cluster randomized controlled trial, in which 108 patients received e-Exercise, consisting of physiotherapy sessions and a web-application, and 99 patients received usual physiotherapy. Clinical outcome measures were quality-adjusted life years (QALYs) according to the EuroQol (EQ-5D-3 L), physical functioning (HOOS/KOOS) and physical activity (Actigraph Accelerometer). Costs were measured using self-reported questionnaires. Missing data were multiply imputed and bootstrapping was used to estimate statistical uncertainty. Intervention costs and medication costs were significantly lower in e-Exercise compared to usual physiotherapy. Total societal costs and total healthcare costs did not signific...Continue Reading

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Citations

Dec 6, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Corelien J J KloekCindy Veenhof
Feb 27, 2021·European Review of Aging and Physical Activity : Official Journal of the European Group for Research Into Elderly and Physical Activity·Esmee VoldersLilian Lechner
Apr 6, 2021·Physical Medicine and Rehabilitation Clinics of North America·Mark A Havran, Douglas E Bidelspach
Jun 7, 2021·Trials·Mia S TackneyJames Carpenter
Dec 31, 2021·Disability and Rehabilitation·Alisa GrigorovichBrian C F Chan
Feb 3, 2022·Journal of Telemedicine and Telecare·Lynette LawHannah L Mayr

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