Osteopathic care for low back pain and neck pain: A cost-utility analysis

Complementary Therapies in Medicine
N VerhaegheL Annemans

Abstract

The aim was to examine the health and economic consequences of osteopathic care for low back pain and neck pain in addition to usual care compared to usual care alone. A decision tree model considering a one-year time horizon was applied. The analysis occurred from a health insurance perspective only considering direct medical costs. The health effects were expressed as quality-adjusted life years (QALYs). The main outcome was the incremental cost-effectiveness ratio (ICER). The uncertainty around key input parameters was addressed applying one-way and probabilistic sensitivity analyses (5000 simulations). For low back pain, osteopathy resulted in cost savings (€385.1 vs €501.8/patient) at improved QALYs (0.666 vs. 0.614) compared to usual care. For neck pain, osteopathy resulted in additional costs (€577.3 vs. €521.0) and improved QALYs (0.639 vs. 0.609) resulting in an ICER of €1,870/QALY. The one-way sensitivity analysis identified the hospitalization cost (back) and osteopathy cost (neck) as major cost drivers. The probabilistic sensitivity analysis resulted in an average net saving of €163 (95%CI-€260, -€49.1) and a QALY gain of 0.06 (95%CI -0.06, 0.17) for low back pain and an average additional cost of €55.1 (95%CI €20.9...Continue Reading

Citations

Aug 8, 2020·The Journal of the American Osteopathic Association·Danielle PrenticeRaymond Deiter
Sep 17, 2020·The Journal of the American Osteopathic Association·Masumi G AsahiMichael A Seffinger
Oct 7, 2020·The Journal of the American Osteopathic Association·Jeffrey WinterJing Gao
Feb 27, 2021·Scientific Reports·Francesco CerritelliAntonio Ferretti
Mar 12, 2021·Journal of Osteopathic Medicine·Alicia A KingKaren T Snider
Nov 1, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Jacek CholewickiAhmed Ramadan

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