Cost‐effectiveness of intensive exercise therapy directly following hospital discharge in patients with arthritis: Results of a randomized controlled clinical trial

Bulthuis, Yvette; Mohammad, Sabrina; Braakman-Jansen, Louise Marie Antoinette; Drossaers-Bakker, K.W.; Laar, M.A.F.J. van de

doi:10.1002/art.23332

Cited by 28 publications

(22 citation statements)

References 28 publications

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“…95 In older persons, aerobic exercise improves gait speed, quality of life years (QALY), and is cost effective. 96–98 Vibratory exercise also improves performance in sarcopenic individuals. 99–101 …”

Section: Recommendationsmentioning

confidence: 99%

Nutritional Recommendations for the Management of Sarcopenia

Morley

Argilés

Evans

et al. 2010

Journal of the American Medical Directors Association

572

358

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The Society for Sarcopenia, Cachexia, and Wasting Disease convened an expert panel to develop nutritional recommendations for prevention and management of sarcopenia. Exercise (both resistance and aerobic) in combination with adequate protein and energy intake is the key component of the prevention and management of sarcopenia. Adequate protein supplementation alone only slows loss of muscle mass. Adequate protein intake (leucine-enriched balanced amino acids and possibly creatine) may enhance muscle strength. Low 25(0H) vitamin D levels require vitamin D replacement.

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Section: Recommendationsmentioning

confidence: 99%

Nutritional Recommendations for the Management of Sarcopenia

Morley

Argilés

Evans

et al. 2010

Journal of the American Medical Directors Association

572

358

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“…As a result of the search for foreign studies, a total of 14 studies, from which the references and the characteristics are shown in Onrust (2008) [13] visiting service for older widowed individuals no other economic evaluations Van den Hout (2008) [14] treatments for sciatica from lumbar disc herniation no other trial-based economic evaluations Bulthuis (2008) [15] exercise therapy by hospital discharged arthritis patients only Dutch economic evaluations Zijlstra (2007) [16] spa treatment for fibromyalgia no comparable studies Oude Voshaar (2006) [17] tapering off benzodiazepines no other economic evaluations Korthals-de Bos (2006) [18] treatments for carpal tunnel syndrome no other trial-based economic evaluations Steenstra (2006) [19] back to work program for workers with low back pain only one other economic evaluation Van den Hout (2005) [20] treatment programs for rheumatoid arthritis only foreign effect studies Van den Hout (2005) [21] mobilization techniques for adhesive capsulitis no other economic evaluations Korthals-de Bos (2004) [22] interventions for lateral epicondylitis no other economic evaluations Van Dieten (2003) [23] pharmaceutical treatments for reflex sympathetic dystrophy no other economic evaluations for this treatment Van den Hout (2003) [24] radiotherapy for painful bone metastases no foreign economic evaluations Van den Hout (2003) [25] multidisciplinary care for rheumatoid arthritis no other economic evaluations Korthals-de Bos (2003) [26] treatments for neck pain not enough foreign economic evaluations In all studies, the cost-effectiveness or effectiveness of either physiotherapy or the multidisciplinary treatment was determined. The multidisciplinary treatment was defined as the evaluated technology and physiotherapy as the comparator.…”

Section: Transferability Check: General Knockout Criteriamentioning

confidence: 99%

The Transferability of Economic Evaluations: Testing the Model of Welte

et al. 2009

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“…10–14 In this paper, we examine the resources required to achieve the health benefits associated with the physical activity intervention in the (LIFE-P) study.…”

mentioning

confidence: 99%

A Cost Analysis of a Physical Activity Intervention for Older Adults

Groessl

Kaplan²,

Blair³

et al. 2009

Journal of Physical Activity and Health

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We examined the costs of a physical activity (PA) and an educational comparison intervention. 424 older adults at risk for mobility disability were randomly assigned to either condition. The PA program consisted of center-based exercise sessions 3× weekly for 8 weeks, 2× weekly for weeks 9 to 24 and weekly behavioral counseling for 10 weeks. Optional sessions were offered during maintenance weeks . The comparison intervention consisted of weekly education meetings for 24 weeks, and then monthly for 6 months. Cost analyses were conducted from the "payer's" perspective, with a 1-year time horizon. Intervention costs were estimated by tracking personnel activities and materials used for each intervention and multiplying by national unit cost averages. The average cost/participant was $1134 and $175 for the PA and the comparison interventions, respectively. A preliminary cost/effectiveness analysis gauged the cost/disability avoided to be $28,206. Costs for this PA program for older adults are comparable to those of other PA interventions. The results are preliminary and a longer study is required to fully assess the costs and health benefits of these interventions. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptImpaired mobility, defined as being able to "walk safely and independently," 1 is common among older adults and has been found to predict broader disability involving activities of daily living and independence. 2,3 A subgroup of the older adult population at risk for future disability 4-7 is characterized by a sedentary lifestyle and impaired mobility. More specifically, high risk older adults walk more slowly and have reduced strength and balance but can still perform most daily living activities.In an attempt to address the needs of this high risk population and prevent them from becoming more fully disabled, an intensive physical activity intervention has been developed and evaluated in the Lifestyle Interventions and Independence for Elders Pilot Study (LIFE-P), a randomized controlled trial of physical activity compared with a "successful aging" educational intervention. After 12 months, participants randomly assigned to the physical activity (PA) intervention were less likely to reach the endpoint of major mobility disability in comparison with participants in the successful aging (SA) comparison group. 8 Major mobility disability was defined as the inability to complete a 400-m walk. 9 In addition, participants in the PA group had significantly higher mean scores on the Short Physical Performance Battery (SPPB) and faster mean walking times in the 400-m walk.Physical activity interventions can vary widely in their methodology, intensity, and the amount of resources required to conduct them. [10][11][12][13][14] In this paper, we examine the resources required to achieve the health benefits associated with the physical activity intervention in the (LIFE-P) study. MethodsData for this study were collected in 2004 to 2006 and analyses were conducted in 2007 to 2008. De...

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Cost‐effectiveness of intensive exercise therapy directly following hospital discharge in patients with arthritis: Results of a randomized controlled clinical trial

Cited by 28 publications

References 28 publications

Nutritional Recommendations for the Management of Sarcopenia

Nutritional Recommendations for the Management of Sarcopenia

The Transferability of Economic Evaluations: Testing the Model of Welte

A Cost Analysis of a Physical Activity Intervention for Older Adults

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