Economic Evaluation of Aquatic Exercise for Persons With Osteoarthritis

Patrick, Donald L.; Ramsey, Scott D.; Spencer, Anna C.; Kinne, Susan; Belza, Basia; Topolski, Tari D.

doi:10.1097/00005650-200105000-00002

Cited by 110 publications

(118 citation statements)

References 24 publications

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“…Improvements in QoL and psychological wellbeing have been recognised following hydrotherapy interventions, 24,54,55 but only two randomised controlled studies in arthritis show significant increases in function following hydrotherapy. 24,55 None of the studies mentioned have conclusively determined the efficacy of hydrotherapy in either adult or paediatric arthritis.…”

Section: Consequences Of Pathophysiology Of Jiamentioning

confidence: 99%

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Epps¹,

Ginnelly²,

Utley³

et al. 2005

Health Technol Assess

153

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email.Paying by official purchase order You can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK.We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA Programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS, the public, service-users groups and professional bodies such as Royal Colleges and NHS Trusts.Research suggestions are carefully considered by panels of independent experts (including service users) whose advice results in a ranked list of recommended research priorities. The HTA Programme then commissions the research team best suited to und...

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Section: Consequences Of Pathophysiology Of Jiamentioning

confidence: 99%

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Epps¹,

Ginnelly²,

Utley³

et al. 2005

Health Technol Assess

153

View full text Add to dashboard Cite

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“…Diversos estudios en el mundo han empezado a mostrar el impacto positivo de la práctica de la actividad física regular en la reducción de los costos por asistencia médica (20)(21)(22)(23)(24)(25)(26). De hecho, las inversiones que se hacen para construir y dotar técnicamente los escenarios para la práctica de actividad física se ven bien recompensadas con los ahorros que se logran en las reducciones de las facturas por gastos médicos (27).…”

Section: Discussionunclassified

Efectividad de un programa de promoción de la salud en la disminución de costos médicos asistenciales

Martínez-López¹,

Grajales²

2010

Rev. salud pública

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“…Third, the used utility measures may be less appropriate for evaluation of the health of RA patients in clinical trials (36), because trials are usually powered for more sensitive primary outcome measures and patients continually adjust to their worsening health status (37). The few economic evaluations of physical therapy in somewhat similar patient groups either did not include utility measures (38 -40) or also found insufficient improvement (41). Finally, the societal perspective ignores important financial considerations.…”

Section: Discussionmentioning

confidence: 99%

Cost‐utility and cost‐effectiveness analyses of a long‐term, high‐intensity exercise program compared with conventional physical therapy in patients with rheumatoid arthritis

Hout¹,

Jong²,

Munneke³

et al. 2005

Arthritis & Rheumatism

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Objective. To estimate the cost utility and cost effectiveness of long-term, high-intensity exercise classes compared with usual care in rheumatoid arthritis (RA) patients. Methods. RA patients (n ‫؍‬ 300) were randomly assigned to either exercise classes or UC; followup lasted for 2 years. $1.05). The increase per patient in total medical costs of physical therapy was estimated at €430 (95% CI €318, 577), and the increase in total societal costs at €602 (95% CI €؊490, 1,664). For societal willingness-to-pay equal to €50,000 per QALY, usual care had better cost utility than exercise classes, and significantly so according to the VAS. Conclusion. From a societal perspective and without taking possible preventive health effects into account, long-term, high-intensity exercise classes provide insufficient improvement in the valuation of health to justify the additional costs.

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Economic Evaluation of Aquatic Exercise for Persons With Osteoarthritis

Abstract: Aquatic exercise exceeded $50,000 per QALY gained using the community-weighted outcome but fell below this arbitrary budget constraint when using the participant-weighted measure. Confidence intervals around these ratios suggested wide variability of cost effectiveness of aquatic exercise.

Cited by 110 publications

References 24 publications

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Efectividad de un programa de promoción de la salud en la disminución de costos médicos asistenciales

Cost‐utility and cost‐effectiveness analyses of a long‐term, high‐intensity exercise program compared with conventional physical therapy in patients with rheumatoid arthritis

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