Estudio de coste-efectividad de la electrólisis percutánea intratisular (EPI®) en las epicondilalgias

Minaya-Muñoz, Francisco; Garrido, Francisco; Sánchez-Ibáñez, Jose Manuel; Mirapeix, F Medina i

doi:10.1016/j.ft.2012.04.001

Cited by 10 publications

(24 citation statements)

References 24 publications

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“… 31 32 42 Alongside these factors, if we rely on clinical experience, in chronic lateral epicondylitis cases the isolated application of EccEx and stretching is insufficient to obtain an optimal functional outcome. 43 Finally, along the same lines as the proposed programme (PNE+EccEx+stretching), other authors are including a combination of other interventions in lateral epicondylitis (eg, PRP, PNT), together with eccentric training programmes and stretching with similar characteristics, in order to promote positive therapeutic results. 24 44 …”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Percutaneous Needle Electrolysis in Chronic Lateral Epicondylitis: Short-Term and Long-Term Results

2014

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BackgroundUltrasound (US)-guided percutaneous needle electrolysis (PNE) is a novel minimally invasive approach which consists of the application of a galvanic current through an acupuncture needle.ObjectiveTo evaluate the clinical and ultrasonographic effectiveness of a multimodal programme (PNE, eccentric exercise (EccEx) and stretching) in the short term for patients with chronic lateral epicondylitis, and to determine whether the clinical outcomes achieved decline over time.MethodsA one-way repeated measures study was performed in a clinical setting in 36 patients presenting with lateral epicondylitis. The patients received one session of US-guided PNE per week over 4–6 weeks, associated with a home programme of EccEx and stretching. The main outcome measures were severity of pain, disability (Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire), structural tendon changes (US), hypervascularity and patients’ perceptions of overall outcome. Measurements at 6, 26 and 52 weeks follow-up included recurrence rates (increase in severity of pain or disability compared with discharge), perception of overall outcome and success rates.ResultsAll outcome measures registered significant improvements between pre-intervention and discharge. Most patients (n=30, 83.3%) rated the overall outcome as ‘successful’ at 6 weeks. The ultrasonographic findings showed that the hypoechoic regions and hypervascularity of the extensor carpi radialis brevis changed significantly. At 26 and 52 weeks, all participants (n=32) perceived a ‘successful’ outcome. Recurrence rates were null after discharge and at follow-up at 6, 26 and 52 weeks.ConclusionsSymptoms and degenerative structural changes of chronic lateral epicondylitis are reduced after US-guided PNE associated with EccEx and stretching, with encouragingly low recurrences in the mid to long term.Trial registration numberClinicalTrials.gov identifier: NCT02085928.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Percutaneous Needle Electrolysis in Chronic Lateral Epicondylitis: Short-Term and Long-Term Results

2014

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“…Of the 14 articles, four applied percutaneous electrolysis to the knee, [21][22][23][24] three to the shoulder, [25][26][27] three to the elbow, [28][29][30] two to the hip 31,32 and two to the ankle and foot. 33,34 The methodological characteristics of the investigations are shown in Table 2 and a summary of the findings of each can be found in Supplementary Table 1.…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

Efficacy of percutaneous electrolysis for the treatment of tendinopathies: A systematic review and meta-analysis

et al. 2022

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Objective To evaluate the efficacy of percutaneous electrolysis for the treatment of patients with tendinopathies. Data sources A systematic search of publications was conducted in Pubmed, Cinahl, Medline, Scopus and Web of Science. Methods The Oxford 2011 Levels of Evidence and the Jadad scale were used to assess the quality of studies. The mean and standard deviation were obtained for each study group and used to calculate the effect size. The DerSimonian and Laird method was used to develop a random-effects model. Results Of the 14 articles, four applied percutaneous electrolysis to the knee, three to the shoulder, three to the elbow, two to the hip and two to the ankle and foot. A meta-analysis on intensity of pain (evaluated with algometer and the Visual Analogue Scale) was performed on studies comparing percutaneous electrolysis with a control group, indicating that the groups treated with percutaneous electrolysis had better results ( p = 0.01). Although percutaneous electrolysis did not overcome the analgesic effect achieved by corticosteroid injections. Conclusions The percutaneous electrolysis is effective for the treatment of tendinopathies. The combination of this technique with eccentric training has proven to be one of the most effective treatments to date for improving pain. PROSPERO Registration: CRD42021230005.

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“…Our costs were cheaper than in the study published by Minaya et al, who determined a cost per session of €60 for the treatment of chronic lateral epicondylalgia with PNE. 20 In the case of our study, we assessed that the cost for the health centre would be €9.46 ± 0.8 based on publicly published costs. The lack of information on the description of its costs prevented us from making more comparisons.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, there are few studies on the cost-effectiveness of minimally invasive therapies. 20–22 One of them compared the cost-effectiveness of two different minimally invasive treatments for plantar heel pain provoked by myofascial trigger points and concluded that PNE had a better cost-effectiveness ratio than DN. Another study, performed in patients with lateral elbow tendinopathy, compared the cost-effectiveness of PNE with other surgical treatments and concluded that treatment with PNE combined with EE and stretching constitutes a treatment with a very acceptable cost-effectiveness ratio.…”

Section: Introductionmentioning

confidence: 99%

“…Another study, performed in patients with lateral elbow tendinopathy, compared the cost-effectiveness of PNE with other surgical treatments and concluded that treatment with PNE combined with EE and stretching constitutes a treatment with a very acceptable cost-effectiveness ratio. 20 However, to our knowledge, there are no studies comparing the cost-effectiveness of different minimally invasive treatments in the case of tendinopathies. Therefore, the aim of this study was to evaluate the cost-effectiveness of an EE programme when performed alone or combined with DN and PNE, assessed in terms of quality-adjusted life years (QALYs).…”

Section: Introductionmentioning

confidence: 99%

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A comparative study of treatment interventions for patellar tendinopathy: a secondary cost-effectiveness analysis

et al. 2022

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Objective: To compare the cost-effectiveness of three patellar tendinopathy treatments. Design: Secondary (cost-effectiveness) analysis of a blinded, randomised controlled trial, with follow-up at 10 and 22 weeks. Settings: Recruitment was performed in sport clubs. The diagnosis and the intervention were carried out at San Jorge University. Participants: The participants were adults between 18 and 45 years (n = 48) with patellar tendinopathy. Interventions: Participants received percutaneous needle electrolysis, dry needling or sham needling, all of which were combined with eccentric exercise. Main outcome measures: Costs, quality-adjusted life years and incremental cost-effectiveness ratio were calculated for each group. Results: The total cost per session was similar in the three groups: €9.46 for the percutaneous needle electrolysis group; €9.44 for the dry needling group; and €8.96 for the sham group. The percutaneous needle electrolysis group presented better cost-effectiveness in terms of quality-adjusted life years and 96% and 93% probability of being cost-effective compared to the sham and dry needling groups, respectively. Conclusion: Our study shows that percutaneous needle electrolysis has a greater probability of being cost-effective than sham or dry needling treatment.

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Estudio de coste-efectividad de la electrólisis percutánea intratisular (EPI®) en las epicondilalgias

Cited by 10 publications

References 24 publications

Ultrasound-Guided Percutaneous Needle Electrolysis in Chronic Lateral Epicondylitis: Short-Term and Long-Term Results

Ultrasound-Guided Percutaneous Needle Electrolysis in Chronic Lateral Epicondylitis: Short-Term and Long-Term Results

Efficacy of percutaneous electrolysis for the treatment of tendinopathies: A systematic review and meta-analysis

A comparative study of treatment interventions for patellar tendinopathy: a secondary cost-effectiveness analysis

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