Primary therapist model for patients referred for rheumatoid arthritis rehabilitation: A cost‐effectiveness analysis

Li, Linda; Maetzel, Andreas; Davis, Aileen M.; Lineker, Sydney; Bombardier, Claire; Coyte, Peter C.

doi:10.1002/art.21989

Cited by 16 publications

(9 citation statements)

References 28 publications

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“…Finally, direct healthcare costs were calculated based on recalled information, which is less accurate than those calculated based on medical records. Also, little is known about the measurement properties of the HRU questionnaire 44. However, our approach allowed us to capture healthcare costs associated with alternative medical treatments, such as naturopath therapy.…”

Section: Discussionmentioning

confidence: 99%

Independent and inverse association of healthcare utilisation with physical activity in older adults with multiple chronic conditions

Liu-Ambrose

Ashe²,

Marra³

2008

Br J Sports Med

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Section: Discussionmentioning

confidence: 99%

Independent and inverse association of healthcare utilisation with physical activity in older adults with multiple chronic conditions

Liu-Ambrose

Ashe²,

Marra³

2008

Br J Sports Med

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“…Furthermore, we collected data on costs of home adaptations, transportation, and home help that had been incurred by the patients. The items collected were based on a cost-effectiveness article and a systematic literature review on cost in RA [26,27] and can be found in the supplement [see Additional file 1]. All items were recorded for the 3-month period preceding the index visit and multiplied by 4 to estimate annual costs.…”

Section: Methodsmentioning

confidence: 99%

Remission in rheumatoid arthritis: benefit over low disease activity in patient-reported outcomes and costs

2014

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IntroductionRheumatoid arthritis (RA) is a chronic inflammatory disease that causes a considerable burden for the patient and society. It is not clear yet whether aiming for remission (REM) is worthwhile, especially when compared with low disease activity (LDA).MethodsIn 356 consecutive RA patients, we obtained data on physical function (health assessment questionnaire (HAQ)), health-related quality of life (HRQoL: Short Form 36 (SF36), Short Form 6 dimensions (SF-6D), Euro QoL 5D (EQ-5D)), work productivity (work productivity and activity impairment questionnaire (WPAI)), as well as estimation of direct and indirect costs. Cross-sectionally, data were compared in patients within different levels of disease activity according to the simplified disease activity index (SDAI; remission (REM ≤3.3); n = 87; low disease activity (LDA: 3.3 < SDAI ≤11); n = 103; moderate to high disease activity (MDA/HDA) >11 n = 119) by using analyses of variance (ANOVA). Longitudinal investigations assessed patients who changed from LDA to REM and vice versa.ResultsWe found differences in patients achieving REM compared with LDA for HAQ (0.39 ± 0.58 versus 0.72 ± 68), WPAI (percentage impairment while working 11.8% ± 18.7% versus 26.8% ± 23.9%; percentage of overall activity impairment, 10.8% ± 14.1% versus 29.0% ± 23.6%)), EQ-5D (0.89 ± 0.12 versus 0.78 ± 0.6) and SF-36 (physical component score (PCS): 46.0 ± 8.6 versus 38.3 ± 10.5; mental component score (MCS): 49.9 ± 11.1 versus 47.9 ± 12.3) (P < 0.01 for all, except for SF36 MCS). Regarding costs, we found significant differences of direct and indirect costs (P < 0.05) within different levels of disease activity, with higher costs in patients with higher states of disease activity. Longitudinal evaluations confirmed the main analyses.ConclusionPatients with REM show better function, HRQoL, and productivity, even when compared with another good state, such as LDA. Also from a cost perspective, REM appears superior to all other states.

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“…Compared with the traditional PT/OT model, patients treated by a primary therapist were almost 4 times more likely to meet the clinical response criteria (52). The model was also found to be a cost-effective alternative (53).…”

Section: Specialized Nurses or Rehabilitation Therapists Triage Rheummentioning

confidence: 96%

An evidence‐informed, integrated framework for rheumatoid arthritis care

Li¹,

Badley²,

MacKay³

et al. 2008

Arthritis & Rheumatism

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Primary therapist model for patients referred for rheumatoid arthritis rehabilitation: A cost‐effectiveness analysis

Cited by 16 publications

References 28 publications

Independent and inverse association of healthcare utilisation with physical activity in older adults with multiple chronic conditions

Independent and inverse association of healthcare utilisation with physical activity in older adults with multiple chronic conditions

Remission in rheumatoid arthritis: benefit over low disease activity in patient-reported outcomes and costs

An evidence‐informed, integrated framework for rheumatoid arthritis care

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