| PMC full text: | Published online 2011 Jan 4. doi: 10.1007/s00586-010-1675-4
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Table 3
GP care alone versus other treatment
| Study ID and perspective | Incremental cost-effectiveness ratio (in cost per one unit of effect gained) or cost-benefit outcome |
|---|---|
| Cost-effectiveness/cost-utility analysis | |
| Hollinghurst et al. [24] | |
| Perspective: healthcare sector, patients, societal | Compared to GP care alone from healthcare sector’s perspective only, in 2005 GBP Massage: •Disability (RMDQ) = 448 •Pain-free day = 26 •QALY gained (EQ-5D) = −34,473 (less effective and more costly) Alexander technique (6 lessons): •Disability(RMDQ) = 113 •Pain-free days = 13 •QALY gained (EQ-5D) = 5,899 |
| Jellema et al. [25] | |
| Perspective: societal | Minimal psychosocial intervention compared to GP care alone 2002 Euro: •Disability (RMDQ) = 690 •Recovery rate (% recovered) = 239 •QALY gained (EQ-5D) = 47,348 |
| Johnson et al. [26] | |
| Perspective: not stated, but collected direct healthcare costs | Exercise and education using a cognitive-behavioural approach compared to GP care alone = 5,000 in 2003–2004 GBP per QALY gained (EQ-5D) |
| Loisel et al. [20] | |
| Perspective: insurance provider | Compared to GP care alone, in 1998 Canadian dollars per days on full sickness benefits: •Clinical rehabilitation = −67.6 •Occupational intervention = −88.4 •Clinical rehabilitation plus occupational intervention = −63.5 |
| Ratcliffe et al. [27] | |
| Perspective: healthcare sector, societal | Acupuncture compared to usual GP care, in 2002–2003 GBP per QALY gained (EQ-5D): •From healthcare sector’s perspective = 4,241 (95% CI = 191–28,026) •From societal perspective and with intention-to-treat analysis, acupuncture dominant |
| Cost-benefit analysis | |
| Loisel et al. [20] | |
| Perspective: insurance provider | Compared to GP care alone, in 1998 Canadian dollars: •Clinical rehabilitation = 16,176 •Occupational intervention = 16,827 •Clinical rehabilitation plus occupational intervention = 18,585 |
| Skouen et al. [21] | |
| Perspective: societal | Light multidisciplinary treatment in male patients compared to usual GP care alone = 7,240,900 for the male participants (n = 21) over 24 months in 1998 Norwegian kroner |