Volume 19, Issue 4 (December - In Press 2021)                   Iranian Rehabilitation Journal 2021, 19(4): 0-0 | Back to browse issues page


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Habibu W, Awotidebe W A. Cost-effectiveness of Self-Managed Programme Versus Usual Physiotherapy Care of Patients with Knee Osteoarthritis in Nigeria. Iranian Rehabilitation Journal. 2021; 19 (4)
URL: http://irj.uswr.ac.ir/article-1-1099-en.html
1- Faculty of Allied Health Sciences, Department of Physiotherapy, Bayero University, Kano, Gwarzo Road, P.M.B. 3011, Nigeria.
Abstract:   (502 Views)
Objective: To compare, from a patient perspective, cost effectiveness between a self-managed programme and usual physiotherapy care in treating knee osteoarthritis.
Methods: Participants were assigned into two groups; group I received a weekly physiotherapy treatment plus instructions on self-management skills in goal setting, pain management, exercise, healthy eating, and dealing with fatigue (Self-managed group); group II had a physiotherapy session 3 times a week (Usual care group). The Osteoarthritis Cost and Consequence and European Quality of Life-5 Dimension (EQ-5D) was used to generate utility scores. Health effects measures of quality-adjusted life years (QALYs) gained and incremental cost-effective ratio were calculated. Cost-effectiveness was determined by plotting a cost-effectiveness plane of incremental cost against QALYs gained.
Results: After 8 weeks of intervention, the self-managed group recorded more significant improvements in pain level, function, and health-related quality of life than the usual care group. Clinical consultation costs (NGN=1800 ± 979), physiotherapy treatment costs (NGN=4000 ± 00), and transportation costs (NGN=1,940 ±1,150) were less for the self-managed group than the usual care group. Imaging (X-ray) and drug costs did not differ significantly between groups. The QALYs gained over the 8-week intervention period was 0.13 for the self-management group compared to 0.11 for the usual care group.
Conclusion: From the patient perspective, a self-managed programme is cost-effective and cheaper for healthcare resource use. Physiotherapists may adopt the programme in order to reduce out-of-pocket expenses for patients with knee osteoarthritis.
Trial registration: Pan African Clinical Trial registry PACTR201804003266300.
     
Article type: Original Research Articles | Subject: Physiotherapy
Received: 2019/11/14 | Accepted: 2021/09/20 | Published: 2021/12/19

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