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Centre for Policy on Ageing | |
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| Economic evaluation of arthritis self-management in primary care | | Author(s) | Anita Patel, Marta Buszewicz, Jennifer Beecham |
| Journal title | British Medical Journal, vol 339, no 7724, 3 October 2009 |
| Pages | p 794 |
| Source | www.bmj.com |
| Keywords | Arthritis ; Preventative medicine ; Self care capacity ; General practice ; Cost effectiveness. |
| Annotation | Is an arthritis self-management programme in addition to an education booklet and usual care cost effective compared with an education booklet and usual care alone? In a study funded by the Medical Research Council (MRC) using cost effectiveness and cost utility analysis alongside a randomised controlled trial, there were 812 participants aged 50+ with osteoarthritis of the knee or hips, or both, and pain or disability, or both, recruited from 74 UK general practices. The programme was not found to be cost effective on the basis of current cost perspectives and quality adjusted life year (QALY) thresholds for the National Institute for Health and Clinical Excellence (NICE). The probability of cost effectiveness was greater when broader costs and other quality of life outcomes were considered. Evaluations of arthritis self-management programmes in the US have suggested that they can provide patient centred benefits and reductions in healthcare use, but the applicability of this evidence to the UK was unclear. The present study does not suggest cost effectiveness on the basis of current policy perspectives, but it does suggest a greater chance of cost effectiveness if broader cost and outcome perspectives are taken. This is a summary of a paper that was published on bmj.com as BMJ 2009: 339:b3532. (RH). |
| Accession Number | CPA-091222202 A |
| Classmark | CLA: LK2: CA: L5: WEC * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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