Cost Effectiveness of Physiotherapy Services for Chronic Condition Management: A Systematic Review of Economic Evaluations Conducted Alongside Randomized Controlled Trials

IF 0.9 4区医学 Q4 REHABILITATION Physiotherapy Canada Pub Date : 2023-03-21 DOI:10.3138/ptc-2022-0016

Jenna Smith-Turchyn, J. Richardson, Susanne Sinclair, Ying Xu, Silvana X Choo, Janelle Gravesande, Aiping Lai, Elyse Letts, M. Masrur, A. Morgan, Celeste Petrusevski, Holly Edward, Feng Xie

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引用次数: 1

Abstract

To determine the cost-effectiveness of physiotherapy (PT) to manage individuals with chronic conditions. Design: Systematic review of randomized controlled trials (RCTs). Eligibility: RCTs with adult participants diagnosed with ≥1 chronic condition, an intervention delivered or supervised by a physiotherapist, including an economic evaluation of the intervention provided. Procedure: Eight databases were searched. Title/abstract screening, full-text review, and data extraction were performed in duplicate. The quality of included studies was assessed using Cochrane's Risk of Bias Assessment 2.0. Fifty-three articles were included in this review. Fifteen compared PT to no PT, 38 compared novel PT to conventional PT. Of the studies comparing PT to no PT, 53% found PT to be cost-effective. Of the studies comparing novel to conventional PT, 55% found novel interventions were cost-effective. Overall, PT was cost-effective in most studies related to arthritis, chronic LBP, and chronic neck pain. The heterogeneity of study characteristics limited the ability to perform a meta-analysis. Over half of included studies reported PT to be cost-effective. Future high quality RCTs performing rigorous economic evaluations are needed to determine the cost-effectiveness of different interventions delivered or supervised by a PT to prevent disability for those with chronic conditions.

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慢性疾病管理物理治疗服务的成本效益:随机对照试验进行的经济评估的系统回顾

确定物理疗法（PT）治疗慢性病患者的成本效益。设计：随机对照试验的系统综述。资格：随机对照试验的成年参与者被诊断为≥1种慢性病，由理疗师提供或监督干预，包括对所提供干预的经济评估。程序：检索了8个数据库。标题/摘要筛选、全文审查和数据提取一式两份。纳入研究的质量采用Cochrane’s Risk of Bias Assessment 2.0进行评估。本次审查共收录五十三篇文章。15人将PT与非PT进行比较，38人将新型PT与传统PT进行比较。在将PT与无PT进行比较的研究中，53%的人认为PT具有成本效益。在比较新型PT和传统PT的研究中，55%的人发现新型干预措施具有成本效益。总体而言，PT在大多数与关节炎、慢性LBP和慢性颈部疼痛相关的研究中具有成本效益。研究特征的异质性限制了进行荟萃分析的能力。超过一半的纳入研究报告PT具有成本效益。未来需要进行严格经济评估的高质量随机对照试验，以确定PT提供或监督的不同干预措施的成本效益，以预防慢性病患者的残疾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Canada REHABILITATION-

CiteScore

1.90

自引率

20.00%

发文量

审稿时长

>12 weeks

期刊介绍： Physiotherapy Canada is the official, scholarly, refereed journal of the Canadian Physiotherapy Association (CPA), giving direction to excellence in clinical science and reasoning, knowledge translation, therapeutic skills and patient-centred care. Founded in 1923, Physiotherapy Canada meets the diverse needs of national and international readers and serves as a key repository of inquiries, evidence and advances in the practice of physiotherapy. Physiotherapy Canada publishes the results of qualitative and quantitative research including systematic reviews, meta analyses, meta syntheses, public/health policy research, clinical practice guidelines, and case reports. Key messages, clinical commentaries, brief reports and book reviews support knowledge translation to clinical practice. In addition to delivering authoritative, original scientific articles and reports of significant clinical studies, Physiotherapy Canada’s editorials and abstracts are presented in both English and French, expanding the journal’s reach nationally and internationally. Key messages form an integral part of each research article, providing a succinct summary for readers of all levels. This approach also allows readers to quickly get a feel for ‘what is already known’ and ‘what this study adds to’ the subject. Clinician’s commentaries for key articles assist in bridging research and practice by discussing the article’s impact at the clinical level. The journal also features special themed series which bring readers up to date research supporting evidence-informed practice. The Canadian Physiotherapy Association (CPA) is the national professional association representing almost 15,000 members distributed throughout all provinces and territories. CPA’s mission is to provide leadership and direction to the physiotherapy profession, foster excellence in practice, education and research, and promote high standards of health in Canada.

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