Document Detail

Cost effectiveness of a two-year home exercise program for the treatment of knee pain.
MedLine Citation:
PMID:  15934131     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess the cost effectiveness of a 2-year home exercise program for the treatment of knee pain. METHODS: A total of 759 adults aged > or = 45 years were randomized to receive exercise therapy, monthly telephone contact, exercise therapy and telephone contact, or no intervention. Efficacy was measured using self-reported knee pain at 2 years. Costs to both the National Health Service and to the patient were included. RESULTS: Exercise therapy was associated with higher costs and better effectiveness. Direct costs for the interventions were pound 112 for the exercise program and pound 61 for the monthly telephone support. Participants allocated to receive exercise therapy were significantly more likely to incur higher medical costs than those in the no-exercise groups (mean difference pound 225; 95% confidence interval pound 218, pound 232; P < 0.001). CONCLUSION: Exercise therapy is associated with improvements in knee pain, but the cost of delivering the exercise program is unlikely to be offset by any reduction in medical resource use.
K S Thomas; P Miller; M Doherty; K R Muir; A C Jones; S C O'Reilly
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Arthritis and rheumatism     Volume:  53     ISSN:  0004-3591     ISO Abbreviation:  Arthritis Rheum.     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-07-28     Completed Date:  2005-08-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370605     Medline TA:  Arthritis Rheum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  388-94     Citation Subset:  AIM; IM    
City Hospital, Nottingham, United Kingdom.
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MeSH Terms
Cost-Benefit Analysis
Exercise Therapy / economics*
Home Care Services / economics
Middle Aged
Osteoarthritis, Knee / therapy
Outcome Assessment (Health Care)
Pain / economics,  therapy*

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