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Deep tissue massage...
Deep tissue massage, strengthening and stretching exercises, and a combination of both compared with advice to stay active for subacute or persistent non-specific neck pain : A cost-effectiveness analysis of the Stockholm Neck trial (STONE)
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- Pico-Espinosa, Oscar Javier (författare)
- Karolinska institutet
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- Aboagye, Emmanuel (författare)
- Karolinska Institutet,Högskolan i Gävle,Arbetshälsovetenskap,Karolinska institutet
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- Côté, Pierre (författare)
- Ontario Tech University, Canada
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- Peterson, Anna (författare)
- Karolinska Institutet
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- Holm, Lena W. (författare)
- Karolinska Institutet
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- Jensen, Irene (författare)
- Karolinska Institutet
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- Skillgate, Eva (författare)
- Karolinska Institutet,Sophiahemmet Högskola,Karolinska institutet; Sophiahemmet university; Naprapathögskola
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(creator_code:org_t)
- Elsevier, 2020
- 2020
- Engelska.
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Ingår i: Musculoskeletal Science and Practice. - : Elsevier. - 2468-7812. ; 46
- Relaterad länk:
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https://doi.org/10.1...
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https://doi.org/10.1...
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https://shh.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objective To evaluate the cost-effectiveness of deep tissue massage (‘massage’), strengthening and stretching exercises (‘exercises’) or a combination of both (‘combined therapy’) in comparison with advice to stay active (‘advice’) for subacute and persistent neck pain, from a societal perspective.Methods We conducted a cost-effectiveness analysis alongside a four-arm randomized controlled trial of 619 participants followed-up for one year. Health-related quality of life was measured using EQ-5D-3L and costs were calculated from baseline to one year. The interventions were ranked according to quality adjusted life years (QALYs) in a cost-consequence analysis. Thereafter, an incremental cost per QALY was calculated.Results In the cost-consequence analysis, in comparison with advice, exercises resulted in higher QALY gains, and massage and the combined therapy were more costly and less beneficial. Exercises may be a cost-effective treatment compared with advice to stay active if society is willing to pay 17 640 EUR per QALY. However, differences in QALY gains were minimal; on average, participants in the massage group, spent a year in a state of health valued at 0.88, exercises: 0.89, combined therapy: 0.88 and, advice: 0.88.Conclusions Exercises are cost-effective compared to advice given that the societal willingness to pay is above 17 640 EUR per year in full health gained. Massage and a combined therapy are not cost-effective. While exercise appeared to have the best cost/benefit profile, even this treatment had only a modest benefit and treatment innovation is needed. Advice to stay active remains as a good therapeutic alternative from an economical perspective.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Neck pain
- Cost-effectiveness
- Health economic evaluation
- Medical economics
- Complementary therapies
- Quality adjusted life years
- inget Strategiskt forskningsområde (SFO)
- no Strategic Research Area (SFO)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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