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Cost-Utility of Min...
Cost-Utility of Mindfulness-Based Stress Reduction for Fibromyalgia versus a Multicomponent Intervention and Usual Care : A 12-Month Randomized Controlled Trial (EUDAIMON Study)
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- Perez-Aranda, Adrian (författare)
- Inst Recerca St Joan de Deu, Grp Psychol Res Fibromyalgia & Chron Pain AGORA, Esplugas de Llobregat 08950, Spain;Teaching Res & Innovat Unit, Parc Sanitari St Joan de Deu, St Boi De Llobregat 08830, Spain;RedIAPP, Primary Care Prevent & Hlth Promot Res Network, Madrid 28029, Spain;Univ Barcelona, Dept Clin Psychol & Psychobiol, Sect Personal Assessment & Psychol Treatments, Barcelona 08193, Spain
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- D'Amico, Francesco (författare)
- London Sch Econ & Polit Sci LSE, London WC2A 2AE, England
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- Feliu-Soler, Albert (författare)
- Inst Recerca St Joan de Deu, Grp Psychol Res Fibromyalgia & Chron Pain AGORA, Esplugas de Llobregat 08950, Spain;Teaching Res & Innovat Unit, Parc Sanitari St Joan de Deu, St Boi De Llobregat 08830, Spain;RedIAPP, Primary Care Prevent & Hlth Promot Res Network, Madrid 28029, Spain
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- McCracken, Lance, 1962- (författare)
- Uppsala universitet,Institutionen för psykologi
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- Penarrubia-Maria, Maria T. (författare)
- Inst Catala Salut, Primary Hlth Ctr Bartomeu Fabres Anglada, Sap Delta Llobregat, Unitat Docent Costa Ponent, Gava 08850, Spain;CIBERESP, Ctr Biomed Res Epidemiol & Publ Hlth, Madrid 28029, Spain;Fdn IDIAP Jordi Gol I Gurina, Barcelona 08007, Spain
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- Andres-Rodriguez, Laura (författare)
- Inst Recerca St Joan de Deu, Grp Psychol Res Fibromyalgia & Chron Pain AGORA, Esplugas de Llobregat 08950, Spain;Teaching Res & Innovat Unit, Parc Sanitari St Joan de Deu, St Boi De Llobregat 08830, Spain;RedIAPP, Primary Care Prevent & Hlth Promot Res Network, Madrid 28029, Spain
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- Angarita-Osorio, Natalia (författare)
- Inst Recerca St Joan de Deu, Grp Psychol Res Fibromyalgia & Chron Pain AGORA, Esplugas de Llobregat 08950, Spain;Teaching Res & Innovat Unit, Parc Sanitari St Joan de Deu, St Boi De Llobregat 08830, Spain
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- Knapp, Martin (författare)
- London Sch Econ & Polit Sci LSE, London WC2A 2AE, England;CIBERESP, Ctr Biomed Res Epidemiol & Publ Hlth, Madrid 28029, Spain
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- Garcia-Campayo, Javier (författare)
- RedIAPP, Primary Care Prevent & Hlth Promot Res Network, Madrid 28029, Spain;Aragon Inst Hlth Sci I CS, Dept Psychiat, Miguel Servet Hosp, Zaragoza 50009, Spain
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- Luciano, Juan, V (författare)
- Inst Recerca St Joan de Deu, Grp Psychol Res Fibromyalgia & Chron Pain AGORA, Esplugas de Llobregat 08950, Spain;Teaching Res & Innovat Unit, Parc Sanitari St Joan de Deu, St Boi De Llobregat 08830, Spain;RedIAPP, Primary Care Prevent & Hlth Promot Res Network, Madrid 28029, Spain
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(creator_code:org_t)
- 2019-07-20
- 2019
- Engelska.
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Ingår i: Journal of Clinical Medicine. - : MDPI. - 2077-0383. ; 8:7
- Relaterad länk:
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https://doi.org/10.3...
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https://uu.diva-port... (primary) (Raw object)
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https://www.mdpi.com...
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https://urn.kb.se/re...
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https://doi.org/10.3...
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Abstract
Ämnesord
Stäng
- Fibromyalgia (FM) is a prevalent, chronic, disabling, pain syndrome that implies high healthcare costs. Economic evaluations of potentially effective treatments for FM are needed. The aim of this study was to analyze the cost-utility of Mindfulness-Based Stress Reduction (MBSR) as an add-on to treatment-as-usual (TAU) for patients with FM compared to an adjuvant multicomponent intervention (FibroQoL) and to TAU. We performed an economic evaluation alongside a 12 month, randomized, controlled trial; data from 204 (68 per study arm) of the 225 patients (90.1%) were included in the cost-utility analyses, which were conducted both under the government and the public healthcare system perspectives. The main outcome measures were the EuroQol (EQ-5D-5L) for assessing Quality-Adjusted Life Years (QALYs) and improvements in health-related quality of life, and the Client Service Receipt Inventory (CSRI) for estimating direct and indirect costs. Incremental cost-effectiveness ratios (ICERs) were also calculated. Two sensitivity analyses (intention-to-treat, ITT, and per protocol, PPA) were conducted. The results indicated that MBSR achieved a significant reduction in costs compared to the other study arms (p < 0.05 in the completers sample), especially in terms of indirect costs and primary healthcare services. It also produced a significant incremental effect compared to TAU in the ITT sample (Delta QALYs = 0.053, p < 0.05, where QALYs represents quality-adjusted life years). Overall, our findings support the efficiency of MBSR over FibroQoL and TAU specifically within a Spanish public healthcare context.
Ämnesord
- 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)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- fibromyalgia
- cost-utility
- cost-effectiveness
- quality-adjusted life years
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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