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Cost-effectiveness ...
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Fritzell, PeterDepartment of Orthopedic Surgery, Falun Hospital, Falun, Sweden,The Swedish Lumbar Spine Study Group
(author)
Cost-effectiveness of lumbar fusion and nonsurgical treatment for chronic low back pain in the Swedish lumbar spine study : A multicenter, randomized, controlled trial from the Swedish Lumbar Spine Study Group
- Article/chapterEnglish2004
Publisher, publication year, extent ...
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Lippincott Williams & Wilkins,2004
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:liu-48406
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-48406URI
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https://doi.org/10.1097/01.BRS.0000102681.61791.12DOI
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https://gup.ub.gu.se/publication/43997URI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Study Design. A cost-effectiveness study was performed from the societal and health care perspectives. Objective. To evaluate the costs-effectiveness of lumbar fusion for chronic low back pain (CLBP) during a 2-year follow-up. Summary of Background Data. A full economic evaluation comparing costs related to treatment effects in patients with CLBP is lacking. Patients and Methods. A total of 284 of 294 patients with CLBP for at least 2 years were randomized to either lumbar fusion or a nonsurgical control group. Costs for the health care sector ( direct costs), and costs associated with production losses ( indirect costs) were calculated. Societal total costs were identified as the sum of direct and indirect costs. Treatment effects were measured using patient global assessment of improvement, back pain ( VAS), functional disability (Owestry), and return to work. Results. The societal total cost per patient ( standard deviations) in the surgical group was significantly higher than in the nonsurgical group: Swedish kroner (SEK) 704,000 ( 254,000) vs. SEK 636,000 ( 208,000). The cost per patient for the health care sector was significantly higher for the surgical group, SEK 123,000 ( 60,100) vs. 65,200 ( 38,400) for the control group. All treatment effects were significantly better after surgery. The incremental cost-effectiveness ratio ( ICER), illustrating the extra cost per extra effect unit gained by using fusion instead of nonsurgical treatment, were for improvement: SEK 2,600 ( 600 - 5,900), for back pain: SEK 5,200 ( 1,100 - 11,500), for Oswestry: SEK 11,300 ( 1,200 - 48,000), and for return to work: SEK 4,100 ( 100 21,400). Conclusion. For both the society and the health care sectors, the 2-year costs for lumbar fusion was significantly higher compared with nonsurgical treatment but all treatment effects were significantly in favor of surgery. The probability of lumbar fusion being cost-effective increased with the value put on extra effect units gained by using surgery.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Hägg, Olle,1949Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för ortopedi,Institute of Surgical Sciences, Department of Orthopaedics,Department of Orthopedic Surgery, Sahlgrenska University Hospital, Göteborg, Sweden,The Swedish Lumbar Spine Study Group(Swepub:gu)xhagol
(author)
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Jonsson, DickLinköpings universitet,Medicinsk teknologiutvärdering,Hälsouniversitetet(Swepub:liu)dicjo62
(author)
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Nordwall, Anders,1942Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för ortopedi,Institute of Surgical Sciences, Department of Orthopaedics,Department of Orthopedic Surgery, Sahlgrenska University Hospital, Göteborg, Sweden,The Swedish Lumbar Spine Study Group(Swepub:gu)xnandr
(author)
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Andréen, O.Umeaå,The Swedish Lumbar Spine Study Group,Malmö
(contributor)
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Appelgren, G.Halmstad,The Swedish Lumbar Spine Study Group
(contributor)
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Berg, S.Uppsala,The Swedish Lumbar Spine Study Group,Lund
(contributor)
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B. Branth, B.Stockholm,The Swedish Lumbar Spine Study Group
(contributor)
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Cederlund, C. G.Göteborg,The Swedish Lumbar Spine Study Group
(contributor)
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Elkan, P.Stockholm,The Swedish Lumbar Spine Study Group
(contributor)
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Hedlund, R.Stockholm,The Swedish Lumbar Spine Study Group
(contributor)
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Kogler, H.Örebro,The Swedish Lumbar Spine Study Group
(contributor)
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Leufvén, C.Eskilstuna,The Swedish Lumbar Spine Study Group
(contributor)
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Németh, G.Stockholm,The Swedish Lumbar Spine Study Group
(contributor)
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Neumann, P.Göteborg,The Swedish Lumbar Spine Study Group
(contributor)
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Nilsson, M.Stockholm,The Swedish Lumbar Spine Study Group
(contributor)
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Nordenström, K.Karlstad,The Swedish Lumbar Spine Study Group
(contributor)
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Ohlin, A.Malmö,The Swedish Lumbar Spine Study Group
(contributor)
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Ordeberg, G.Uppsala,The Swedish Lumbar Spine Study Group
(contributor)
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Reigo, TomasLinköpings universitet,Ortopedi och idrottsmedicin,Hälsouniversitetet,The Swedish Lumbar Spine Study Group(Swepub:liu)thore64
(contributor)
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Sahlstrand, T.Helsingborg,The Swedish Lumbar Spine Study Group
(contributor)
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Sandberg, R.Karlstad,The Swedish Lumbar Spine Study Group
(contributor)
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Skogland, L.Oslo,The Swedish Lumbar Spine Study Group
(contributor)
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Strömqvist, B.Lund,The Swedish Lumbar Spine Study Group
(contributor)
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Tropp, HansÖstergötlands Läns Landsting,Ortopedkliniken Norrköping,The Swedish Lumbar Spine Study Group(Swepub:liu)hantr00
(contributor)
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Tullberg, T.Stockholm,The Swedish Lumbar Spine Study Group,Sundsvall
(contributor)
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Wikström, T.Sundsvall,The Swedish Lumbar Spine Study Group
(contributor)
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Willén, J.Göteborg,The Swedish Lumbar Spine Study Group
(contributor)
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Department of Orthopedic Surgery, Falun Hospital, Falun, SwedenThe Swedish Lumbar Spine Study Group
(creator_code:org_t)
Related titles
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In:Spine: Lippincott Williams & Wilkins29:4, s. 421-4340362-24361528-1159
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Spine
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- By the author/editor
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Fritzell, Peter
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Hägg, Olle, 1949
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Jonsson, Dick
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Nordwall, Anders ...
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Andréen, O.
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Appelgren, G.
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Berg, S.
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B. Branth, B.
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Cederlund, C. G.
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Elkan, P.
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Hedlund, R.
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Kogler, H.
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Leufvén, C.
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Németh, G.
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Neumann, P.
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Nilsson, M.
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Nordenström, K.
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Ohlin, A.
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Ordeberg, G.
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Reigo, Tomas
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Sahlstrand, T.
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Sandberg, R.
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Skogland, L.
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Strömqvist, B.
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Tropp, Hans
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Tullberg, T.
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Wikström, T.
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Willén, J.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Neurosciences
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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Spine
- By the university
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Linköping University
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University of Gothenburg