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

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Sökning: WFRF:(Elkan P.) > Cost-effectiveness ...

Fritzell, PeterDepartment of Orthopedic Surgery, Falun Hospital, Falun, Sweden,The Swedish Lumbar Spine Study Group (författare)

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

Artikel/kapitelEngelska2004

Förlag, utgivningsår, omfång ...

Lippincott Williams & Wilkins,2004
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:liu-48406
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-48406URI
https://doi.org/10.1097/01.BRS.0000102681.61791.12DOI
https://gup.ub.gu.se/publication/43997URI

Kompletterande språkuppgifter

Språk:engelska
Sammanfattning på:engelska

Ingår i deldatabas

SwePubSwePub

Klassifikation

Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

Anmärkningar

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.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Medicinska och farmaceutiska grundvetenskaper Neurovetenskaper hsv//swe
MEDICAL AND HEALTH SCIENCES Basic Medicine Neurosciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
chronic low back pain
degenerative disc disease
lumbar spinal fusion
RCT
prospective randomized controlled study
cost-effectiveness analysis
sensitivity analysis
societal perspective
health care perspective
Adult
Aged
Chronic Disease/economics
Cost-Benefit Analysis/statistics & numerical data
Disability Evaluation
Humans
Low Back Pain/economics/*surgery
Lumbar Vertebrae/*surgery
Middle Aged
Outcome and Process Assessment (Health Care)/*statistics & numerical data
Pain Measurement/statistics & numerical data
Sensitivity and Specificity
Sick Leave/economics/statistics & numerical data
Spinal Fusion/*economics
Sweden
Treatment Outcome

Biuppslag (personer, institutioner, konferenser, titlar ...)

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 (författare)
Jonsson, DickLinköpings universitet,Medicinsk teknologiutvärdering,Hälsouniversitetet(Swepub:liu)dicjo62 (författare)
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 (författare)
Andréen, O.Umeaå,The Swedish Lumbar Spine Study Group,Malmö (bidragsgivare)
Appelgren, G.Halmstad,The Swedish Lumbar Spine Study Group (bidragsgivare)
Berg, S.Uppsala,The Swedish Lumbar Spine Study Group,Lund (bidragsgivare)
B. Branth, B.Stockholm,The Swedish Lumbar Spine Study Group (bidragsgivare)
Cederlund, C. G.Göteborg,The Swedish Lumbar Spine Study Group (bidragsgivare)
Elkan, P.Stockholm,The Swedish Lumbar Spine Study Group (bidragsgivare)
Hedlund, R.Stockholm,The Swedish Lumbar Spine Study Group (bidragsgivare)
Kogler, H.Örebro,The Swedish Lumbar Spine Study Group (bidragsgivare)
Leufvén, C.Eskilstuna,The Swedish Lumbar Spine Study Group (bidragsgivare)
Németh, G.Stockholm,The Swedish Lumbar Spine Study Group (bidragsgivare)
Neumann, P.Göteborg,The Swedish Lumbar Spine Study Group (bidragsgivare)
Nilsson, M.Stockholm,The Swedish Lumbar Spine Study Group (bidragsgivare)
Nordenström, K.Karlstad,The Swedish Lumbar Spine Study Group (bidragsgivare)
Ohlin, A.Malmö,The Swedish Lumbar Spine Study Group (bidragsgivare)
Ordeberg, G.Uppsala,The Swedish Lumbar Spine Study Group (bidragsgivare)
Reigo, TomasLinköpings universitet,Ortopedi och idrottsmedicin,Hälsouniversitetet,The Swedish Lumbar Spine Study Group(Swepub:liu)thore64 (bidragsgivare)
Sahlstrand, T.Helsingborg,The Swedish Lumbar Spine Study Group (bidragsgivare)
Sandberg, R.Karlstad,The Swedish Lumbar Spine Study Group (bidragsgivare)
Skogland, L.Oslo,The Swedish Lumbar Spine Study Group (bidragsgivare)
Strömqvist, B.Lund,The Swedish Lumbar Spine Study Group (bidragsgivare)
Tropp, HansÖstergötlands Läns Landsting,Ortopedkliniken Norrköping,The Swedish Lumbar Spine Study Group(Swepub:liu)hantr00 (bidragsgivare)
Tullberg, T.Stockholm,The Swedish Lumbar Spine Study Group,Sundsvall (bidragsgivare)
Wikström, T.Sundsvall,The Swedish Lumbar Spine Study Group (bidragsgivare)
Willén, J.Göteborg,The Swedish Lumbar Spine Study Group (bidragsgivare)
Department of Orthopedic Surgery, Falun Hospital, Falun, SwedenThe Swedish Lumbar Spine Study Group (creator_code:org_t)

Sammanhörande titlar

Ingår i:Spine: Lippincott Williams & Wilkins29:4, s. 421-4340362-24361528-1159

Internetlänk

Hitta via bibliotek

Spine (Sök värdpublikationen i LIBRIS)

Till lärosätets databas

Hitta mer i SwePub

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Medicinska och f ...; och Neurovetenskaper

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

Artiklar i publikationen: Spine

Av lärosätet: Linköpings universitet; Göteborgs universitet

Sök utanför SwePub

Sök vidare i:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se