Manual therapy versus advice to stay active for nonspecific back and/or neck pain: A cost-effectiveness analysis

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Aboagye, EmmanuelHögskolan i Gävle,Karolinska Institutet,Arbetshälsovetenskap,Centrum för belastningsskadeforskning,Karolinska institutet (författare)

Manual therapy versus advice to stay active for nonspecific back and/or neck pain : A cost-effectiveness analysis

Artikel/kapitelEngelska2022

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2022-05-16
Springer Science and Business Media LLC,2022
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:shh-4499
https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4499URI
https://doi.org/10.1186/s12998-022-00431-7DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:149552913URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-38544URI

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Språk:engelska
Sammanfattning på:engelska

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BACKGROUND: Low back and neck pain are the most common musculoskeletal disorders worldwide, and imply suffering and substantial societal costs, hence effective interventions are crucial. The aim of this study was to evaluate the cost-effectiveness of manual therapy compared with advice to stay active for working age persons with nonspecific back and/or neck pain.METHODS: The two interventions were: a maximum of 6 manual therapy sessions within 6 weeks, including spinal manipulation/mobilization, massage and stretching, performed by a naprapath (index group), respectively information from a physician on the importance to stay active and on how to cope with pain, according to evidence-based advice, at 2 occasions within 3 weeks (control group). A cost-effectiveness analysis with a societal perspective was performed alongside a randomized controlled trial including 409 persons followed for one year, in 2005. The outcomes were health-related Quality of Life (QoL) encoded from the SF-36 and pain intensity. Direct and indirect costs were calculated based on intervention and medication costs and sickness absence data. An incremental cost per health related QoL was calculated, and sensitivity analyses were performed.RESULTS: The difference in QoL gains was 0.007 (95% CI - 0.010 to 0.023) and the mean improvement in pain intensity was 0.6 (95% CI 0.068-1.065) in favor of manual therapy after one year. Concerning the QoL outcome, the differences in mean cost per person was estimated at - 437 EUR (95% CI - 1302 to 371) and for the pain outcome the difference was - 635 EUR (95% CI - 1587 to 246) in favor of manual therapy. The results indicate that manual therapy achieves better outcomes at lower costs compared with advice to stay active. The sensitivity analyses were consistent with the main results.CONCLUSIONS: Our results indicate that manual therapy for nonspecific back and/or neck pain is slightly less costly and more beneficial than advice to stay active for this sample of working age persons. Since manual therapy treatment is at least as cost-effective as evidence-based advice from a physician, it may be recommended for neck and low back pain. Further health economic studies that may confirm those findings are warranted. Trial registration Current Controlled Trials ISRCTN56954776. Retrospectively registered 12 September 2006, http://www.isrctn.com/ISRCTN56954776 .

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
Back and neck pain
Cost-effectiveness analysis
Manual therapy
Pain intensity
QoL

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

Lilje, StinaSophiahemmet Högskola,Karolinska institutet; Sophiahemmet University, Stockholm(Swepub:shh)stina.lilje (författare)
Bengtsson, CamillaSophiahemmet Högskola,Sophiahemmet University, Stockholm (författare)
Peterson, AnnaSophiahemmet Högskola,Sophiahemmet University, Stockholm (författare)
Persson, UlfThe Swedish Institute for Health Economics, Lund (författare)
Skillgate, Eva,1963-Karolinska Institutet,Sophiahemmet Högskola,Sophiahemmet University, Stockholm; Karolinska institutet(Swepub:shh)eva.skillgate (författare)
Karolinska InstitutetArbetshälsovetenskap (creator_code:org_t)

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Ingår i:Chiropractic and Manual Therapies: Springer Science and Business Media LLC30:12045-709X

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Av författaren/redakt...: Aboagye, Emmanue ...; Lilje, Stina; Bengtsson, Camil ...; Peterson, Anna; Persson, Ulf; Skillgate, Eva, ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Sjukgymnastik

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