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- Title
COST-UTILITY OF A MULTICOMPONENT INTERVENTION FOR FIBROMYALGIA VERSUS USUAL CARE: A PRAGMATIC RANDOMISED CONTROLLED TRIAL.
- Authors
ARFUCH, Victoria Mailen; AGUILAR MARTÍN, Carina; BERENGUERA, Anna; CABALLOL ANGELATS, Rosa; QUEIROGA GONÇALVES, Alessandra; CARRASCO-QUEROL, Noèlia; GONZÁLEZ SERRA, Gemma; SANCHO SOL, Maria Cinta; FUSTÉ ANGUERA, Immaculada; FRIBERG, Emilie; PETTERSSON, Emma; CASAJUANA, Marc
- Abstract
Objective: To perform an economic evaluation on a multicomponent intervention programme for patients with fibromyalgia syndrome compared with usual clinical practice in primary care. Design: A cost-utility analysis was conducted alongside a pragmatic randomised controlled trial (ClinicalTrials. gov: https://clinicaltrials.gov/ct2/show/record/NCT04049006) from a societal perspective, a human capital approach, and a 1-year time horizon. Patients: Patients diagnosed with fibromyalgia syndrome from the public health system in south Catalonia, Spain. Methods: Crude and adjusted incremental cost-utility ratios were estimated to compare the treatment strategies based on cost estimations (direct medical costs and productivity losses) and quality-adjusted life years. One-way and 2-way deterministic sensitivity analyses were performed. Results: The final analysed sample comprised 297 individuals, 161 in the intervention group and 136 in the control group. A crude incremental cost-utility ratio of € 1,780.75 and an adjusted ratio of € 851.67 were obtained, indicating that the programme significantly improved patients' quality of life with a cost-increasing outcome that fell below the cost-effectiveness threshold. The sensitivity analysis confirmed these findings when varying large cost components, and showed dominance when increasing session attendance. Conclusion: The proposed multicomponent intervention programme was cost-effective compared with usual care for fibromyalgia, which supports its addition to standard practice in the regional primary care service.
- Subjects
SPAIN; TREATMENT of fibromyalgia; STATISTICS; CONFIDENCE intervals; MEDICAL care costs; HEALTH surveys; FISHER exact test; FIBROMYALGIA; PRIMARY health care; RANDOMIZED controlled trials; HUMAN services programs; PHYSICAL activity; T-test (Statistics); PEARSON correlation (Statistics); PRE-tests &; post-tests; COST effectiveness; HEALTH care teams; QUALITY of life; QUESTIONNAIRES; DESCRIPTIVE statistics; RESEARCH funding; PATIENT care; STATISTICAL sampling; INTEGRATED health care delivery; DATA analysis software; DATA analysis; QUALITY-adjusted life years; COGNITIVE therapy; COMORBIDITY; ECONOMICS
- Publication
Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation), 2023, Vol 55, p1
- ISSN
1650-1977
- Publication type
Article
- DOI
10.2340/jrm.v55.12361