A prospective cohort study measuring cost-benefit analysis of the Otago Exercise Programme in community dwelling adults with rheumatoid arthritis.
A prospective cohort study measuring cost-benefit analysis of the Otago Exercise Programme in community dwelling adults with rheumatoid arthritis.
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DOI：
10.1186/s12913-018-3383-4
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发表时间：
2018-07-20
影响因子：
2.8
通讯作者：
Stanmore EK
中科院分区：
文献类型：
--
作者：
Abdulrazaq S;Oldham J;Skelton DA;O'Neill T;Munford L;Gannon B;Pilling M;Todd C;Stanmore EK
福尔斯是成人风湿性关节炎（RA）的主要健康问题之一。干预措施，如奥塔哥运动计划（OEP），可以减少社区居民成年人的福尔斯跌倒率高达35%。尚未研究此类方案在成人类风湿关节炎患者中的成本效益。本研究的目的是确定成人类风湿关节炎患者福尔斯跌倒的医疗费用，并估计在成人类风湿关节炎患者中推广OEP以改善功能和预防福尔斯跌倒是否具有成本效益。从英格兰西北部的四家风湿病诊所招募了年龄≥18岁的风湿性关节炎患者。参与者随访1年，每月秋季日历，电话和自我报告问卷。计算每个人跌倒相关伤害的估计医疗费用，并与OEP实施成本进行比较，以确定潜在的经济效益。招募了535名患者，195名患者报告了598次福尔斯跌倒。所有受伤导致住院服务的累积医疗费用为374，354英镑（540，485美元）。每次坠落的平均估计成本为1120英镑（1617美元）。为535人实施OEP的估计费用为每人116，479英镑（168，504美元）或217.72英镑（314.34美元）。根据OEP的有效性，可以估计在598起福尔斯跌倒中，有209起福尔斯跌倒可以预防。这表明可以节省234，583英镑（338，116美元），净收益为118，104英镑（170，623美元）。对类风湿关节炎患者实施OEP计划具有潜在的重大经济效益，应考虑对此类患者实施。
Falls are one of the major health problems in adults with Rheumatoid Arthritis (RA). Interventions, such as the Otago Exercise Programme (OEP), can reduce falls in community dwelling adults by up to 35%. The cost-benefits of such a programme in adults with RA have not been studied. The aims of this study were to determine the healthcare cost of falls in adults with RA, and estimate whether it may be cost efficient to roll out the OEP to improve function and prevent falls in adults living with RA. Patients with Rheumatoid Arthritis aged ≥18 years were recruited from four rheumatology clinics across the Northwest of England. Participants were followed up for 1 year with monthly fall calendars, telephone calls and self-report questionnaires. Estimated medical cost of a fall-related injury incurred per-person were calculated and compared with OEP implementation costs to establish potential economic benefits. Five hundred thirty-five patients were recruited and 598 falls were reported by 195 patients. Cumulative medical costs resulting from all injury leading to hospital services is £374,354 (US$540,485). Average estimated cost per fall is £1120 (US$1617). Estimated cost of implementing the OEP for 535 people is £116,479 (US$168,504) or £217.72 (US$314.34) per-person. Based on effectiveness of the OEP it can be estimated that out of the 598 falls, 209 falls would be prevented. This suggests that £234,583 (US$338,116) savings could be made, a net benefit of £118,104 (US$170,623). Implementation of the OEP programme for patients with RA has potentially significant economic benefits and should be considered for patients with the condition.
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影响因子：
3.4
作者：
Furuya, Takefumi;Yamagiwa, Kiyotaka;Yamanaka, Hisashi
通讯作者：
Yamanaka, Hisashi
DOI：
10.1017/s071498081000070x
发表时间：
2011-01-01
影响因子：
1.9
作者：
Peel, Nancye May
通讯作者：
Peel, Nancye May
DOI：
10.1111/j.1532-5415.2005.53455.x
发表时间：
2005-09-01
影响因子：
6.3
作者：
Lamb, SE;Jorstad-Stein, EC;Becker, C
通讯作者：
Becker, C
影响因子：
5.5
作者：
Kaz, HK;Johnson, D;Patel, S
通讯作者：
Patel, S
影响因子：
--
作者：
Robertson, MC;Devlin, N;Campbell, AJ
通讯作者：
Campbell, AJ