Health economic evaluation of a randomized controlled trial (EMBLA study), an internet-based treatment for provoked vulvodynia

Internet-based treatment (IBT) for provoked vulvodynia (PVD) may reduce pain during intercourse and increases pain acceptance. However, a there is still a knowledge gap regarding the cost-effectiveness of IBT for PVD. The aim of this study was to perform a health economic evaluation of guided intern...

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Autores principales: Hess Engström, A., Bohm-Starke, N., Buhrman, M., Högberg, U., Skalkidou, A., Lagenskiöld, S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2023
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10110522/
https://www.ncbi.nlm.nih.gov/pubmed/37069199
http://dx.doi.org/10.1038/s41598-023-33406-6
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author Hess Engström, A.
Bohm-Starke, N.
Buhrman, M.
Högberg, U.
Skalkidou, A.
Lagenskiöld, S.
author_facet Hess Engström, A.
Bohm-Starke, N.
Buhrman, M.
Högberg, U.
Skalkidou, A.
Lagenskiöld, S.
author_sort Hess Engström, A.
collection PubMed
description Internet-based treatment (IBT) for provoked vulvodynia (PVD) may reduce pain during intercourse and increases pain acceptance. However, a there is still a knowledge gap regarding the cost-effectiveness of IBT for PVD. The aim of this study was to perform a health economic evaluation of guided internet-based intervention for PVD as an addition to standard treatment. The sample consisted of 99 women with a PVD diagnosis. Healthcare related costs, health-related quality of life, and quality-adjusted life-years (QALYs) and incremental cost-effectiveness ratio (ICER) were analyzed. After the IBT, the intervention group had fewer visits to a midwife than the control group (p = 0.03), but no between-group differences were found for visits to other professionals, treatment length, health-related quality of life, QALYs, and costs for treatment. It was estimated a cost of 260.77 € for a clinical meaningful change in pain acceptance. Internet-based treatment as add-on to clinical treatment may lower number of visits to a healthcare.
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spelling pubmed-101105222023-04-19 Health economic evaluation of a randomized controlled trial (EMBLA study), an internet-based treatment for provoked vulvodynia Hess Engström, A. Bohm-Starke, N. Buhrman, M. Högberg, U. Skalkidou, A. Lagenskiöld, S. Sci Rep Article Internet-based treatment (IBT) for provoked vulvodynia (PVD) may reduce pain during intercourse and increases pain acceptance. However, a there is still a knowledge gap regarding the cost-effectiveness of IBT for PVD. The aim of this study was to perform a health economic evaluation of guided internet-based intervention for PVD as an addition to standard treatment. The sample consisted of 99 women with a PVD diagnosis. Healthcare related costs, health-related quality of life, and quality-adjusted life-years (QALYs) and incremental cost-effectiveness ratio (ICER) were analyzed. After the IBT, the intervention group had fewer visits to a midwife than the control group (p = 0.03), but no between-group differences were found for visits to other professionals, treatment length, health-related quality of life, QALYs, and costs for treatment. It was estimated a cost of 260.77 € for a clinical meaningful change in pain acceptance. Internet-based treatment as add-on to clinical treatment may lower number of visits to a healthcare. Nature Publishing Group UK 2023-04-17 /pmc/articles/PMC10110522/ /pubmed/37069199 http://dx.doi.org/10.1038/s41598-023-33406-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Hess Engström, A.
Bohm-Starke, N.
Buhrman, M.
Högberg, U.
Skalkidou, A.
Lagenskiöld, S.
Health economic evaluation of a randomized controlled trial (EMBLA study), an internet-based treatment for provoked vulvodynia
title Health economic evaluation of a randomized controlled trial (EMBLA study), an internet-based treatment for provoked vulvodynia
title_full Health economic evaluation of a randomized controlled trial (EMBLA study), an internet-based treatment for provoked vulvodynia
title_fullStr Health economic evaluation of a randomized controlled trial (EMBLA study), an internet-based treatment for provoked vulvodynia
title_full_unstemmed Health economic evaluation of a randomized controlled trial (EMBLA study), an internet-based treatment for provoked vulvodynia
title_short Health economic evaluation of a randomized controlled trial (EMBLA study), an internet-based treatment for provoked vulvodynia
title_sort health economic evaluation of a randomized controlled trial (embla study), an internet-based treatment for provoked vulvodynia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10110522/
https://www.ncbi.nlm.nih.gov/pubmed/37069199
http://dx.doi.org/10.1038/s41598-023-33406-6
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