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Cost-effectiveness of supported self-management for CFS/ME patients in primary care
BACKGROUND: Nurse led self-help treatments for people with chronic fatigue syndrome/myalgic encephalitis (CFS/ME) have been shown to be effective in reducing fatigue but their cost-effectiveness is unknown. METHODS: Cost-effectiveness analysis conducted alongside a single blind randomised controlled...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556109/ https://www.ncbi.nlm.nih.gov/pubmed/23327355 http://dx.doi.org/10.1186/1471-2296-14-12 |
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author | Richardson, Gerry Epstein, David Chew-Graham, Carolyn Dowrick, Christopher Bentall, Richard P Morriss, Richard K Peters, Sarah Riste, Lisa Lovell, Karina Dunn, Graham Wearden, Alison J |
author_facet | Richardson, Gerry Epstein, David Chew-Graham, Carolyn Dowrick, Christopher Bentall, Richard P Morriss, Richard K Peters, Sarah Riste, Lisa Lovell, Karina Dunn, Graham Wearden, Alison J |
author_sort | Richardson, Gerry |
collection | PubMed |
description | BACKGROUND: Nurse led self-help treatments for people with chronic fatigue syndrome/myalgic encephalitis (CFS/ME) have been shown to be effective in reducing fatigue but their cost-effectiveness is unknown. METHODS: Cost-effectiveness analysis conducted alongside a single blind randomised controlled trial comparing pragmatic rehabilitation (PR) and supportive listening (SL) delivered by primary care nurses, and treatment as usual (TAU) delivered by the general practitioner (GP) in North West England. A within trial analysis was conducted comparing the costs and quality adjusted life years (QALYs) measured within the time frame of the trial. 296 patients aged 18 and over with CFS/ME diagnosed using the Oxford criteria were included in the cost-effectiveness analysis. RESULTS: Treatment as usual is less expensive and leads to better patient outcomes compared with Supportive Listening. Treatment as usual is also less expensive than Pragmatic Rehabilitation. PR was effective at reducing fatigue in the short term, but the impact of the intervention on QALYs was uncertain. However, based on the results of this trial, PR is unlikely to be cost-effective in this patient population. CONCLUSIONS: This analysis does not support the introduction of SL. Any benefits generated by PR are unlikely to be of sufficient magnitude to warrant recommending PR for this patient group on cost-effectiveness grounds alone. However, dissatisfaction with current treatment options means simply continuing with ‘treatment as usual’ in primary care is unlikely to be acceptable to patients and practitioners. TRIAL REGISTRATION: The trial registration number is IRCTN74156610 |
format | Online Article Text |
id | pubmed-3556109 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35561092013-01-31 Cost-effectiveness of supported self-management for CFS/ME patients in primary care Richardson, Gerry Epstein, David Chew-Graham, Carolyn Dowrick, Christopher Bentall, Richard P Morriss, Richard K Peters, Sarah Riste, Lisa Lovell, Karina Dunn, Graham Wearden, Alison J BMC Fam Pract Research Article BACKGROUND: Nurse led self-help treatments for people with chronic fatigue syndrome/myalgic encephalitis (CFS/ME) have been shown to be effective in reducing fatigue but their cost-effectiveness is unknown. METHODS: Cost-effectiveness analysis conducted alongside a single blind randomised controlled trial comparing pragmatic rehabilitation (PR) and supportive listening (SL) delivered by primary care nurses, and treatment as usual (TAU) delivered by the general practitioner (GP) in North West England. A within trial analysis was conducted comparing the costs and quality adjusted life years (QALYs) measured within the time frame of the trial. 296 patients aged 18 and over with CFS/ME diagnosed using the Oxford criteria were included in the cost-effectiveness analysis. RESULTS: Treatment as usual is less expensive and leads to better patient outcomes compared with Supportive Listening. Treatment as usual is also less expensive than Pragmatic Rehabilitation. PR was effective at reducing fatigue in the short term, but the impact of the intervention on QALYs was uncertain. However, based on the results of this trial, PR is unlikely to be cost-effective in this patient population. CONCLUSIONS: This analysis does not support the introduction of SL. Any benefits generated by PR are unlikely to be of sufficient magnitude to warrant recommending PR for this patient group on cost-effectiveness grounds alone. However, dissatisfaction with current treatment options means simply continuing with ‘treatment as usual’ in primary care is unlikely to be acceptable to patients and practitioners. TRIAL REGISTRATION: The trial registration number is IRCTN74156610 BioMed Central 2013-01-18 /pmc/articles/PMC3556109/ /pubmed/23327355 http://dx.doi.org/10.1186/1471-2296-14-12 Text en Copyright ©2013 Richardson et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Richardson, Gerry Epstein, David Chew-Graham, Carolyn Dowrick, Christopher Bentall, Richard P Morriss, Richard K Peters, Sarah Riste, Lisa Lovell, Karina Dunn, Graham Wearden, Alison J Cost-effectiveness of supported self-management for CFS/ME patients in primary care |
title | Cost-effectiveness of supported self-management for CFS/ME patients in primary care |
title_full | Cost-effectiveness of supported self-management for CFS/ME patients in primary care |
title_fullStr | Cost-effectiveness of supported self-management for CFS/ME patients in primary care |
title_full_unstemmed | Cost-effectiveness of supported self-management for CFS/ME patients in primary care |
title_short | Cost-effectiveness of supported self-management for CFS/ME patients in primary care |
title_sort | cost-effectiveness of supported self-management for cfs/me patients in primary care |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556109/ https://www.ncbi.nlm.nih.gov/pubmed/23327355 http://dx.doi.org/10.1186/1471-2296-14-12 |
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