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Title: Three-year cost analysis of function-centred versus pain-centred inpatient rehabilitation in patients with chronic non-specific low back pain
Authors : Bachmann, Stefan
Wieser, Simon
Oesch, Peter
Schmidhauser, Sarah
Knüsel, Otto
Kool, Jan
Published in : Journal of rehabilitation medicine
Volume(Issue) : 41
Issue : 11
Pages : 919
Pages to: 923
Publisher / Ed. Institution : Stiftelsen Rehabiliteringsinformation
Issue Date: 2009
License (according to publishing contract) : CC BY-NC 4.0: Attribution - Non commercial 4.0 International
Type of review: Peer review (publication)
Language : English
Subjects : Adult; Chronic disease; Cost of illness; Cost-benefit analysis; Exerciset therapy; Female; Follow-up study; Health care cost; Human; Low back pain; Male; Middle aged; Outcome assessment; Patient-centered care; Recovery of function; Rehabilitation; Gesundheitsökonomie; Rückenschmerzen
Subject (DDC) : 338: Production
617.5: Orthopaedic surgery
Abstract: OBJECTIVE: To compare costs of function- and pain-centred inpatient treatment in patients with chronic low back pain over 3 years of follow-up. DESIGN: Cost analysis of a randomized controlled trial. Patients: A total of 174 patients with chronic low back pain were randomized to function- or pain-centred inpatient treatment. METHODS: Data on direct and indirect costs were gathered by questionnaires sent to patients, health insurance providers, employers, and the Swiss Disability Insurance Company. RESULTS: There was a non-significant difference in total medical costs after 3 years’ follow-up. Total costs were 77,305 Euros in the function-centred inpatient treatment group and 83,085 Euros in the pain-centred inpatient treatment group. Likewise, indirect costs after 3 years from lost work days were non-significantly lower in the function-centred in­patient treatment group (6354 Euros; 95% confidence interval –20,892, 8392) and direct medical costs were non-significantly higher in the function-centred inpatient treatment group (574 Euros; 95% confidence interval –862, 2011). CONCLUSION: The total costs of function-centred and pain-centred inpatient treatment were similar over the whole 3-year follow-up.
Departement: School of Management and Law
Organisational Unit: Winterthur Institute of Health Economics (WIG)
Publication type: Article in scientific journal
DOI : 10.21256/zhaw-3961
ISSN: 1650-1977
Appears in Collections:Publikationen School of Management and Law

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