A preliminary economic evaluation of percutaneous neuromuscular electrical stimulation in the treatment of hemiplegic shoulder pain

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Til, Janine A. van and Renzenbrink, Gerbert J. and Groothuis, Karin and IJzerman, Maarten J. (2006) A preliminary economic evaluation of percutaneous neuromuscular electrical stimulation in the treatment of hemiplegic shoulder pain. Disability and Rehabilitation, 28 (10). 645 -651. ISSN 0963-8288

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Abstract:Objective - The objective of this study was to compare the cost-effectiveness of various treatment modalities for hemiplegic shoulder pain. - Design - A stage II economic evaluation - Main outcome measures - Incremental cost effectiveness ratio of P-NMES, compared to slings and anti-inflammatory injections - Results. The incremental cost effectiveness ratio (ICER) of p-NMES, compared to anti-inflammatory injections is €6,061 (±3,285). The incremental cost of the first quality-adjusted life year after implantation of the P-NMES device compared to anti-inflammatory injections is €33,007 (±5,434). This decreases to ≈ €7,000 after 5 years, and to ≈ €5,000 after 10 survival years.

Conclusion. In this early evaluation, P-NMES seems to be cost-effective according to known guidelines. Treatment with P-NMES is recommended for patients with chronic HSP.
Item Type:Article
Copyright:© 2006 Taylor & Francis
Faculty:
Management and Governance (SMG)
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Link to this item:http://purl.utwente.nl/publications/63936
Official URL:http://dx.doi.org/10.1080/09638280500277057
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