A preliminary economic evaluation of percutaneous neuromuscular electrical stimulation in the treatment of hemiplegic shoulder pain
Til van, Janine A. 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.
|Copyright:||© 2006 Taylor & Francis|
Management and Governance (SMG)
|Link to this item:||http://purl.utwente.nl/publications/63936|
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