Economic evaluation of occupational therapy in Parkinson's disease: A randomized controlled trial.
Identifieur interne : 000198 ( PubMed/Curation ); précédent : 000197; suivant : 000199Economic evaluation of occupational therapy in Parkinson's disease: A randomized controlled trial.
Auteurs : Ingrid H W M. Sturkenboom [Pays-Bas] ; Jan C M. Hendriks [Pays-Bas] ; Maud J L. Graff [Pays-Bas] ; Eddy M M. Adang [Pays-Bas] ; Marten Munneke [Pays-Bas] ; Maria W G. Nijhuis-Van Der Sanden [Pays-Bas] ; Bastiaan R. Bloem [Pays-Bas]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2015.
Abstract
A large randomized clinical trial (the Occupational Therapy in Parkinson's Disease [OTiP] study) recently demonstrated that home-based occupational therapy improves perceived performance in daily activities of people with Parkinson's disease (PD). The aim of the current study was to evaluate the cost-effectiveness of this intervention.
DOI: 10.1002/mds.26217
PubMed: 25854809
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Adang</name><affiliation wicri:level="1"><nlm:affiliation>Radboud university medical center, Department of Health Evidence, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Department of Health Evidence, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Munneke, Marten" sort="Munneke, Marten" uniqKey="Munneke M" first="Marten" last="Munneke">Marten Munneke</name><affiliation wicri:level="1"><nlm:affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Department of Neurology, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Radboud Institute for Health Sciences, Department of Neurology, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Nijhuis Van Der Sanden, Maria W G" sort="Nijhuis Van Der Sanden, Maria W G" uniqKey="Nijhuis Van Der Sanden M" first="Maria W G" last="Nijhuis-Van Der Sanden">Maria W G. Nijhuis-Van Der Sanden</name><affiliation wicri:level="1"><nlm:affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R" last="Bloem">Bastiaan R. Bloem</name><affiliation wicri:level="1"><nlm:affiliation>Radboud university medical center, Donders Institute for Brain, Cognition and Behavior, Department of Neurology, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Donders Institute for Brain, Cognition and Behavior, Department of Neurology, Nijmegen</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25854809</idno><idno type="pmid">25854809</idno><idno type="doi">10.1002/mds.26217</idno><idno type="wicri:Area/PubMed/Corpus">000198</idno><idno type="wicri:Area/PubMed/Curation">000198</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Economic evaluation of occupational therapy in Parkinson's disease: A randomized controlled trial.</title><author><name sortKey="Sturkenboom, Ingrid H W M" sort="Sturkenboom, Ingrid H W M" uniqKey="Sturkenboom I" first="Ingrid H W M" last="Sturkenboom">Ingrid H W M. Sturkenboom</name><affiliation wicri:level="1"><nlm:affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Hendriks, Jan C M" sort="Hendriks, Jan C M" uniqKey="Hendriks J" first="Jan C M" last="Hendriks">Jan C M. Hendriks</name><affiliation wicri:level="1"><nlm:affiliation>Radboud university medical center, Department of Health Evidence, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Department of Health Evidence, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Graff, Maud J L" sort="Graff, Maud J L" uniqKey="Graff M" first="Maud J L" last="Graff">Maud J L. Graff</name><affiliation wicri:level="1"><nlm:affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Adang, Eddy M M" sort="Adang, Eddy M M" uniqKey="Adang E" first="Eddy M M" last="Adang">Eddy M M. Adang</name><affiliation wicri:level="1"><nlm:affiliation>Radboud university medical center, Department of Health Evidence, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Department of Health Evidence, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Munneke, Marten" sort="Munneke, Marten" uniqKey="Munneke M" first="Marten" last="Munneke">Marten Munneke</name><affiliation wicri:level="1"><nlm:affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Department of Neurology, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Radboud Institute for Health Sciences, Department of Neurology, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Nijhuis Van Der Sanden, Maria W G" sort="Nijhuis Van Der Sanden, Maria W G" uniqKey="Nijhuis Van Der Sanden M" first="Maria W G" last="Nijhuis-Van Der Sanden">Maria W G. Nijhuis-Van Der Sanden</name><affiliation wicri:level="1"><nlm:affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R" last="Bloem">Bastiaan R. Bloem</name><affiliation wicri:level="1"><nlm:affiliation>Radboud university medical center, Donders Institute for Brain, Cognition and Behavior, Department of Neurology, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Donders Institute for Brain, Cognition and Behavior, Department of Neurology, Nijmegen</wicri:regionArea></affiliation></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A large randomized clinical trial (the Occupational Therapy in Parkinson's Disease [OTiP] study) recently demonstrated that home-based occupational therapy improves perceived performance in daily activities of people with Parkinson's disease (PD). The aim of the current study was to evaluate the cost-effectiveness of this intervention.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="In-Process"><PMID Version="1">25854809</PMID><DateCreated><Year>2015</Year><Month>07</Month><Day>16</Day></DateCreated><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN><JournalIssue CitedMedium="Internet"><Volume>30</Volume><Issue>8</Issue><PubDate><Year>2015</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Economic evaluation of occupational therapy in Parkinson's disease: A randomized controlled trial.</ArticleTitle><Pagination><MedlinePgn>1059-67</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mds.26217</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">A large randomized clinical trial (the Occupational Therapy in Parkinson's Disease [OTiP] study) recently demonstrated that home-based occupational therapy improves perceived performance in daily activities of people with Parkinson's disease (PD). The aim of the current study was to evaluate the cost-effectiveness of this intervention.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We performed an economic evaluation over a 6-month period for both arms of the OTiP study. Participants were 191 community-dwelling PD patients and 180 primary caregivers. The intervention group (n = 124 patients) received 10 weeks of home-based occupational therapy; the control group (n = 67 patients) received usual care (no occupational therapy). Costs were assessed from a societal perspective including healthcare use, absence from work, informal care, and intervention costs. Health utilities were evaluated using EuroQol-5d. We estimated cost differences and cost utility using linear mixed models and presented the net monetary benefit at different values for willingness to pay per quality-adjusted life-year gained.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In our primary analysis, we excluded informal care hours because of substantial missing data for this item. The estimated mean total costs for the intervention group compared with controls were €125 lower for patients, €29 lower for caregivers, and €122 higher for patient-caregiver pairs (differences not significant). At a value of €40,000 per quality-adjusted life-year gained (reported threshold for PD), the net monetary benefit of the intervention per patient was €305 (P = 0.74), per caregiver €866 (P = 0.01) and per patient-caregiver pair €845 (P = 0.24).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In conclusion, occupational therapy did not significantly impact on total costs compared with usual care. Positive cost-effectiveness of the intervention was only significant for caregivers.</AbstractText><CopyrightInformation>© 2015 International Parkinson and Movement Disorder Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sturkenboom</LastName><ForeName>Ingrid H W M</ForeName><Initials>IH</Initials><AffiliationInfo><Affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, Nijmegen, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hendriks</LastName><ForeName>Jan C M</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>Radboud university medical center, Department of Health Evidence, Nijmegen, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Graff</LastName><ForeName>Maud J L</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, Nijmegen, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Adang</LastName><ForeName>Eddy M M</ForeName><Initials>EM</Initials><AffiliationInfo><Affiliation>Radboud university medical center, Department of Health Evidence, Nijmegen, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Munneke</LastName><ForeName>Marten</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Department of Neurology, Nijmegen, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nijhuis-van der Sanden</LastName><ForeName>Maria W G</ForeName><Initials>MW</Initials><AffiliationInfo><Affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, Nijmegen, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Radboud university medical center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bloem</LastName><ForeName>Bastiaan R</ForeName><Initials>BR</Initials><AffiliationInfo><Affiliation>Radboud university medical center, Donders Institute for Brain, Cognition and Behavior, Department of Neurology, Nijmegen, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT01336127</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>04</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Parkinson's disease</Keyword><Keyword MajorTopicYN="N">cost-effectiveness</Keyword><Keyword MajorTopicYN="N">economic evaluation</Keyword><Keyword MajorTopicYN="N">occupational therapy</Keyword><Keyword MajorTopicYN="N">rehabilitation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>9</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>12</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>2</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2015</Year><Month>4</Month><Day>8</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>4</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>4</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>4</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25854809</ArticleId><ArticleId IdType="doi">10.1002/mds.26217</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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