Therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain: cost utility analysis based on a randomized controlled trial
The Korean Journal of Pain
;
: 27-38, 2018.
Article
in English
| WPRIM
| ID: wpr-742169
ABSTRACT
BACKGROUND:
Related to escalating health care costs and the questionable effectiveness of multiple interventions including lumbar facet joint interventions, cost effectiveness or cost utility analysis has become the cornerstone of evidence-based medicine influencing coverage decisions.METHODS:
Cost utility of therapeutic lumbar facet joint nerve blocks in managing chronic low back pain was performed utilizing data from a randomized, double-blind, controlled trial with a 2-year follow-up, with direct payment data from 2016. Based on the data from surgical interventions, utilizing the lowest proportion of direct procedural costs of 60%, total cost utility per quality adjusted life year (QALY) was determined by multiplying the derived direct cost at 1.67.RESULTS:
Patients in this trial on average received 5.6 ± 2.6 procedures over a period of 2 years, with average relief over a period of 2 years of 82.8 ± 29.6 weeks with 19 ± 18.77 weeks of improvement per procedure. Procedural cost for one-year improvement in quality of life showed USD $2,654.08. Estimated total costs, including indirect costs and drugs with multiplication of direct costs at 1.67, showed a cost of USD $4,432 per QALY.CONCLUSIONS:
The analysis of therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain shows clinical effectiveness and cost utility at USD $2,654.08 for the direct costs of the procedures, and USD $4,432 for the estimated overall cost per one year of QALY, in chronic persistent low back pain non-responsive to conservative management.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Quality of Life
/
Follow-Up Studies
/
Treatment Outcome
/
Health Care Costs
/
Cost-Benefit Analysis
/
Low Back Pain
/
Quality-Adjusted Life Years
/
Evidence-Based Medicine
/
Diagnostic Techniques and Procedures
/
Zygapophyseal Joint
Type of study:
Controlled clinical trial
/
Diagnostic study
/
Health economic evaluation
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Pain
Year:
2018
Type:
Article
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