The Cost-effectiveness of Inpatient and Outpatient Physical Therapy Programs in Knee Osteoarthritis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 主要终点
- Quality of Life; Short-Form 36-General Health
研究概览
简要总结
Knee osteoarthritis (OA) is a disease with significant levels of socioeconomic burden to the society. P The non-pharmacologic interventions in knee OA include weight loss, exercise, and physical therapy. In this study, we aimed to to compare the cost-effectiveness of inpatient and outpatient physical therapy programs in patients with knee osteoarthritis.
详细描述
Knee osteoarthritis (OA) is a major problem for society with a heavy economic burden. Especially in the elderly population, integrated rehabilitation programs are frequently used to improve patients' symptoms and quality of life. To estimate the costs and utility of the rehabilitation programs may help clinicians decide optimal treatment strategy with proper usage of resources. Therefore, we aimed to to compare the cost-effectiveness of inpatient and outpatient physical therapy programs in patients with knee osteoarthritis.The study included 52 patients with the diagnose of knee osteoarthritis. Patients were divided into two groups. Group 1 (n=30) received 21 sessions of inpatient physical therapy program including electrotherapy, superficial- deep heat applications and basic knee exercise program. Group 2 (n=22) received the same physical therapy program at outpatient clinic.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Knee OA diagnosed patients based on American College of Rheumatology Criteria
排除标准
- •visual disturbances
- •malignancy
- •inflammatory rheumatic diseases
- •pregnancy
- •advanced cardiovascular, kidney or liver pathologies
- •uncontrolled hypertension
- •patients who had injuries in their lower extremities
- •patients who underwent under total hip or knee prosthetic surgeries.
结局指标
主要结局
Quality of Life; Short-Form 36-General Health
时间窗: Change from Baseline Short-Form 36 scores at 6 months
Short-Form 36 (SF-36) which is composed of eight multi-item scales as bodily pain, physical functioning, social functioning, role-physical, role-emotional, vitality, general health, mental health. Each score of these scales ranging from 0 to 100; higher scores indicating higher QoL.
Median Total Cost Per Participant for Health Care
时间窗: baseline-six months
median total expenses for health care at the end of the study
Pain; Visual Analog Scale (VAS)
时间窗: Change from Baseline VAS scores at 6 months
Patients were requested to sign their pain level on a 10 cm horizontal line with terminal ends of 'no pain' and 'the worst pain'
Physical Function; Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index
时间窗: Change from Baseline WOMAC scores at 6 months
WOMAC questionnaire includes five items for pain, two for stiffness, and 17 for functional limitation (score range 0-68). All the items are scored on a scale of 0-4, with higher scores indicating a higher level of symptoms or physical disability.
Fall Risk Assessment; Hendrich II Fall Risk Scale
时间窗: Change from Baseline Hendrich II Fall Risk Scale at 6 months
The scale includes seven items. These items are confusion \& disorientation, depression, change in excretion, dizziness, gender, antiepileptic \& benzodiazepine use, and get up and walk test. The final score is the sum of these scores; (the score range is between 0-16; 16 is the highest possible score) Patients five or more scores on the scale are considered to be at high risk.
次要结局
未报告次要终点
研究者
Nihan Cuzdan
Doctor
Ufuk University