Active involvement and intervention in patients exposed to whiplash trauma in automobile crashes reduces costs: a randomized, controlled clinical trial and health economic evaluation

Rosenfeld, Mark, Seferiadis, Aris, and Gunnarsson, Ronny (2006) Active involvement and intervention in patients exposed to whiplash trauma in automobile crashes reduces costs: a randomized, controlled clinical trial and health economic evaluation. Spine, 31 (16). pp. 1799-804.

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Abstract

Study Design. To examine and compare the costs and consequences in a partial economic evaluation of two competing interventions in patients exposed to whiplash trauma in automobile crashes. The interventions were an active involvement and intervention using early mobilization and a standard intervention of rest, recommended short-term immobilization in a cervical collar and a cautious, gradual self-exercise program according to a leaflet. The study was randomized and controlled.

Objectives. The aim of the study was to compare the costs of an active involvement and intervention versus a standard intervention and to relate them to the clinical benefits in patients exposed to whiplash trauma in automobile crashes to facilitate decision-making regarding intervention and resource allocation.

Summary of Background Data. There is very little known about the health economic aspects of various interventions in the target treatment group of patients.

Methods. Based on a prospective, randomized, clinical trial, data on clinical effectiveness and resources used for the active involvement and intervention and standard intervention were collected for a comparative analysis of the costs related to physical therapy treatment and sick leave. A cost-consequence analysis consisting of a modified cost-effectiveness analysis was used.

Results. The costs were significantly lower after 6 and 36 months with an active involvement and intervention as compared with the standard intervention. The active involvement and intervention were significantly superior in reducing experienced pain and reducing sick leave.

Conclusions. For patients exposed to whiplash trauma in a motor vehicle collision, an active involvement and intervention were both less costly and more effective than a standard intervention.

Item ID: 30753
Item Type: Article (Research - C1)
ISSN: 1528-1159
Keywords: whiplash injuries, whiplash-associated disorders, physical therapy, cost-consequence analysis
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Active involvement and intervention in patients exposed to whiplash trauma in automobile crashes reduces costs: a randomized, controlled clinical trial and health economic evaluation: Erratum

The article1 that appeared on page 1799 in the July 15, 2006 issue of Spine had errors within the data of 3 tables. In Tables 2 and 3, SEK is now converted to GBR, EUR, and USD, using the current exchange rate at the time of this writing. The phenomenon remains of group 2 having higher costs (both in total and mean) than Group 1 while having lower average days on sick leave. The authors wish to note group 1 has one patient with a very long sick leave (180 days during last 6 months), making sick leave skewed. Therefore, comparing mean days on sick leave between groups does not present a correct representation of group differences. In Table 4, P values are changed slightly but conclusions are unchanged. All correct tables:http://journals.lww.com/spinejournal/Fulltext/2012/11150/Active_involvement_and_intervention_in_patients.20.aspx

Date Deposited: 24 Feb 2014 01:51
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110305 Emergency Medicine @ 40%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111717 Primary Health Care @ 40%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111716 Preventive Medicine @ 20%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920206 Health Policy Economic Outcomes @ 40%
92 HEALTH > 9202 Health and Support Services > 920207 Health Policy Evaluation @ 40%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920116 Skeletal System and Disorders (incl. Arthritis) @ 20%
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