Cost-effectiveness of exercise therapy in the treatment of non-specific neck pain and low back pain: a systematic review with meta-analysis

Autor(es)

Miyamoto, Gisela Cristiane ^{[1, 2]} ; Lin, Chung-Wei Christine ^[3] ; Cabral, Cristina Maria Nunes ^[1] ; van Dongen, Johanna M. ^[2] ; van Tulder, Maurits W. ^[2]

Afiliação do(s) autor(es)

^[1] Univ Cidade Sao Paulo, Masters & Doctoral Program Phys Therapy, BR-03680000 Sao Paulo, SP - Brazil

^[2] Vrije Univ Amsterdam, Amsterdam Movement Sci, Dept Hlth Sci, Fac Sci, Amsterdam, Noord Holland - Netherlands

^[3] Univ Sydney, Sch Publ Hlth, Musculoskeletal Hlth Sydney, Sydney, NSW - Australia

• Tipo de documento: Artigo de Revisão
• Fonte: BRITISH JOURNAL OF SPORTS MEDICINE; v. 53, n. 3, p. 172+, FEB 2019.
• Citações Web of Science: 5

Resumo

Objective To investigate the cost-effectiveness of exercise therapy in the treatment of patients with nonspecific neck pain and low back pain. Design Systematic review of economic evaluations. Data sources The search was performed in 5 clinical and 3 economic electronic databases. Eligibility criteria for selecting studies We included economic evaluations performed alongside randomised controlled trials. Differences in costs and effects were pooled in a meta-analysis, if possible, and incremental cost-utility ratios (ICUR) were descriptively analysed. Results Twenty-two studies were included. On average, exercise therapy was associated with lower costs and larger effects for quality-adjusted life-year (QALY) in comparison with usual care for subacute and chronic low back pain from a healthcare perspective (based on ICUR). Exercise therapy had similar costs and effect for QALY in comparison with other interventions for neck pain from a societal perspective, and subacute and chronic low back pain from a healthcare perspective. There was limited or inconsistent evidence on the cost-effectiveness of exercise therapy compared with usual care for neck pain and acute low back pain, other interventions for acute low back pain and different types of exercise therapy for neck pain and low back pain. Conclusions Exercise therapy seems to be cost-effective compared with usual care for subacute and chronic low back pain. Exercise therapy was not (more) cost-effective compared with other interventions for neck pain and low back pain. The cost-utility estimates are rather uncertain, indicating that more economic evaluations are needed. (AU)

• Processo FAPESP: 13/26321-8 - Efetividade de diferentes frequências semanais de sessões do Método Pilates modificado no tratamento da dor lombar crônica não específica: estudo controlado aleatorizado
• Beneficiário: Gisela Cristiane Miyamoto
• Modalidade de apoio: Bolsas no Brasil - Doutorado
• Processo FAPESP: 16/07915-2 - Avaliação econômica no tratamento da dor lombar crônica não específica: avaliação econômica de um estudo controlado aleatorizado e revisão sistemática sobre avaliação econômica
• Beneficiário: Gisela Cristiane Miyamoto
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Doutorado