nterpretation of trial-based economic evaluations of musculoskeletal physical therapy intervention

Autor(es)

Miyamoto, Gisela Cristiane ^{[1, 2]} ; Ben, Angela Jornada ^[2] ; Bosmans, Judith E. ^[2] ; van Tulder, Maurits W. ^[3] ; Lin, Chung-Wei Christine ^[4] ; Nunes Cabral, Cristina Maria ^[1] ; van Dongen, Johanna Maria ^[2]

Afiliação do(s) autor(es)

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

^[2] Vrije Univ Amsterdam, Fac Sci, Dept Hlth Sci, Amsterdam Publ Hlth, Amsterdam - Netherlands

^[3] Vrije Univ Amsterdam, Fac Sci, Dept Hlth Sci, Amsterdam Movement Sci, Amsterdam - Netherlands

^[4] Univ Sydney, Sch Publ Hlth, Inst Musculoskeletal Hlth Sydney, Sydney, NSW - Australia

• Tipo de documento: Artigo Científico
• Fonte: BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 25, n. 5, p. 514-529, SEP-OCT 2021.
• Citações Web of Science: 0

Resumo

Background: As resources for healthcare are scarce, decision-makers increasingly rely on economic evaluations when making reimbursement decisions about new health technologies, such as drugs, procedures, devices, and equipment. Economic evaluations compare the costs and effects of two or more interventions. Musculoskeletal disorders have a high prevalence and result in high levels of disability and high costs worldwide. Because physical therapy interventions are usually the first line of treatment for musculoskeletal disorders, economic evaluations of such interventions are becoming increasingly important for stakeholders in the field of physical therapy, including physical therapists, decision-makers, and reseachers. However, economic evaluations are relatively difficult to interpret for the majority of stakeholders. Objective: To support physical therapists, decision-makers, and researchers in the field of physical therapy interpreting trial-based economic evaluations and translating the results of such studies to clinical practice. Methods: The design, analysis, and interpretation of economic evaluations performed alongside randomized controlled trials are discussed. To further illustrate and explain these concepts, we use a case study assessing the cost-effectiveness of exercise therapy compared to standard advice in patients with musculoskeletal disorders. Conclusions: Economic evaluations are increasingly being used in healthcare decision-making. Therefore, it is of utmost importance that their design, conduct, and analysis are state-of-theart and that their interpretation is adequate. This masterclass will help physical therapists, decision-makers, and researchers in the field of physical therapy to critically appraise the quality and (AU)

• Processo FAPESP: 19/09593-0 - Avaliação econômica na dor musculoesquelética crônica
• Beneficiário: Gisela Cristiane Miyamoto
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Pós-Doutorado