Trial reportPharmacoEconomics2004
Cost effectiveness of interventions for lateral epicondylitis: results from a randomised controlled trial in primary care.
Trial report in PharmacoEconomics, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03996928 (Eccentric Exercise in Epicondylitis), which is not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Eccentric Exercise in Epicondylitis: Direct Application By Physical Therapist Vs Self-Application By Patient
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Manual therapy and exercise for lateral elbow pain.The Cochrane database of systematic reviews · 2024Pooled it
- Cost-Effectiveness of Treatments for Musculoskeletal Conditions Offered by Physiotherapists: A Systematic Review of Trial-Based Evaluations.Sports medicine - open · 2024Pooled it
- A systematic review of the unit costs of allied health and community services used by older people in Australia.BMC health services research · 2013Pooled it
- Cost-effectiveness of a corticosteroid injection versus exercise therapy for shoulder pain in general practice (SIX-Shoulder Study): a randomized controlled trial.Family practice · 2025Trial
- Trial
- Optimising corticosteroid injection for lateral epicondylalgia with the addition of physiotherapy: a protocol for a randomised control trial with placebo comparison.BMC musculoskeletal disorders · 2009Trial
- Economic evaluation of a multi-stage return to work program for workers on sick-leave due to low back pain.Journal of occupational rehabilitation · 2006Trial
- Cost effectiveness of brace, physiotherapy, or both for treatment of tennis elbow.British journal of sports medicine · 2006Trial
- Effect of Supervised over Self-Performed Eccentric Exercise on Lateral Elbow Tendinopathy: A Pilot Study.Journal of clinical medicine · 2022Article
- Analgesic Effect of Extracorporeal Shock-Wave Therapy in Individuals with Lateral Epicondylitis: A Randomized Controlled Trial.Journal of functional morphology and kinesiology · 2022Article
- Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial.Orthopedic research and reviews · 2019Article
- Effect of Metabolic Syndrome on the Functional Outcome of Corticosteroid Injection for Lateral Epicondylitis: Retrospective Matched Case-Control Study.Scientific reports · 2017Article
- Cost-effectiveness of a transitional pharmaceutical care program for patients discharged from the hospital.PloS one · 2017Article
- Health Care Utilization and Direct Medical Costs of Tennis Elbow: A Population-Based Study.Sports health · 2016Article
- Critical review on the socio-economic impact of tendinopathy.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2016Review
- Changes in pain, dysfunction, and grip strength of patients with acute lateral epicondylitis caused by frequency of physical therapy: a randomized controlled trial.Journal of physical therapy science · 2014Article
- Impairment assessment of lateral epicondylitis through electromyography and dynamometry.The Journal of the Canadian Chiropractic Association · 2011Article
- The effect of the COACH program (Continuity Of Appropriate pharmacotherapy, patient Counselling and information transfer in Healthcare) on readmission rates in a multicultural population of internal medicine patients.BMC health services research · 2010Article
- Management in non-traumatic arm, neck and shoulder complaints: differences between diagnostic groups.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2008Article
- Tennis elbow in primary care.BMJ (Clinical research ed.) · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveLateral epicondylitis is a common complaint, with an annual incidence between 1% and 3% in the general population. The Dutch College of General Practitioners in The Netherlands has issued guidelines that recommend a wait-and-see policy. However, these guidelines are not evidence based. DESIGN AND
settingThis paper presents the results of an economic evaluation in conjunction with a randomised controlled trial to evaluate the effects of three interventions in primary care for patients with lateral epicondylitis. PATIENTS AND
interventionsPatients with pain at the lateral side of the elbow were randomised to one of three interventions: a wait-and-see policy, corticosteroid injections or physiotherapy. MAIN OUTCOME MEASURES AND
resultsClinical outcomes included general improvement, pain during the day, elbow disability and QOL. The economic evaluation was conducted from a societal perspective. Direct and indirect costs (in 1999 values) were measured by means of cost diaries over a period of 12 months. Differences in mean costs between groups were evaluated by applying non-parametric bootstrap techniques. The mean total costs per patient for corticosteroid injections were euro430, compared with euro631 for the wait-and-see policy and euro921 for physiotherapy. After 12 months, the success rate in the physiotherapy group (91%) was significantly higher than in the injection group (69%), but only slightly higher than in the wait-and-see group (83%). The differences in costs and effects showed no dominance for any of the three groups. The incremental cost-utility ratios were (approximately): euro7000 per utility gain for the wait-and-see policy versus corticosteroid injections; euro12000 per utility gain for physiotherapy versus corticosteroid injections, and euro34500 for physiotherapy versus the wait-and-see policy.
conclusionsThe results of this economic evaluation provided no reason to update or amend the Dutch guidelines for GPs, which recommend a wait-and-see policy for patients with lateral epicondylitis.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.